Monograph Details

Musculoskeletal Disorders > Muscle spasms
NORGESIC
Manufacturer
Graceway Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Anticholinergic muscle relaxant (central) + salicylate.
Generic Name
Orphenadrine citrate 25mg, aspirin 385mg, caffeine 30mg; tabs.
Also
NORGESIC FORTE
Indications
Painful musculoskeletal conditions.
Children
Not recommended.
Adults
1–2 tabs 3–4 times daily.
Contraindications
NSAID allergy. Varicella or influenza in teenagers. Glaucoma. Achalasia. GU or GI obstruction. Myasthenia gravis.
Precautions
Coronary disease, insufficiency or tachycardia. History of bronchospasm. Peptic ulcer. Coagulation disorders. Monitor blood pressure, BUN, uric acid levels. Pregnancy (Cat.C). Nursing mothers.
Interactions
Increased risk of GI bleed/ulcer with alcohol, aspirin, NSAIDs, corticosteroids, anticoagulants. Potentiates oral hypoglycemics, anticholinergics, protein-bound drugs (eg, warfarin). Antagonizes steroids, barbiturates, phenylbutazone, uricosurics. Tremor and mental confusion with propoxyphene.
Adverse Reactions
Tachycardia, transient dizziness or syncope, GI upset/bleed, anticholinergic effects (eg, dry mouth, blurred vision, increased intraocular pressure, urinary retention), weakness, headache, rash, blood dyscrasias.
How Supplied
Tabs—100
Additional Resources
Related Prescribing Note