Brainstem Locus Coeruleus 5-HT2A / Alpha-2 Tonic Motor Suppressant • Rx

Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol)

Brand Reference: Flexeril, Tonmya (sublingual research)

Medically Reviewed by Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
82.50%
Patient “Worth It”
29 verified logs
$4.70
Lowest Monthly Cash

Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) RxNorm Concept ID 3112 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0280 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $19.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $4.70 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $5.50 / mo 29 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol)

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$4.70/mo
Wholesale Cash Price
View Wholesale Rx →
AgelessRx Geroprotective Telehealth (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~3 days • Rx included in monthly tier
$ 65.00
All-In Monthly
Start Online Visit →

Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) Clinical Pharmacology & DailyMed Monograph

RxCUI 3112 • NDC 00378-0751-01

Tricyclic brainstem-acting agent reducing tonic somatic alpha- and gamma-motoneuron hyperexcitability via locus coeruleus noradrenergic and 5-HT2A antagonism, abating acute myofascial spasm and non-restorative fibromyalgia alpha-delta sleep intrusion.

For self-pay patients filling Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) (NDC 00378-0751-01), direct wholesale and telehealth fulfillment drops monthly spend from $19.00 retail to $4.70 (75% savings against a $0.0280 CMS pharmacy acquisition baseline).

Clinical clearance of Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) (Brainstem Locus Coeruleus 5-HT2A / Alpha-2 Tonic Motor Suppressant) relies on hepatic cyp3a4, cyp1a2, and cyp2d6 n-demethylation with a 18 hours half-life; patients absorbing at 33%–55% oral bioavailability typically observe target onset around 1 hour acute spasm & nocturnal relaxation.

FDA clinical labeling for Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) restricts administration in maoi within 14 days; acute post-mi recovery, arrhythmias, or heart failure; hyperthyroidism across 5 mg PO QHS (preferred low-sedation tier), 5 mg PO TID max 14 days acute spasm, with self-reported patient tracking dominated by next-morning hangover drowsiness at 10 mg (38% of reports), xerostomia (24% of reports).

Half-Life
18 hours
Bioavailability
33%–55% oral
Metabolism & Clearance
Hepatic CYP3A4, CYP1A2, and CYP2D6 N-demethylation
Clinical Onset
1 hour acute spasm & nocturnal relaxation

Standard Adult Titration & Dosages

5 mg PO QHS (preferred low-sedation tier) 5 mg PO TID max 14 days acute spasm

Absolute & Relative Contraindications

  • MAOI within 14 days
  • Acute post-MI recovery, arrhythmias, or heart failure
  • Hyperthyroidism

Logged Side-Effect Incidence (29 Reports)

Next-morning hangover drowsiness at 10 mg 38%
Xerostomia 24%

Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 29 verified cash-pay logs, Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) achieves a 82.50% Worth-It rating with out-of-pocket spend averaging $5.50/mo versus $19.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 5 mg PO QHS (preferred low-sedation tier • Paid: $4.50/mo via Cost Plus Drugs
Next-morning hangover drowsiness at 10 mg

Switched to Cost Plus Drugs at 5 mg PO QHS (preferred low-sedation tier) for Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol); monthly out-of-pocket dropped to $4.50 compared with $19.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 5 mg PO TID max 14 days acute spasm • Paid: $4.79/mo via Compounding

Completed 10 weeks on Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) (5 mg PO TID max 14 days acute spasm). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 5 mg PO QHS (preferred low-sedation tier • Paid: $5.45/mo via Cash Clinic
Next-morning hangover drowsiness at 10 mg

Consistent biomarker response on 5 mg PO QHS (preferred low-sedation tier) Cyclobenzaprine Hydrochloride (5 mg Nocturnal Protocol) sourced via Cash Clinic ($5.45/mo cash pay without insurance prior authorization).