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Strong Over The Counter Muscle Relaxer Side Effects, Effectiveness, Warning Signs, Symptoms, Overdose & Withdrawal

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OTC muscle relaxers should not be used for more than a few days without consulting a doctor. Some people may experience side effects when taking OTC muscle relaxers, including nausea, dizziness, and drowsiness. Continue to read more about the over the counter muscle relaxers.

By We Level Up NJ Treatment Center | Editor Yamilla Francese | Clinically Reviewed By Lauren Barry, LMFT, MCAP, QS, Director of Quality Assurance | Editorial Policy | Research Policy | Last Updated: March 16, 2023

Over The Counter Muscle Relaxer

Finding relief can seem impossible when physical pain, like back spasms, takes over your body. Fortunately, there are options. Over the counter muscle relaxers or over the counter muscle relaxants can help reduce tension and discomfort. In this article, we’ll dive into what these muscle relaxer pills over the counter do. Before deciding which is best for you, you ought to know how effective over-the-counter muscle relaxers are compared to their side effects. Plus, learn when to see a medical provider for further care so painful muscles can recover better.

One of the strongest muscle relaxers over the counter outside the USA is only available in the USA as a prescription. Carisoprodol (Soma) helps relieve musculoskeletal pain. It’s a schedule IV drug (meaning it’s a controlled substance) that is prone to drug abuse. While its potency usually sets within 30 minutes, its effectiveness is only known to last up to three weeks. Anyone experiencing signs of drug addiction to this drug must undergo Soma detox to wean off the medication safely.

There are no strongest over the counter muscle relaxers in the United States. However, several OTC drugs can have muscle-relaxing effects. They include guaifenesin and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen.

What is an Over The Counter Muscle Relaxer?

Over the counter muscle relaxers for back pain, over the counter muscle relaxers for neck pain, and over the counter muscle relaxer for spasms are the medications that you can find while perusing the aisles at your convenience store or local pharmacy. Even though over-the-counter (OTC) drugs and muscle relaxer cream over the counter medications are easy to purchase, they’ll do the job for many pains and aches. Doctors often recommend them before prescribing more powerful treatment options.

Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen are some of the most common OTC muscle relaxers medications for pain. They might not have the same potency as high-grade and prescribed muscle relaxers, but they’re still effective and have few side effects. 

The Best Over The Counter Muscle Relaxers

Prescription muscle relaxers may help reduce pain and improve movement and range of motion. Still, doctors will likely recommend first trying over-the-counter muscle relaxants such as acetaminophen or a nonsteroidal anti-inflammatory drug like ibuprofen and naproxen. In some cases, these over-the-counter muscle relaxers will be enough to help alleviate your pain.

Muscle relaxant over the counter should be used carefully, as they can have serious side effects. They should only be used as directed by your doctor.

It is essential to read over the counter.muscle.relaxer labels carefully before taking OTC muscle relaxants, as some may contain additional active ingredients like menthol or eucalyptus oil.

Strongest Over The Counter Muscle Relaxer 

The strongest muscle relaxer over the counter can be purchased and available in drug stores, supermarkets, and online. Many are searching for “over the counter muscle relaxers Walgreens,” “over the counter muscle relaxers Walmart,” and “best over the counter muscle relaxers CVS.” OTC muscle relaxants typically contain ingredients such as acetaminophen, ibuprofen, naproxen sodium, aspirin, or lidocaine.

Over the counter muscle relaxer cream may also have additional active ingredients, such as menthol or eucalyptus oil, to help soothe sore muscles.

Perhaps the best over-the-counter muscle relaxers, as they are the most commonly recommended over the counter muscle relaxers, are ibuprofen and naproxen. Depending on the severity of your muscle pain, your doctor may also recommend a topical muscle-relaxing cream.

While over the counter muscle relaxer for neck pain can relieve pain and discomfort caused by tight or strained muscles, they should not be used for more than a few days without consulting a doctor. Also, some people may experience side effects when taking a strong, over-the-counter muscle relaxer for TMJ (Temporomandibular Joint), including nausea, dizziness, and drowsiness.

