Interaction databaseSupplement × PrescriptionReviewed May 2026

Alcohol and Cyclobenzaprine, a caution.

Cyclobenzaprine commonly causes drowsiness, dizziness, and slowed reaction time, and alcohol can intensify those effects. Combining them can increase falls, accidents, impaired driving, confusion, and overdose risk. Older adults are especially vulnerable because skeletal muscle relaxants are poorly tolerated in that group.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.

At a glance

Substances
Alcohol and Cyclobenzaprine
Pair type
Caution
Evidence (highest tier)
Moderate
Source citations
2 sources
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Caution · Moderate evidence

Caution

What is happening. Cyclobenzaprine commonly causes drowsiness, dizziness, and slowed reaction time, and alcohol can intensify those effects. Combining them can increase falls, accidents, impaired driving, confusion, and overdose risk. Older adults are especially vulnerable because skeletal muscle relaxants are poorly tolerated in that group.

Mechanism. Cyclobenzaprine is a centrally acting skeletal muscle relaxant with sedating and anticholinergic effects. Alcohol adds central nervous system depression and psychomotor impairment, increasing the net effect on alertness, balance, and reaction time.

Recommendation. Avoid alcohol while taking cyclobenzaprine. If alcohol was used, do not drive, operate tools, or take extra sedatives that day. Contact your prescriber if you need muscle spasm treatment but cannot reliably avoid alcohol.

Sources (2)
  1. Witenko C, Moorman-Li R, Motycka C, Duane K, Hincapie-Castillo J, Leonard P, et al. Considerations for the appropriate use of skeletal muscle relaxants for the management of acute low back pain. P T. 2014;39(6):427-435. PMID 25050056
  2. Elder NC. Abuse of skeletal muscle relaxants. Am Fam Physician. 1991;44(4):1223-1226. PMID 1927837

Stack Score

How this pair moves the number.

Effect on the composite score

If both Alcohol and Cyclobenzaprine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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