One year ago, my spasticity was so severe I took too many Baclofen tablets at the same time, that I almost died! Now I take 1 Tizanidine at bedtime. I also have a small notebook I keep next to all the muscle-relaxing pills and log in what I take to make sure I never overdose on muscle relaxing drugs again! (Your heart is the biggest muscle in your body; be careful!)
My muscle-relaxing drug regime:
Baclofen-20 Mg Tablets: 1x @ breakfast, noon, dinner, bedtime, one more in between the times listed
Valium (Diazepam) 2 Mg Tablets: PRN (no more than two within 24 hours
Gabapentin 100 Mg Tablets: 1x @ breakfast, noon, dinner, and bedtime
Tizanidine (Zanaflex) 4 Mg Tablets: 1x @ bedtime (up to 3x extra a day; never take an extra pill within 15 minutes of taking any muscle relaxing pill).
By logging my extra muscle relaxing pills (I maintain a 7-day drug container that contains all my regular doses of muscle relaxing pills ), I ensure never to take too many pills.
I strongly suggest finding a physical therapist who specializes in MS Spasticity Stretches! Practice these stretches daily!
Warmly, David from West Michigan!