TIZANIDINE

78/100 · Elevated

Manufactured by Apotex Corp.

Tizanidine Adverse Events Show High Incidence of Serious Reactions

50,594 FDA adverse event reports analyzed

Last updated: 2026-05-12

About TIZANIDINE

TIZANIDINE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Apotex Corp.. Based on analysis of 50,594 FDA adverse event reports, TIZANIDINE has a safety score of 78 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for TIZANIDINE include FATIGUE, PAIN, DRUG INEFFECTIVE, NAUSEA, FALL. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for TIZANIDINE.

AI Safety Analysis

Tizanidine has a safety concern score of 78 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 50,594 adverse event reports for this medication, which is primarily manufactured by Apotex Corp..

The most commonly reported adverse events include Fatigue, Pain, Drug Ineffective. Of classified reports, 61.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Tizanidine reports include a high number of serious adverse events, particularly falls and kidney issues.

The most common reactions are fatigue, pain, and drug ineffectiveness, indicating potential efficacy concerns. Multiple sclerosis relapse and pneumonia are notable among chronic conditions affected by the drug. Overdose and death are reported, highlighting the need for strict dosing and monitoring.

Patients taking Tizanidine should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Tizanidine can cause falls and kidney issues, and there are warnings about drug interactions, particularly with other sedatives and antihypertensives. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 78/100

Tizanidine received a safety concern score of 78/100 (high concern). This is based on a 61.4% serious event ratio across 22,745 classified reports. The score accounts for 50,594 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

FATIGUE1,693 reports
PAIN1,615 reports
DRUG INEFFECTIVE1,572 reports
NAUSEA1,530 reports
FALL1,318 reports
HEADACHE1,289 reports
CHRONIC KIDNEY DISEASE1,110 reports
DIARRHOEA1,067 reports
DIZZINESS986 reports
OFF LABEL USE945 reports
ARTHRALGIA814 reports
ACUTE KIDNEY INJURY808 reports
VOMITING792 reports
ASTHENIA778 reports
ANXIETY773 reports
DYSPNOEA756 reports
GAIT DISTURBANCE755 reports
URINARY TRACT INFECTION731 reports
MALAISE719 reports
PAIN IN EXTREMITY713 reports
MUSCLE SPASMS707 reports
RENAL FAILURE706 reports
DEPRESSION699 reports
BACK PAIN693 reports
SOMNOLENCE654 reports
INSOMNIA626 reports
PNEUMONIA584 reports
CONDITION AGGRAVATED566 reports
MULTIPLE SCLEROSIS RELAPSE541 reports
FEELING ABNORMAL536 reports
PRURITUS516 reports
MEMORY IMPAIRMENT514 reports
RASH506 reports
COVID 19503 reports
CONSTIPATION502 reports
HYPOAESTHESIA502 reports
DEATH500 reports
WEIGHT DECREASED489 reports
HYPOTENSION488 reports
COMPLETED SUICIDE486 reports
PRODUCT DOSE OMISSION ISSUE472 reports
TREMOR464 reports
HYPERTENSION456 reports
MUSCULAR WEAKNESS454 reports
MIGRAINE440 reports
DRUG INTERACTION417 reports
PERIPHERAL SWELLING416 reports
PARAESTHESIA401 reports
BALANCE DISORDER400 reports
PYREXIA399 reports
WEIGHT INCREASED397 reports
GASTROOESOPHAGEAL REFLUX DISEASE389 reports
TOXICITY TO VARIOUS AGENTS389 reports
DRUG HYPERSENSITIVITY388 reports
COUGH375 reports
DECREASED APPETITE364 reports
ABDOMINAL PAIN362 reports
ABDOMINAL PAIN UPPER340 reports
ALOPECIA340 reports
CONFUSIONAL STATE323 reports
NASOPHARYNGITIS323 reports
ENCEPHALOPATHY319 reports
CHEST PAIN314 reports
ABDOMINAL DISCOMFORT311 reports
BLOOD PRESSURE INCREASED305 reports
SEIZURE305 reports
MULTIPLE SCLEROSIS303 reports
INJECTION SITE PAIN302 reports
CONTUSION299 reports
MOBILITY DECREASED299 reports
DEHYDRATION295 reports
MYALGIA290 reports
SINUSITIS288 reports
INFECTION287 reports
VISION BLURRED287 reports
LOSS OF CONSCIOUSNESS280 reports
END STAGE RENAL DISEASE279 reports
PRODUCT USE IN UNAPPROVED INDICATION272 reports
INFLUENZA262 reports
EMOTIONAL DISTRESS261 reports
MUSCULOSKELETAL STIFFNESS260 reports
VISUAL IMPAIRMENT259 reports
THERAPY CESSATION253 reports
HYPERHIDROSIS252 reports
DRUG DOSE OMISSION247 reports
OVERDOSE240 reports
STRESS239 reports
URTICARIA238 reports
RENAL INJURY233 reports
PSORIASIS231 reports
FLUSHING225 reports
HYPERSENSITIVITY224 reports
NEUROPATHY PERIPHERAL222 reports
NECK PAIN221 reports
ILLNESS220 reports
PRODUCT DOSE OMISSION220 reports
ARTHRITIS218 reports
CHILLS216 reports
COMA215 reports
ANAEMIA212 reports

Key Safety Signals

  • Falls and acute kidney injury are key safety signals, indicating potential risks for falls and kidney damage.
  • Multiple sclerosis relapse and pneumonia suggest the drug may exacerbate these conditions.
  • Overdose and death reports are critical safety signals, emphasizing the need for careful dosing and patient monitoring.