It is essential to read the label carefully and follow the manufacturer’s instructions before using over the counter muscle relaxers. When unsure, it is always best to consult a doctor or pharmacist before taking painkillers or OTC drugs. This can help ensure that OTC muscle relaxers are used safely and effectively.

Over the counter muscle relaxer for pinched nerve and over the counter muscle relaxer for pinched nerve may not provide adequate relief for more serious medical conditions such as arthritis, carpal tunnel syndrome, or fibromyalgia. In these cases, prescription medications may be necessary to relieve pain and discomfort. If OTC muscle relaxants do not provide sufficient relief after a few days of use, contacting a healthcare provider for further evaluation and treatment options is crucial. They can help determine the best course of action and provide information about potential risks associated with over the counter muscle relaxers.

Muscle Relaxants Over The Counter Safety

Are muscle relaxers over the counter? No. But some OTC muscle pain relievers can effectively reduce pain and discomfort associated with tight or strained muscles. Still, consulting a doctor or pharmacist before taking OTC muscle relaxants is essential. Doing so can help ensure that over the counter muscle relaxers are used safely and appropriately for optimal results. Before use, it is essential to read labels carefully for the warnings and possible side effects.

Over The Counter Muscle Relaxer List

Are there any over the counter muscle relaxers? There are no over-the-counter muscle relaxants in the US. But some medications have the same effects of relieving muscle pain.

Muscle relaxers are typically prescribed for muscle spasms, pain, and stiffness. These medications block nerve signals that cause the muscles to tense up. When the nerve signals can't reach the muscle, it relaxes, helping to reduce pain and stiffness. Like all other medications, over the counter muscle relaxers should not be shared, misused, or abused.
Muscle relaxers are typically prescribed for muscle spasms, pain, and stiffness. These medications block nerve signals that cause the muscles to tense up. When the nerve signals can’t reach the muscle, it relaxes, helping to reduce pain and stiffness. Like all other medications, over the counter muscle relaxers should not be shared, misused, or abused.

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Over The Counter Muscle Relaxer Drug Facts

Are there over the counter muscle relaxers? Muscle relaxants are available both over the counter and by prescription. However, their efficacy varies.

While there are no over-the-counter muscle relaxers, several over-the-counter drugs may assist in relieving back pain, spasms, and other diseases that muscle relaxers address. Some of them are the following:

  • Guaifenesin: This OTC medication can relieve upper back pain and spasms. If you use guaifenesin (Mucinex) as a muscle relaxer, check with your healthcare provider to guarantee no contraindications.
  • NSAIDs: Nonsteroidal anti-inflammatory medications (NSAIDs) like ibuprofen (Advil) and naproxen (Aleve) can relieve pain and ease inflammation. These OTC medications can relieve short-term back pain or muscle spasms. NSAIDs can also be obtained at higher dosages by prescription.
  • Acetaminophen: Acetaminophen, also known as Tylenol, works by blocking the body’s ability to make substances that induce pain. Medical providers may sometimes advise alternating between acetaminophen and NSAIDs since they are different medications.
What is an over the counter muscle relaxer? These are medications that have the same effects of relieving muscle pains as prescription muscle relaxers do. However, the effectivity and duration vary between the two.
What is an over the counter muscle relaxer? These medications have the same effects of relieving muscle pains as prescription muscle relaxers. However, the effectivity and duration vary between the two.

Prescription Muscle Relaxers

Several prescription medications are commonly used as muscle relaxant. Here are a few examples:

  1. Baclofen: This medication treats spasms and muscle cramps caused by multiple sclerosis, spinal cord injuries, and other conditions.
  2. Carisoprodol: This medication treats muscle spasms and pain caused by injuries or other conditions.
  3. Cyclobenzaprine: This medication treats muscle spasms and pain caused by injuries or other conditions.
  4. Metaxalone: This medication treats muscle spasms and pain caused by injuries or other conditions.
  5. Tizanidine: This medication treats muscle spasms and pain caused by injuries or other conditions.

