Label: CHLORZOXAZONE tablet

  • NDC Code(s): 64980-582-06
  • Packager: Rising Pharma Holdings, Inc.
  • Category: HUMAN PRESCRIPTION DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: Abbreviated New Drug Application

Drug Label Information

Updated August 25, 2023

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  • SPL UNCLASSIFIED SECTION

    For Painful Musculoskeletal Conditions

  • DESCRIPTION

    Each tablet contains:

    Chlorzoxazone*…………… 250 mg

    * 5-Chloro-2-benzoxazolinone

    Structural Formula:

    Image

    Molecular Formula: C7H4ClNO2

    Molecular Weight: 169.56

    Chlorzoxazone, USP is a white or practically white, 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: anhydrous lactose, croscarmellose sodium, docusate sodium – 85% with sodium benzoate – 15%, magnesium stearate, microcrystalline cellulose, pregelatinized starch.

  • 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 hepatotoxicity 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 judgment 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 a 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

    After extensive clinical use of chlorzoxazone-containing products, it is apparent that the product is well tolerated and seldom produces undesirable side effects. Occasional patients may develop gastrointestinal disturbances. It is possible in rare instances that chlorzoxazone may have been associated with gastrointestinal bleeding. Drowsiness, dizziness, lightheadedness, 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.

    To report SUSPECTED ADVERSE REACTIONS, contact Rising Pharmaceuticals, Inc., at 1-866-562-4597 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

  • OVERDOSAGE

    Symptoms: Initially, gastrointestinal disturbances such as 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 intercostal 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: One tablet (250 mg) three or four times daily. Initial dosage for painful musculoskeletal conditions should be two tablets (500 mg) three or four times daily. If adequate response is not obtained with this dose, it may be increased to three tablets (750 mg) three or four times daily. As improvement occurs dosage can usually be reduced.

  • HOW SUPPLIED

    Chlorzoxazone tablets, USP 250 mg are white to off white, oval shaped tablet, debossed with "21" on one side and plain on other side. They are supplied as follows:

    Bottle of 60 tablets                  NDC 64980-582-06

    Dispense in tight container as defined in the USP.

    Store at 20º to 25ºC (68º to 77ºF); excursions permitted to 15° to 30°C (59° to 86°F) [See USP Controlled Room Temperature].

    For more information, call Rising Pharmaceuticals, Inc., at 1-866-562-4597.

    Distributed by:

    Rising Pharmaceuticals, Inc.,

    East Brunswick, NJ 08816.

    Manufactured by:

    Graviti Pharmaceuticals Pvt. Ltd.

    Telangana-502307, INDIA.

    Made in India

    Mfg. Lic. No.: 12/SRD/TS/2017/F/G.

    Issued: 02/2023

  • PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

    NDC 64980-582-06

    Chlorzoxazone Tablets, USP

    250 mg

    Rx Only

    60 Tablets

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  • INGREDIENTS AND APPEARANCE
    CHLORZOXAZONE 
    chlorzoxazone tablet
    Product Information
    Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:64980-582
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    CHLORZOXAZONE (UNII: H0DE420U8G) (CHLORZOXAZONE - UNII:H0DE420U8G) CHLORZOXAZONE250 mg
    Inactive Ingredients
    Ingredient NameStrength
    ANHYDROUS LACTOSE (UNII: 3SY5LH9PMK)  
    CROSCARMELLOSE SODIUM (UNII: M28OL1HH48)  
    DOCUSATE SODIUM/SODIUM BENZOATE (UNII: 656HXR6YXN)  
    MAGNESIUM STEARATE (UNII: 70097M6I30)  
    MICROCRYSTALLINE CELLULOSE 101 (UNII: 7T9FYH5QMK)  
    STARCH, CORN (UNII: O8232NY3SJ)  
    Product Characteristics
    ColorWHITE (white to off white) Scoreno score
    ShapeOVALSize12mm
    FlavorImprint Code 21
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:64980-582-0660 in 1 BOTTLE; Type 0: Not a Combination Product08/09/2023
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    ANDAANDA21692508/09/2023
    Labeler - Rising Pharma Holdings, Inc. (116880195)
    Registrant - Graviti Pharmaceuticals Private Limited (650884781)
    Establishment
    NameAddressID/FEIBusiness Operations
    Graviti Pharmaceuticals Private Limited650884781MANUFACTURE(64980-582) , ANALYSIS(64980-582)