Patient Demographics

Adverse event reports by sex: Female: 15,795, Male: 5,288, Unknown: 34. The most frequently reported age groups are age 64 (534 reports), age 56 (441 reports), age 58 (437 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 22,745 classified reports for TIZANIDINE:

  • Serious: 13,962 reports (61.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 8,783 reports (38.6%)
Serious 61.4%Non-Serious 38.6%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female15,795 (74.8%)
Male5,288 (25.0%)
Unknown34 (0.2%)

Reports by Age

Age 64534 reports
Age 56441 reports
Age 58437 reports
Age 57435 reports
Age 59435 reports
Age 51424 reports
Age 60424 reports
Age 55414 reports
Age 61414 reports
Age 53406 reports
Age 54397 reports
Age 63388 reports
Age 62378 reports
Age 50376 reports
Age 49345 reports
Age 65344 reports
Age 52342 reports
Age 67326 reports
Age 66322 reports
Age 68321 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Tizanidine can cause falls and kidney issues, and there are warnings about drug interactions, particularly with other sedatives and antihypertensives.

What You Should Know

If you are taking Tizanidine, here are important things to know. The most commonly reported side effects include fatigue, pain, drug ineffective, nausea, fall. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should avoid driving or operating heavy machinery due to the risk of falls and dizziness. Regular monitoring of kidney function is advised, especially in patients with pre-existing kidney conditions. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulators have issued warnings about the serious risks associated with tizanidine, including falls and kidney injury, and recommend close monitoring of patients.

Frequently Asked Questions

How many adverse event reports has the FDA received for Tizanidine?

The FDA has received approximately 50,594 adverse event reports associated with Tizanidine. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Tizanidine?

The most frequently reported adverse events for Tizanidine include Fatigue, Pain, Drug Ineffective, Nausea, Fall. By volume, the top reported reactions are: Fatigue (1,693 reports), Pain (1,615 reports), Drug Ineffective (1,572 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Tizanidine.

What percentage of Tizanidine adverse event reports are serious?

Out of 22,745 classified reports, 13,962 (61.4%) were classified as serious and 8,783 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Tizanidine (by sex)?

Adverse event reports for Tizanidine break down by patient sex as follows: Female: 15,795, Male: 5,288, Unknown: 34. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Tizanidine?

The most frequently reported age groups for Tizanidine adverse events are: age 64: 534 reports, age 56: 441 reports, age 58: 437 reports, age 57: 435 reports, age 59: 435 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Tizanidine?

The primary manufacturer associated with Tizanidine adverse event reports is Apotex Corp.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Tizanidine?

Beyond the most common reactions, other reported adverse events for Tizanidine include: Headache, Chronic Kidney Disease, Diarrhoea, Dizziness, Off Label Use. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Tizanidine?

You can report adverse events from Tizanidine to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Tizanidine's safety score and what does it mean?

Tizanidine has a safety concern score of 78 out of 100 (high concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Tizanidine reports include a high number of serious adverse events, particularly falls and kidney issues.

What are the key safety signals for Tizanidine?

Key safety signals identified in Tizanidine's adverse event data include: Falls and acute kidney injury are key safety signals, indicating potential risks for falls and kidney damage.. Multiple sclerosis relapse and pneumonia suggest the drug may exacerbate these conditions.. Overdose and death reports are critical safety signals, emphasizing the need for careful dosing and patient monitoring.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Tizanidine interact with other drugs?

Tizanidine can cause falls and kidney issues, and there are warnings about drug interactions, particularly with other sedatives and antihypertensives. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Tizanidine.

What should patients know before taking Tizanidine?

Patients should avoid driving or operating heavy machinery due to the risk of falls and dizziness. Regular monitoring of kidney function is advised, especially in patients with pre-existing kidney conditions.

Are Tizanidine side effects well-documented?

Tizanidine has 50,594 adverse event reports on file with the FDA. The most common reactions are fatigue, pain, and drug ineffectiveness, indicating potential efficacy concerns. The volume of reports for Tizanidine reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Tizanidine?

Regulators have issued warnings about the serious risks associated with tizanidine, including falls and kidney injury, and recommend close monitoring of patients. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to TIZANIDINE based on therapeutic use, drug class, or shared indications:

BenzodiazepinesAntihypertensivesNSAIDs
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.