What is the recommended dosing for Robaxin (methocarbamol)?

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Robaxin (Methocarbamol) Dosing

For adults, initiate Robaxin at 1500 mg four times daily (6 grams/day) for the first 48-72 hours, then reduce to 1000 mg four times daily (4 grams/day) for maintenance. 1

Initial Dosing Phase (First 48-72 Hours)

  • Standard initial dose: 6 grams per day divided into four doses 1
  • For 500 mg tablets: 3 tablets four times daily 1
  • For 750 mg tablets: 2 tablets four times daily 1
  • Severe conditions: May increase to 8 grams per day during the initial treatment period 1

Maintenance Dosing (After 48-72 Hours)

  • Target maintenance dose: Approximately 4 grams per day 1
  • For 500 mg tablets: 2 tablets four times daily 1
  • For 750 mg tablets: Either 1 tablet every 4 hours OR 2 tablets three times daily 1

Critical Safety Considerations

Avoid alcohol completely during methocarbamol therapy. The combination of methocarbamol and ethanol produces dangerous central nervous system depression due to their interactive sedative-hypnotic properties, which can be fatal even at therapeutic methocarbamol concentrations (24-41 mcg/mL) 2

  • Methocarbamol is a carbamate derivative with sedative effects that are potentiated by alcohol 2
  • Fatal interactions have been documented with blood methocarbamol levels of 257 mcg/mL combined with blood ethanol of 135 mg/dL 2

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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