Lox Ciprofloxacin Tizanidine Hydrochloride
MajorDo not take Tizanidine Hydrochloride (Tizalud) together with Ciprofloxacin. This combination is contraindicated. Ciprofloxacin blocks CYP1A2, an enzyme the body uses to clear tizanidine. When the two are taken together, the amount of tizanidine in the blood (its AUC) rises about 10-fold. The same warning applies to fluvoxamine, another CYP1A2 inhibitor, which raised tizanidine AUC 33-fold.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.