It’s important to note that muscle relaxants should only be prescribed and used under the supervision of an accredited healthcare provider. They can have side effects and may interact with other medications you are taking.

While a muscle relaxer can be a valuable tool in relieving muscle spasms and muscle tension, patients should understand the potential risks associated with their use before starting any treatment regimen.

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Muscle Relaxer Addiction Statistics

In 2016, almost 70% of patients who received a prescription for a muscle relaxant also received a prescription for an opioid, which could potentially result in dangerous interactions. The researchers also found that, despite national guidelines pointing that this class of medications should almost always be avoided in individuals 65 and older, muscle relaxants were prescribed disproportionately to older persons throughout this time.


70%

70% of patients who received a prescription for a muscle relaxant also received a prescription for an opioid, which could potentially result in harmful interactions.

Source: Penn Medicine

67%

In 2016, 67% of the hospital visits for continuing muscle relaxant use also included opioid therapy.

Source: Penn Medicine

22.2%

Although making up just 14.5% of the U.S. population, older persons accounted for 22.2% of all visits for muscle relaxants in 2016.

Source: Penn Medicine


Acetaminophen (Tylenol) Over the Counter Muscle Relaxer

Tylenol is also known under the generic name acetaminophen. It treats pain and discomfort associated with strains, sprains, spasms, or other muscle injuries. Acetaminophen raises a person’s pain threshold – meaning it is harder to feel pain. This muscle relaxant OTC can reduce fever by telling the heat-regulating center of the brain to lower the body’s temperature when it is too high. It is also thought to reduce the number of chemicals in the brain that causes inflammation and swelling.

Acetaminophen was approved for use by the U.S. Food and Drug Administration (FDA) in 1951. [1] While Tylenol and generic acetaminophen do not require a prescription, Tylenol 3 does. This is because Tylenol 3 is a more robust version of regular Tylenol. Tylenol 3 contains acetaminophen and a high amount of codeine, an opioid.

Acetaminophen as a Recreational Drug

Acetaminophen (Tylenol) isn’t addictive, and individuals don’t take it to get high. However, it is an active ingredient in many painkillers, such as Percocet and Vicodin, which are abused for their highs. The acetaminophen contained in these drugs is often the most damaging.

Overdose from this over counter muscle relaxant causes about 60,000 individuals each year to go to the hospital, several hundred of which die from associated liver failure. Large doses or chronic use can lead to liver damage, primarily when combined with alcohol or other drugs.

If a person abusing acetaminophen suddenly stops misusing the over the counter muscle relaxer, withdrawal symptoms can occur. These withdrawal symptoms may range from bone and muscle pain and restlessness to diarrhea and vomiting. People with an acetaminophen addiction need to seek the proper addiction recovery treatment from qualified medical professionals.

Side Effects of Acetaminophen Abuse

Acetaminophen is commonly misused as a recreational drug with other medications. [2] On their own, these muscle relaxers OTC are widely accepted as a safe drug and easily accessible.

However, more potent forms of acetaminophen, such as Tylenol 3, can only be purchased on a doctor’s prescription, as it contains a significant amount of codeine, another opioid drug. Acetaminophen alone is not particularly causing drug dependency, but the opioid codeine in Tylenol 3 can become habit-forming.

The opioid codeine in Tylenol 3 can cause euphoria, which leads some patients to abuse the drug. Tylenol 3 also amplifies the effects of other medications, such as alcohol, narcotics, tranquilizers, general anesthetics, sedative-hypnotics, and other central nervous systems (CNS) depressants. Mixing acetaminophen with any of these drugs heightens the risk of experiencing side effects from each medication.

In addition to the dangerous effects of acetaminophen abuse, chronic overuse of painkillers can lead to psychological and physical dependence and the associated withdrawal symptoms when drug use is stopped.

