Skip to content

Drug interactions

Daxibotulinumtoxina + Metaxalone

Severity: Moderate

Daxibotulinumtoxina and Metaxalone: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Agents that cause muscle relaxation may add to the weakening effect of botulinum toxin. This could lead to excessive weakness or a wider spread of toxin effect, including swallowing or breathing difficulty.

What this interaction means in plain words

Daxibotulinumtoxina and Metaxalone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Pharmacodynamic synergism between neuromuscular blockade by the toxin and central muscle relaxation.

What to do

Monitor for generalized weakness, dysphagia or breathing problems after injection. Consider reducing metaxalone if excessive weakness occurs.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Daxibotulinumtoxina and Metaxalone, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Daxibotulinumtoxina with Metaxalone?

MediHelp rates the interaction as moderate. Daxibotulinumtoxina and Metaxalone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Agents that cause muscle relaxation may add to the weakening effect of botulinum toxin. This could lead to excessive weakness or a wider spread of toxin effect, including swallowing or breathing difficulty.

How serious is the interaction between Daxibotulinumtoxina and Metaxalone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for generalized weakness, dysphagia or breathing problems after injection. Consider reducing metaxalone if excessive weakness occurs.

What other medicines interact with Metaxalone?

MediHelp also lists interactions of Metaxalone with, for example, Alfentanil, Belladonna and opium, Benzhydrocodone / acetaminophen. The full list is on the Metaxalone page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in