A-Clam 50 mg Tablet

Centrally acting muscle relaxant for:

• Painful muscle spasm and spasticity associated with back and neck pain, spondylosis
• Spasticity after stroke (adults)

Adults: 50–150 mg three times daily after meals (maximum 450 mg/day).

• After stroke: 150 mg three times daily.
• Take after food with water (food improves absorption).
• Not recommended for children.

• Myasthenia gravis
• Breastfeeding
• Allergy to tolperisone or eperisone

Uncommon: muscle weakness, dizziness, drowsiness, headache, low blood pressure, nausea, stomach discomfort, dry mouth.

Rare but serious: allergic reactions (rash, itching, hives, swelling, breathing difficulty, anaphylaxis) — stop and seek help.

• Stop immediately at signs of allergy.
• Kidney or liver impairment: caution.
• Usually less sedating than other muscle relaxants, but may affect driving in some people.

Avoid in pregnancy, especially the first trimester. Contraindicated while breastfeeding.

• Dextromethorphan, thioridazine, tolterodine (tolperisone may raise their levels — CYP2D6)
• Alcohol, sedatives (possible additive effects)
• Niflumic acid (enhanced effect)

Drowsiness, unsteadiness, breathing difficulty, seizures (high doses). Seek emergency care.

Store below 30°C.