Acetaminophen Liver Damage

Acetaminophen toxicity in the form of chronic liver damage can happen when too much of the drug has been taken. Whether intentional or accidental, an overdose of this drug requires immediate medical attention to prevent further damage to the body. Symptoms of liver damage include:

  • Fatigue
  • Yellowing of skin or eyes
  • Pain in abdomen
  • Nausea and vomiting
  • Loss of appetite
  • Excessive sweating
  • Dark urine and stools
  • Pale skin color
  • Unusual bruising
  • Unusual bleeding
Muscle relaxers over the counter should also never be combined with antihistamines or alcohol. Despite the severity of over the counter muscle relaxer side effects, quitting them can be challenging to do for someone who has become dependent on this drug.
Muscle relaxers over the counter should also never be combined with antihistamines or alcohol. Despite the severity of over the counter muscle relaxer side effects, quitting them can be challenging to do for someone who has become dependent on this drug.

More complications can occur with over the counter muscle relaxer acetaminophen as it interacts with other drugs. Antifungals, antibiotics, sulfa drugs, nonsteroidal anti-inflammatory drugs (NSAIDs), and birth control pills, as well as medications for the treatment of cancer, high blood pressure, high cholesterol, arthritis, seizures, HIV/AIDS, and psychiatric conditions, can all be affected by this over the counter muscle relaxer.

Acetaminophen and Alcohol

Alcohol abuse combined with acetaminophen use can increase the risk of stomach bleeding and liver damage. Any drugs or substance, for that matter, that puts prolonged stress on the liver or kidney poses significant health threats, especially when mixed with acetaminophen. The U.S. Food and Drug Administration (FDA) recommends not drinking more than three alcoholic beverages in one day if planning on taking acetaminophen.

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Naproxen (Aleve) Over the Counter Muscle Relaxer

Naproxen (Aleve) is a popular and accessible nonsteroidal anti-inflammatory drug. It treats muscle pain, migraines, osteoarthritis, headaches, cramps, fever, and minor injuries. This over the counter muscle relaxer daily usage is generally safe when someone follows the instructions. However, over the counter muscle relaxer pills abuse and misuse can lead to a risk of drug abuse. Naproxen abuse can cause severe health issues [3].

Naproxen is both a prescription and OTC medicine. One can buy a prescription Naproxen as a tablet or an effervescent. Furthermore, its classification as a painkiller means a medical prescription is crucial, primarily for patients suffering from tissue inflammation. The drug is an OTC medication with the brand name Aleve. Prescription Naproxen is also known as Naprosyn and Anaprox.

Naproxen Abuse

Though the Naproxen euphoria or “feeling of high” is not likely, this doesn’t mean that this over-the-counter muscle relaxer is not abused. It is easy to get Naproxen from the drugstore. One should also be aware of imprints like Naproxen 500, as different dosages have their respective imprints. This will help in recognizing the correct dosage for an underlying condition.

People using this over-the-counter muscle relaxer for recreational reasons become so addictive that they sometimes prefer consuming the drug to experience its effect. This also leads to a dosage increase. This could lead to a dosage increase. However, the continued use of the drug may grow a tolerance to it. While one may not notice the approaching addiction to this over-the-counter muscle relaxer, the user should still know how long this stays in the system and how bad it can be for the kidneys and stomach lining.

Signs of Naproxen Abuse 

  • Defensiveness
  • Changes to habits
  • Social withdrawal

Symptoms of Naproxen Abuse

  • Anxiety
  • Mood changes
  • Brain fog
  • Lethargy
  • Constipation
  • Nausea
  • Headache
  • Use of high doses
  • Reduced sex drive
  • Low pain tolerance

Withdrawal from Naproxen 

While the over-the-counter muscle relaxer can be taken as prescribed by the doctor, it may cause dependence and tolerance, even if taken briefly. Anyone who is chronically abusing the drug will experience withdrawal. The process of quitting the drug is presented various withdrawal signs and symptoms.

Physical withdrawal symptoms of Naproxen can last from 48-72 hours or up to 30-60 days. The severity of Naproxen withdrawal depends upon the quantity and duration the user has used the muscle relaxant drugs over the counter. Withdrawal symptoms happen as the body tries to recover from the interference of Naproxen within its systems.

Symptoms of Naproxen Abuse Physical Withdrawal

  • Irregular heartbeat
  • Hallucinations
  • Severe and repeated episodes of headache that become painful to the extent that vomiting and shivering happen to be a typical part of it
  • Fever and flu-like symptoms
  • Nausea with no specific reason before, during, and after having a meal

Symptoms of Naproxen Abuse Psychological Withdrawal

  • Restlessness
  • Insomnia
  • Irritation
  • Fluctuating mood swings

Quitting the drug cold turkey or without medical help is dangerous to your health. The management of Naproxen’s side effects and withdrawal requires proper medical attention.

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Ibuprofen (Advil) Over the Counter Muscle Relaxer

Ibuprofen (Advil) belongs to the non-steroidal anti-inflammatory drug (NSAIDs) class. It is typically used to manage mild to moderate pain, reduce fever, or decrease inflammation, stiffness, and swelling. Misuse of this over the counter muscle relaxer can lead to Ibuprofen abuse and addiction. Nonprescription

Ibuprofen may relieve pain from muscle aches, backaches, headaches, menstrual period, toothaches, and the common cold. Ibuprofen works in the body by reducing the production of substances that cause pain and inflammation. This drug is available in non-prescription and prescription forms. Many overdose experiences have been reported, though the frequency of life-threatening complications from Ibuprofen overdose is minimal. [4]

Ibuprofen Dependency and Abuse

Someone may begin taking Ibuprofen to manage mild to moderate pain. This may lead to the risk of developing a dependency and tolerance to this drug because they feel they cannot function normally without the medication.

For some individuals, Ibuprofen may be a way of “numbing” the physical pain, as well as the emotional pain. For people who have unresolved emotional issues or have suffered a traumatic event, their dependency on this drug may result from a psychological need to anesthetize the pain.

Without professionally treating and addressing these possible underlying issues, a dependency on this over counter muscle relaxer can continue. While Ibuprofen is not physically addictive, the continued use of the drug can present physical risks and hazardous consequences.

Ibuprofen Dependency Side Effects & Symptoms

  • Nausea
  • Gastrointestinal ulceration/blessing
  • Itching or rash
  • Constipation/Diarrhea
  • Fatigue or tiredness
  • Dizziness/Drowsiness
  • Swelling of the eyes, face, or extremities
  • Ringing in the ears

Ibuprofen Withdrawal

If someone has developed an addiction to Ibuprofen, they may experience mild side effects if suddenly discontinuing the OTC drug. Because Ibuprofen is not a habit-forming drug, these side effects are minimal but may include the following:

  • Nausea
  • Agitation
  • Headache
  • Increased Anxiety
  • Increased depression
  • Increased levels of pain

Strong Muscle Relaxers Over the Counter Warning

Strong OTC muscle relaxers may not provide sufficient relief from more serious medical conditions like arthritis, carpal tunnel syndrome, or fibromyalgia. A doctor should be consulted for further evaluation and treatment options if needed.

It is essential to consult with a doctor or pharmacist before taking OTC muscle relaxants if there are any concerns or if the condition does not improve after a few days of use. Doing so can help ensure that strong OTC muscle relaxers are used safely and appropriately for optimal results.

Prescription Muscle Relaxers

The most popular prescription muscle relaxers include Flexeril, Skelaxin, Robaxin, Zanaflex, and Baclofen. Each medication varies in dosage and side effects, so speaking to your doctor to determine which medication is proper for you is crucial.

It is important to note that while muscle relaxers may provide some pain relief, they do not eliminate the underlying cause of the pain. Some muscle relaxers can cause drowsiness, dizziness, and blurred vision, so it is vital to take caution. Additionally, it is essential to follow your doctor’s instructions when taking these medications and to be aware of any potential side effects. Get the facts about prescription muscle relaxers before you use them.

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Withdrawal symptoms caused by over the counter muscle relaxers happen when a person who has become dependent or addicted to the substance suddenly stops using them.
Withdrawal symptoms caused by over the counter muscle relaxers happen when a person who has become dependent or addicted to the substance suddenly stops using them.

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Someone who has become dependent on or addicted to over-the-counter muscle relaxers should seek addiction treatment. Drug treatment programs are designed to medically support addicted individuals as they detox and experience withdrawal symptoms.

During your rehabilitation, the staff from your treatment facility will help you identify what caused your addiction and teach you skills that will help you change your behavior patterns and challenge the negative thoughts that led to your addiction. 

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Top 5 Muscle Rrelaxers Over The Counter FAQs

  1. Can you buy muscle relaxers over the counter? Can you get muscle relaxers over the counter?

    There are no over the counter muscle relaxers in the US, but many OTC drugs have the same effects of relieving muscle aches, spasms, and other illness muscle relaxants treat. However, these OTC painkiller drugs are only good for short-term treatment and vary in effectivity.

  2. What is the best over the counter muscle relaxer? What is the best muscle relaxer over the counter?

    Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen are some of the most common and best OTC muscle relaxers medications for pain.

  3. Are there natural muscle relaxers over the counter?

    While muscle aches can be painful, relief can also be obtained with these natural muscle relaxers and natural remedies, including chamomile, cherry juice, blueberry smoothies, cayenne pepper, vitamin D, magnesium, and getting proper rest.

  4. Can you buy over the counter muscle relaxer at Walgreens?

    Yes. The most common muscle relaxers over the counter Walgreens include acetaminophen and ibuprofen ingredients. Note that stronger muscle relaxers require a prescription.

  5. What is a good over the counter muscle relaxer? Is there an over the counter muscle relaxer?

    OTC NSAIDs like ibuprofen and naproxen are good muscle relaxants alternatives as over the counter muscle relaxers.

Over-the-Counter Muscle Relaxer Video

Learn more about some of the more popular muscle relaxer names and brands like:

  1. Flexeril (generic name: cyclobenzaprine)
  2. Soma (generic name: carisoprodol)
  3. Skelaxin (generic name: metaxalone)
  4. Robaxin (generic name: methocarbamol)
  5. Zanaflex (generic name: tizanidine)
  6. Baclofen (generic name: baclofen)
  7. Norflex (generic name: orphenadrine)

It’s important to note that these medications should only be used under the guidance of a healthcare professional, as they can have side effects and may interact with other medications. Following the prescribed dosage and not exceeding it is essential, as misuse or abuse can be dangerous.

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Sources

[1] Acetaminophen – (FDA) Food & Drug Administration

[2] Lin Y, Lu JY, Pinheiro-Neto CD, Jones DM, Gildener-Leapman N. Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage. Cureus. 2019 Aug 19;11(8):e5432. DOI: 10.7759/cureus.5432. PMID: 31485385; PMCID: PMC6710488.

[3] Prescription Drug Use and Misuse in the United States: Results from the 2015 National Survey on Drug Use and Health – (SAMHSA) Substance Abuse and Mental Health Services Administration

[4] Most Commonly Used Addictive Drugs – (NIDA) National Institute on Drug Abuse

[5] We Level Up Addiction Treatment CenterPrescription Drug Abuse Treatment

[6-7] Justinova Z, Panlilio LV, Goldberg SR. Drug addiction. Curr Top Behav Neurosci. 2009;1:309-46. DOI: 10.1007/978-3-540-88955-7_13. PMID: 21104390; PMCID: PMC3039293

[8] McLellan AT. Substance Misuse and Substance Use Disorders: Why do they Matter in Healthcare? Trans Am Clin Climatol Assoc. 2017;128:112-130. PMID: 28790493; PMCID: PMC5525418.

[9] Justinova Z, Panlilio LV, Goldberg SR. Drug addiction. Curr Top Behav Neurosci. 2009;1:309-46. DOI: 10.1007/978-3-540-88955-7_13. PMID: 21104390; PMCID: PMC3039293.

[10] Jahan AR, Burgess DM. Substance Use Disorder. [Updated 2022 May 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK570642/