Label: CHLORZOXAZONE tablet

  • NDC Code(s): 42494-425-08, 42494-425-10, 42494-428-10
  • Packager: Cameron Pharmaceuticals
  • Category: HUMAN PRESCRIPTION DRUG LABEL

Drug Label Information

Updated April 6, 2021

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  • SPL UNCLASSIFIED SECTION

    For Painful Musculoskeletal Conditions

    PRESCRIBING INFORMATION

  • DESCRIPTION

    Each 375 mg Chlorzoxazone tablet contains: Chlorzoxazone USP 375 mg.

    Each 750 mg Chlorzoxazone tablet contains: Chlorzoxazone USP 750 mg.

    Chemical Name: 5-Chloro-2-benzoxazolinone.

    Structural Formula:

    Chemical Structure

    Molecular Formula: C7H4CINO2
    Molecular Weight: 169.56

    Chlorzoxazone, USP is a white or practically white, practically odorless, crystalline powder. Chlorzoxazone is slightly soluble in water; sparingly soluble in alcohol, in isopropyl alcohol, and in methanol; soluble in solutions of alkali hydroxides and ammonia.

    Inactive ingredients: lactose monohydrate, pregelatinized starch, croscarmellose sodium, microcrystalline cellulose, docusate sodium, magnesium stearate, colloidal silicon dioxide, and sodium benzoate.

  • CLINICAL PHARMACOLOGY

    Chlorzoxazone is a centrally-acting agent for painful musculoskeletal conditions. Data available from animal experiments as well as human study indicate that chlorzoxazone acts primarily at the level of the spinal cord and subcortical areas of the brain where it inhibits multisynaptic reflex arcs involved in producing and maintaining skeletal muscle spasm of varied etiology. The clinical result is a reduction of the skeletal muscle spasm with relief of pain and increased mobility of the involved muscles. Blood levels of chlorzoxazone can be detected in people during the first 30 minutes and peak levels may be reached, in the majority of the subjects, in about 1 to 2 hours after oral administration of chlorzoxazone. Chlorzoxazone is rapidly metabolized and is excreted in the urine, primarily in a conjugated form as the glucuronide. Less than one percent of a dose of chlorzoxazone is excreted unchanged in the urine in 24 hours.

  • INDICATIONS AND USAGE

    Chlorzoxazone is indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute, painful musculoskeletal conditions. The mode of action of this drug has not been clearly identified, but may be related to its sedative properties. Chlorzoxazone does not directly relax tense skeletal muscles in man.

  • CONTRAINDICATIONS

    Chlorzoxazone is contraindicated in patients with known intolerance to the drug.

  • WARNINGS

    Serious (including fatal) hepatocellular toxicity has been reported rarely in patients receiving chlorzoxazone. The mechanism is unknown but appears to be idiosyncratic and unpredictable. Factors predisposing patients to this rare event are not known. Patients should be instructed to report early signs and/ or symptoms of hepatoxicity such as fever, rash, anorexia, nausea, vomiting, fatigue, right upper quadrant pain, dark urine, or jaundice. Chlorzoxazone should be discontinued immediately and a physician consulted if any of these signs or symptoms develop. Chlorzoxazone use should also be discontinued if a patient develops abnormal liver enzymes (e.g., AST, ALT, alkaline phosphatase and bilirubin).

    The concomitant use of alcohol or other central nervous system depressants may have an additive effect.

    Usage in Pregnancy

    The safe use of chlorzoxazone has not been established with respect to the possible adverse effects upon fetal development. Therefore, it should be used in women of childbearing potential only when, in the judgement of the physician, the potential benefits outweigh the possible risks.

  • PRECAUTIONS

    Chlorzoxazone should be used with caution in patients with known allergies or with a history of allergic reactions to drugs. If sensitivity reaction occurs such as urticaria, redness, or itching of the skin, the drug should be stopped.

    If any symptoms suggestive of liver dysfunction are observed, the drug should be discontinued.

  • ADVERSE REACTIONS

    Chlorzoxazone containing products are usually well tolerated. It is possible in rare instances that chlorzoxazone may have been associated with gastrointestinal bleeding. Drowsiness, dizziness, light- headedness, malaise, or overstimulation may be noted by an occasional patient. Rarely, allergic-type skin rashes, petechiae, or ecchymoses may develop during treatment. Angioneurotic edema or anaphylactic reactions are extremely rare. There is no evidence that the drug will cause renal damage. Rarely, a patient may note discoloration of the urine resulting from a phenolic metabolite of chlorzoxazone. This finding is of no known clinical significance.

  • OVERDOSAGE

    Symptoms

    Initially, gastrointestinal disturbances such a nausea, vomiting, or diarrhea together with drowsiness, dizziness, lightheadedness or headache may occur. Early in the course there may be malaise or sluggishness followed by marked loss of muscle tone, making voluntary movement impossible. The deep tendon reflexes may be decreased or absent. The sensorium remains intact, and there is no peripheral loss of sensation. Respiratory depression may occur with rapid, irregular respiration and intercostals and substernal retraction. The blood pressure is lowered, but shock has not been observed.

    Treatment

    Gastric lavage or induction of emesis should be carried out, followed by administration of activated charcoal. Thereafter, treatment is entirely supportive. If respirations are depressed, oxygen and artificial respiration should be employed and a patent airway assured by use of an oropharyngeal airway or endotracheal tube. Hypotension may be counteracted by use of dextran, plasma, concentrated albumin or a vasopressor agent such as norepinephrine. Cholinergic drugs or analeptic drugs are of no value and should not be used.

  • DOSAGE AND ADMINISTRATION

    Usual Adult Dosage

    Chlorzoxazone tablets USP 375 mg

    One tablet three or four times daily. If adequate response is not obtained with this dose, the 375 mg tablets may be increased to two tablets (750 mg) three or four times daily. As improvement occurs dosage can usually be reduced.

    Chlorzoxazone tablets USP 750 mg

    1/3 tablet (250 mg) three or four times daily. Initial dosage for painful musculoskeletal conditions should be 2/3 tablet (500 mg) three or four times daily. If adequate response is not obtained with this dose, it may be increased to one tablet (750 mg) three or four times daily. As improvement occurs dosage can usually be reduced.

  • HOW SUPPLIED

    Chlorzoxazone Tablets USP is available in the following strength and package size:

    Chlorzoxazone Tablets USP 375 mg for oral administration is supplied as follows:

    A white to off white capsule shaped tablet, debossed "N084" on one side.

    NDC 42494-425-10Bottles of 100 Tablets

    Chlorzoxazone Tablets USP 750 mg for oral administration is supplied as follows:

    A white to off white capsule shaped tablet, debossed "N86" on the trisected side and bisected on the other side.

    NDC 42494-428-10Bottles of 100 Tablets

    Dispense in tight container as defined in the official compendium.

    Store at 20° to 25° C (68° to 77° F) [see USP Controlled Room Temperature].

  • SPL UNCLASSIFIED SECTION

    Manufactured for:
    Cameron Pharmaceuticals
    Louisville, KY 40245, USA

    Manufactured by:
    Novitium Pharma LLC,
    70 Lake Drive,
    East Windsor, New Jersey-08520

    Issued: 08/2019

    LB4154-01

  • PRINCIPAL DISPLAY PANEL - 750 mg Tablet Bottle Label

    NDC 42494-428-10

    100 Tablets

    Chlorzoxazone
    Tablets, USP

    750 mg

    CAMERON
    PHARMACEUTICALS

    Rx only

    PRINCIPAL DISPLAY PANEL - 750 mg Tablet Bottle Label
  • PRINCIPAL DISPLAY PANEL - 375 mg Tablet Bottle Label

    NDC 42494-425-10

    100 Tablets

    Chlorzoxazone
    Tablets, USP

    375 mg

    CAMERON
    PHARMACEUTICALS

    Rx only

    PRINCIPAL DISPLAY PANEL - 375 mg Tablet Bottle Label
  • INGREDIENTS AND APPEARANCE
    CHLORZOXAZONE 
    chlorzoxazone tablet
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:42494-428
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    Chlorzoxazone (UNII: H0DE420U8G) (Chlorzoxazone - UNII:H0DE420U8G) Chlorzoxazone750 mg
    Inactive Ingredients
    Ingredient NameStrength
    DOCUSATE SODIUM (UNII: F05Q2T2JA0)  
    LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)  
    MAGNESIUM STEARATE (UNII: 70097M6I30)  
    MICROCRYSTALLINE CELLULOSE (UNII: OP1R32D61U)  
    STARCH, CORN (UNII: O8232NY3SJ)  
    SODIUM BENZOATE (UNII: OJ245FE5EU)  
    SODIUM STARCH GLYCOLATE TYPE A POTATO (UNII: 5856J3G2A2)  
    Product Characteristics
    ColorWHITEScore2 pieces
    ShapeROUNDSize17mm
    FlavorImprint Code N86
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:42494-428-10100 in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product11/27/2019
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    ANDAANDA21225411/27/2019
    CHLORZOXAZONE 
    chlorzoxazone tablet
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:42494-425
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    Chlorzoxazone (UNII: H0DE420U8G) (Chlorzoxazone - UNII:H0DE420U8G) Chlorzoxazone375 mg
    Inactive Ingredients
    Ingredient NameStrength
    DOCUSATE SODIUM (UNII: F05Q2T2JA0)  
    LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)  
    MAGNESIUM STEARATE (UNII: 70097M6I30)  
    MICROCRYSTALLINE CELLULOSE (UNII: OP1R32D61U)  
    STARCH, CORN (UNII: O8232NY3SJ)  
    SODIUM BENZOATE (UNII: OJ245FE5EU)  
    SODIUM STARCH GLYCOLATE TYPE A POTATO (UNII: 5856J3G2A2)  
    Product Characteristics
    ColorWHITEScore2 pieces
    ShapeROUNDSize17mm
    FlavorImprint Code N84
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:42494-425-10100 in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product11/27/2019
    2NDC:42494-425-0860 in 1 BOTTLE, PLASTIC; Type 0: Not a Combination Product01/15/2021
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    ANDAANDA21225411/27/2019
    Labeler - Cameron Pharmaceuticals (078371442)
    Establishment
    NameAddressID/FEIBusiness Operations
    Novitium Pharma, LLC080301870MANUFACTURE(42494-428, 42494-425)