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Home Formulary 10.0 Musculoskeletal and Joint Diseases 10.2 Drugs used in neuromuscular disorders 10.2.2 Skeletal muscle relaxants

10.2.2 Skeletal muscle relaxants

Prescribing Notes

  • Muscle relaxants, including baclofen and diazepam, are not indicated for spasm or pain associated with injury, fibromyalgia, sciatica or pain with a different aetiology.
  • Indications for skeletal muscle relaxants are limited, for example, spasticity associated with neurological disorders or damage.
  • For spasticity associated with multiple sclerosis see NICE NG220 Multiple sclerosis in adults: management.
  • Prescribing of methocarbamol is not supported – it is a drug of limited clinical value and is classified by the BNF as ‘less suitable for prescribing’. It is included in the HSC Limited Evidence and Stop List

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