Mydocalm-Richter 100 mg + 2.5 mg/ml

Mydocalm-Richter 100 mg + 2.5 mg/ml — 5 ampoules × 1 ml

Mydocalm by Gedeon Richter is the original muscle relaxant centrally acting through nicotinic receptor blockade at the spinal level. The injectable form combines tolperisone (100 mg/ml) with a small dose of lidocaine (2.5 mg/ml) that reduces injection-site pain.

Composition

• Tolperisone hydrochloride - 100 mg per 1 ml ampoule
• Lidocaine hydrochloride - 2.5 mg per 1 ml (local anesthetic for comfortable injection)

Why tolperisone is used

• Muscle spasticity after stroke and in cerebral palsy (part of combination therapy)
• Painful muscle spasm in spine conditions (cervical syndrome, radiculopathy)
• Postoperative rehabilitation of musculoskeletal system
• Hyperkinesis and muscle tone disorders (as prescribed)

Why Mydocalm differs from classic relaxants

Unlike baclofen or tizanidine, tolperisone does not cause pronounced sedation or muscle weakness at therapeutic doses - it works selectively on hyperactive spinal reflexes. Patients usually keep daily activity, which is why it is a common first-line choice for working adults.

Administration

• Intramuscular: 100 mg (1 ml) twice daily
• Intravenous: 100 mg slowly, once or twice daily
• Course duration is set by the physician; injectable courses usually 5-10 days with possible transition to tablets

Product features

• Original Gedeon Richter product (Hungary/EU)
• Ready-to-use solution, no reconstitution
• Lidocaine included - less painful injection
• Minimal sedation vs classic muscle relaxants

Contraindications

Hypersensitivity to tolperisone, lidocaine or components; myasthenia gravis; pregnancy and breastfeeding - only under medical supervision. Children under prescription.

FAQ

Why is lidocaine added?

Tolperisone injections can be painful; the small lidocaine dose (2.5 mg) numbs the injection site locally without systemic anesthetic effect.

Will it make me drowsy?

Sedation is minimal compared to baclofen/tizanidine. Rarely - mild weakness or dizziness; driving response is individual.

Mydocalm injections vs tablets - which is better?

Injections give faster onset for acute spasm; tablets are for longer courses and maintenance. Physicians often start with injections and switch to tablets.

Can it be combined with NSAIDs?

Yes - the classic pairing for back pain is a muscle relaxant plus NSAID; the combination works on different targets. Final scheme is set by the physician.

How fast does it work?

Injectable effect starts within minutes after IV and tens of minutes after IM; full relaxation effect is evaluated over the course.

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