Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/2/2025

Drug Interactions of Metaxalone

Clinical Considerations and Precautions

  • The Mayo Clinic recommends that metaxalone should be held on the day of surgical procedures to avoid potentiating anesthetic agents 1
  • Patients with hepatic or renal impairment may have altered metaxalone metabolism, potentially increasing interaction risks, according to the Mayo Clinic 1
  • Metaxalone is contraindicated in patients with significant hepatic or renal dysfunction, as stated by the Mayo Clinic 1

Perioperative Considerations

  • The Mayo Clinic advises that metaxalone should be held on the day of surgical procedures 1
  • The combination of metaxalone with anesthetic agents may increase the risk of excessive sedation, as noted by the Mayo Clinic 1