Flector and Zanaflex drug interactions - a phase IV clinical study of FDA data

Summary:

Drug interactions are reported among people who take Flector (diclofenac epolamine) and Zanaflex (tizanidine hydrochloride). Common drug interactions include bronchitis among females and memory impairment among males.

The phase IV clinical study analyzes what interactions people have when they take Flector and Zanaflex. It is created by eHealthMe based on reports of 88 people who take the same drugs from the FDA, and is updated regularly.

What is Flector?

Flector has active ingredients of diclofenac epolamine. It is often used in pain. eHealthMe is studying from 5,112 Flector users. Check the latest studies of Flector.

What is Zanaflex?

Zanaflex has active ingredients of tizanidine hydrochloride. It is often used in muscle spasms. eHealthMe is studying from 17,476 Zanaflex users. Check the latest studies of Zanaflex.



On Jul, 19, 2026

88 people who take Flector and Zanaflex together, and have interactions are studied.

Flector and Zanaflex drug interactions.

What are the common drug interactions of Flector and Zanaflex, by gender? *:

female:

  1. Bronchitis (inflammation of the mucous membrane in the bronchial tubes)
  2. Decreased appetite
  3. Deep vein thrombosis (blood clot in a major vein that usually develops in the legs and/or pelvis)
  4. Diabetes mellitus (diabetes, caused by a deficiency of the pancreatic hormone insulin)
  5. Drug ineffective
  6. Dystonia (abnormal muscle tone)
  7. Fibula fracture
  8. Gastrointestinal disorder (functional problems of gastrointestinal tract)
  9. Gout (uric acid crystals building up in the body)
  10. Headache (pain in head)

male:

  1. Memory impairment
  2. Abdominal pain
  3. Headache (pain in head)
  4. Muscular weakness (muscle weakness)
  5. Therapeutic response unexpected
  6. Tremor (trembling or shaking movements in one or more parts of your body)
  7. Abdominal pain lower
  8. Abscess (pus)
  9. Anxiety
  10. Arthritis (form of joint disorder that involves inflammation of one or more joints)

What are the common drug interactions of Flector and Zanaflex, by age (0-1 to 60+)? *:

0-1:

n/a

2-9:

n/a

10-19:

n/a

20-29:

  1. Abnormal behaviour
  2. Aggression
  3. Dyspnoea (difficult or laboured respiration)
  4. Hypotension (abnormally low blood pressure)
  5. Insomnia (sleeplessness)
  6. Logorrhoea (excessive, uncontrollable, or incoherent talkativeness)

30-39:

  1. Abdominal pain
  2. Abdominal pain lower
  3. Abscess (pus)
  4. Anxiety
  5. Arthritis (form of joint disorder that involves inflammation of one or more joints)
  6. Burning sensation
  7. Cervical spinal stenosis (narrowing of the spinal canal in the neck)
  8. Crohn's disease (a condition that causes inflammation of the gastrointestinal tract)
  9. Diarrhoea
  10. Fluid retention (an abnormal accumulation of fluid in the blood)

40-49:

  1. Memory impairment
  2. Cognitive disorder (mental health disorders affects learning, memory, perception, and problem solving)
  3. Depression
  4. Fall
  5. Fatigue (feeling of tiredness)
  6. Malaise (a feeling of general discomfort or uneasiness)
  7. Systemic lupus erythematosus (an autoimmune disease, which means the body's immune system mistakenly, attacks healthy tissue)
  8. Epilepsy (common and diverse set of chronic neurological disorders characterized by seizures)
  9. Gait disturbance
  10. Pruritus (severe itching of the skin)

50-59:

  1. Blood creatinine increased
  2. Blood pressure increased
  3. Bronchitis (inflammation of the mucous membrane in the bronchial tubes)
  4. Cellulitis (infection under the skin)
  5. Escherichia sepsis (bacterial infection by escherichia coli)
  6. Escherichia urinary tract infection (urinary tract infection by escherichia coli)
  7. Fall
  8. Foot fracture
  9. Glomerular filtration rate decreased
  10. Hand fracture

60+:

  1. Fall
  2. Somnolence (a state of near-sleep, a strong desire for sleep)
  3. Arthralgia (joint pain)
  4. Arthritis (form of joint disorder that involves inflammation of one or more joints)
  5. Osteoarthritis (a joint disease caused by cartilage loss in a joint)
  6. Anaemia (lack of blood)
  7. Balance disorder
  8. Contusion (a type of hematoma of tissue in which capillaries)
  9. Diabetes mellitus (diabetes, caused by a deficiency of the pancreatic hormone insulin)
  10. Dizziness

What are the existing conditions these people have? *

  1. Narcolepsy (brain's inability to regulate sleep-wake cycles normally): 22 people, 25.00%
  2. Cataplexy (loss of muscle tone accompanied by full conscious awareness): 21 people, 23.86%
  3. Multiple Sclerosis (a nervous system disease that affects your brain and spinal cord. it damages the myelin sheath): 10 people, 11.36%
  4. Fibromyalgia (a long-term condition which causes pain all over the body): 9 people, 10.23%
  5. Depression: 8 people, 9.09%
  6. Arthritis (form of joint disorder that involves inflammation of one or more joints): 7 people, 7.95%
  7. High Blood Pressure: 7 people, 7.95%
  8. High Blood Cholesterol: 7 people, 7.95%
  9. Sleep Disorder: 7 people, 7.95%
  10. Immunodeficiency Common Variable: 7 people, 7.95%

* Approximation only. Some reports may have incomplete information.

Do you take Flector and Zanaflex?

- Personalize this study to your gender, age, symptoms and drugs
- Predict drug outcomes for up to one year with AI
- Get an AI agent to monitor your drugs continuously



Related studies:

Effectiveness of, side effects of, and alternative drugs to the 2 drugs:

Browse all drug interactions of Flector and Zanaflex:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Sub-studies by gender and age:

Female: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Male: 0-1 2-9 10-19 20-29 30-39 40-49 50-59 60+

Browse all side effects of Flector:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all side effects of Zanaflex:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Flector and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

Browse all interactions between Zanaflex and drugs from A to Z:

a b c d e f g h i j k l m n o p q r s t u v w x y z

How the study uses the data?

The study uses data from the FDA. It is based on diclofenac epolamine and tizanidine hydrochloride (the active ingredients of Flector and Zanaflex, respectively), and Flector and Zanaflex (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study.

How to use the study?

DO NOT STOP MEDICATIONS without first consulting your doctor. If there are any serious or long term adverse effects discovered in the study, discuss the study with your doctor to ensure that proper medication management will be in place if applicable.

Who is eHealthMe?

With medical big data and proven AI/ML algorithms, eHealthMe provides a platform for everyone to run phase IV clinical trials. We study millions of patients and 5,000 more each day. Results of our real-world drug study have been referenced on 800+ peer-reviewed medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API).

WARNING, DISCLAIMER, USE FOR PUBLICATION

WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health.

DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only. Our phase IV clinical studies alone cannot establish cause-effect relationship. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk.

If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date.



Recent studies on eHealthMe: