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Medication guide · Common after a work injury: Muscle spasm

Orphenadrine: uses, appearance and warnings

What the official FDA label says Orphenadrine is used for, what it looks like, and its most important warnings — in plain English, with the label text one click away.
Muscle RelaxantPrescription label

Uses

What the official label says Orphenadrine is used for

Orphenadrine is a prescription muscle relaxant. The label provided here is for orphenadrine citrate extended-release tablets.

The label says it is used together with rest, physical therapy, and other measures to relieve discomfort from acute, painful muscle and bone (musculoskeletal) conditions.

Read the label's “Indications and usage” section (verbatim)
Orphenadrine citrate extended-release tablets are indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute painful musculoskeletal conditions.

Names & forms

Brand names, forms and strengths

We did not find brand names for this exact product in RxNorm. Ask your pharmacist which brand or generic version you have.

Generic name: orphenadrine · RxNorm ID (RxCUI): 7715

Forms and strengths of Orphenadrine listed in RxNorm
FormStrengths listed in RxNorm
Extended Release Oral Tablet100 MG
Injection30 MG/ML
Oral Solution5 MG/ML, 10 MG/ML
Oral Tablet50 MG, 100 MG

Strengths are listed so you can recognise a product — not as dosing information. Only your prescriber can decide what is right for you.

Appearance

What Orphenadrine looks like

Illustration: white round tablet, extended release, imprint NL4NL4

orphenadrine citrate 100 mg
Lupin Pharmaceuticals, Inc.

Illustration: WHITE round tablet, extended release, imprint E 22E 22

orphenadrine citrate 100 mg
Sandoz Inc

Illustration based on label data — not a photo; appearance varies by manufacturer. Confirm with your pharmacist.
Appearance of Orphenadrine products from DailyMed product data
StrengthFormColourShapeSizeImprintScoreLabeler
orphenadrine citrate 100 mgtablet, extended releasewhiteround10 mmNL41Lupin Pharmaceuticals, Inc.
orphenadrine citrate 100 mgtablet, extended releasewhiteround9 mmE · 221Sandoz Inc

From the product data in each manufacturer's label on DailyMed. Many companies make Orphenadrine, so your medicine may look different from any shown here. If a pill looks unfamiliar, ask your pharmacist before taking it.

Read the label's “How supplied” section (verbatim)
Orphenadrine citrate extended-release tablets 100 mg are round, white to off-white tablets, debossed NL4 on one side and plain on the other side and are supplied as: NDC 43386-480-24 in bottles of 100 tablets NDC 43386-480-26 in bottles of 500 tablets NDC 43386-480-28 in bottles of 1000 tablets Store at 20°-25°C (68°-77°F) [see USP Controlled Room Temperature]. Dispense in a tight, light-resistant container. LUPIN and the are registered trademarks of Lupin Pharmaceuticals, Inc. Manufactured by Novel Laboratories, Inc. Somerset, NJ 08873 Manufactured For Lupin Pharmaceuticals, Inc. Naples FL, 34108 SAP Code: 276510 Rev: 10/2024 lupin symbol

Safety

Important warnings for Orphenadrine

In plain English, the label's key warnings include:

