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Tizaspray is a liquid intranasal formulation of tizanidine, a centrally acting alpha-2 adrenergic agonist. Developed by Sintetica, this formulation is a 0.5 mg nasal spray solution intended for the short-term treatment of painful muscle spasms, specifically acute low back pain. By delivering tizanidine via the intranasal route, Tizaspray is designed to provide a more rapid onset of therapeutic effect and potentially improve bioavailability compared to traditional oral formulations like Sirdalud by bypassing initial hepatic first-pass metabolism. Its pharmacological action involves reducing spasticity and muscle tone through the inhibition of presynaptic motor neurons in the spinal cord, primarily by inhibiting the release of excitatory amino acids.
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