Do muscle relaxers work for toothaches?

In this concise article, we will discuss if muscle relaxers help a toothache, as well as explore the medications used to treat toothache, the clinical conditions for which muscle relaxers are prescribed, and the possible adverse effects of these medications. 

Muscle relaxers don’t typically provide effective relief for toothaches (1). 

Dental pain is typically managed with acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and topic anesthetic gels. In some cases, antibiotics may be necessary to address the underlying cause (2,3,4).

Muscle relaxers are often  intuitively prescribed for clinical conditions related to muscle tension, muscle spasms, and myofascial pain.

These medications can act centrally or peripherally in the nervous system. Each medication within this class has its specific profile of adverse effects (1).

Remember, it’s not appropriate to start taking medications on your own. Please consult with your doctor if you feel the need for medication treatment.

Do muscle relaxers work for toothaches?

No, muscle relaxers don’t typically provide effective relief for toothaches. 

Muscle relaxers work by reducing muscle contractions and promoting relaxation.(1). 

Considering that toothaches are not related to muscle issues, it is possible that muscle relaxers may not effectively manage  dental pain. 

If you have a toothache, reach out to your dentist. It’s not appropriate to start taking medications on your own.

What medications work for a toothache?

The treatment of a toothache or the medications used for that depends on the root cause of your toothache. 

Acetaminophen and over-the-counter non-steroidal anti-inflammatory drugs, like Naproxen  and Ibuprofen, are commonly used for the management of toothaches. Additionally, short-acting opioid medications are occasionally prescribed to alleviate the pain.

For temporary relief from dental pain, gels containing Benzocaine or Lidocaine can be applied (2,3). 

However, it’s essential to understand that while these medications can help manage dental pain, they do not necessarily address the underlying cause.

Some toothaches are caused by bacterial infections and they don’t get better without using a suitable antibiotic.

In this context, Amoxicillin is commonly used as an antibiotic for treating tooth infections. Additionally, Doxycycline, Clindamycin, and other antibiotics are frequently employed (4).

Toothaches can also arise from other potential causes, such as a chipped or cracked tooth, tooth abscesses, tooth decay, or issues with braces, among others.

This is why you should head out to your dentist and get a proper diagnosis and treatment. 

What clinical conditions are muscle relaxers prescribed for?

Skeletal muscle relaxants are challenged by the lack of clarity in indications or diagnoses of usage. These medications are often  intuitively prescribed for clinical conditions related to muscle tension, muscle spasms, and myofascial pain, such as (1):

  • Musculoskeletal pain
  • Mechanical dysfunction
  • Spinal-related neural impingement (radiculopathy, spinal stenosis)
  • Fibromyalgia
  • Spinal cord injury
  • Stroke
  • Traumatic brain injury
  • Motor neuron disease
  • Multiple sclerosis
  • Cerebral palsy
  • Myalgia
  • Myopathic pain syndrome

What are the possible adverse effects of muscle relaxers?

Each medication within the class of muscle relaxants has its specific profile of adverse effects.

According to studies in the literature, some potential adverse effects can be mentioned for muscle relaxants that act on the Central Nervous System, such as:

  • Anemia
  • Headache
  • Blurred vision
  • Ataxia
  • Potential for withdrawal
  • Dry mouth
  • Respiratory depression
  • Hypotension
  • Slurred speech
  • Urinary retention
  • Constipation
  • Rebound hypertension

For medications that act peripherally, adverse effects that can be expected include:

  • Tachycardia (rapid heartbeat)
  • Photosensitivity (increased sensitivity to light)
  • Seizures

Remember, it’s not appropriate to start taking medications on your own.Talk to your doctor if you experience any problems while taking these medications.

Conclusion

In this concise article, we have discussed if muscle relaxers help a toothache, as well as explored the medications used to treat toothache, the clinical conditions for which muscle relaxers are prescribed, and the possible adverse effects of these medications. 

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References

1.-

Chang WJ. Muscle Relaxants for Acute and Chronic Pain. Phys Med Rehabil Clin N Am. 2020;31(2):245-254.

2.-

Hargreaves K, Abbott PV. Drugs for pain management in dentistry. Aust Dent J. 2005;50(4 Suppl 2):S14-22.

3.-

Myers AL, Jeske AH. Provider-directed analgesia for dental pain. Expert Rev Clin Pharmacol. 2023;16(5):435-451.

4.-

Ahmadi H, Ebrahimi A, Ahmadi F. Antibiotic Therapy in Dentistry. Int J Dent. 2021;2021:6667624.