  • The label says some patients may have short episodes of lightheadedness, dizziness, or fainting.
  • Orphenadrine may affect the ability to do potentially dangerous activities, such as operating machinery or driving.
  • The label says most side effects come from its mild anticholinergic action, and very rare cases of aplastic anemia (a serious drop in blood cell production) have been reported.
  • Older adults may sometimes have some mental confusion.
Contraindications — who should not use it (verbatim)
Orphenadrine citrate extended-release tablets are contraindicated in patients with glaucoma, pyloric or duodenal obstruction, stenosing peptic ulcers, prostatic hypertrophy or obstruction of the bladder neck, cardio-spasm (mega-esophagus) and myasthenia gravis. Orphenadrine citrate tablets are contraindicated in patients who have demonstrated a previous hypersensitivity to the drug.
Warnings and precautions (verbatim excerpt)
Some patients may experience transient episodes of light-headedness, dizziness or syncope. Orphenadrine may impair the ability of the patient to engage in potentially hazardous activities such as operating machinery or driving a motor vehicle; ambulatory patients should therefore be cautioned accordingly.
Side effects — opening of the label's adverse reactions section
Adverse reactions of orphenadrine are mainly due to the mild anticholinergic action of orphenadrine, and are usually associated with higher dosage. Dryness of the mouth is usually the first adverse effect to appear. When the daily dose is increased, possible adverse effects include: tachycardia, palpitation, urinary hesitancy or retention, blurred vision, dilatation of pupils, increased ocular tension, weakness, nausea, vomiting, headache, dizziness, constipation, drowsiness, hypersensitivity reactions, pruritus, hallucinations, agitation, tremor, gastric irritation, and rarely urticaria and other dermatoses. Infrequently, an elderly patient may experience some degree of mental confusion. These adverse reactions can usually be eliminated by reduction in dosage. Very rare cases of aplastic anemia associated with the use of orphenadrine tablets have been reported. …

This is not a complete list of warnings or side effects. Read the full label and talk to your prescriber or pharmacist. To report a side effect to the FDA, use MedWatch.

Resources

If you were hurt at work

Whether a medicine is right for you is a decision for your prescriber. If you were injured on the job, these educational guides explain the next steps and who can help.

FAQ

Orphenadrine: frequently asked questions

+What is Orphenadrine used for?

The label says orphenadrine extended-release tablets are used along with rest, physical therapy, and other measures to relieve discomfort from acute, painful musculoskeletal conditions.

+What are the most important warnings for Orphenadrine?

The label warns that orphenadrine may cause lightheadedness, dizziness, or fainting, and may affect driving or operating machinery. Very rare cases of aplastic anemia have been reported. Your prescriber or pharmacist can explain these warnings.

+What side effects are listed on the Orphenadrine label?

The label says dry mouth is usually the first side effect. Others listed include fast heartbeat, trouble urinating, blurred vision, enlarged pupils, increased eye pressure, weakness, nausea, vomiting, headache, dizziness, constipation, drowsiness, itching, hallucinations, agitation, and tremor.

+Who should not take Orphenadrine, according to the label?

The label says orphenadrine should not be used by people with glaucoma, blockage of the stomach outlet or duodenum, narrowing peptic ulcers, an enlarged prostate or bladder neck blockage, cardiospasm (mega-esophagus), or myasthenia gravis. It also should not be used by people who have had an allergic reaction to it.

+What does Orphenadrine look like?

Appearance depends on the manufacturer and strength. Examples from DailyMed product data: orphenadrine citrate 100 mg tablet, extended release from Lupin Pharmaceuticals, Inc.: white, round, imprint "NL4"; orphenadrine citrate 100 mg tablet, extended release from Sandoz Inc: WHITE, round, imprint "E 22". Your medicine may look different — always confirm with your pharmacist.

+Can Orphenadrine be delivered to my home?

Many prescriptions can be filled by licensed mail-order pharmacies and delivered to your home; whether that is possible for a particular medicine depends on the medicine, your prescriber, your state and your coverage. Ask your prescriber or pharmacist. Our prescription delivery guide explains how home delivery generally works.

Sources

Label text is quoted from the Lupin Pharmaceuticals, Inc. label (label version effective September 10, 2025), retrieved October 20, 2026. Other manufacturers' labels for the same medicine may differ in wording.

The plain-English summaries were generated by software from the label text above and have not been reviewed by a clinician. If anything here differs from the label that came with your medicine, follow your label and your pharmacist.

Prescriptions.plus is an educational portal. We are not a pharmacy, law firm, medical provider, insurer or claims administrator, and nothing here is medical or legal advice. Educational purposes only. This page does not tell you whether to take a medicine or how much to take. Medical emergency? Call 911. Poison emergency: call Poison Control at 1-800-222-1222.

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