InterQual, Milliman: Two Step Process Admission review is often a two step process: 1. Review by case manager against objective criteria 2. Secondary review by physician to determine medical necessity for admission for those cases that fail to pass admission screening.
Methocarbamol is a central muscle relaxant used to treat skeletal muscle spasms. Under the trade name Robaxin, it is marketed by Actient Pharmaceuticals in the United States and Pfizer in Canada. The mechanism of action of methocarbamol is currently unknown, but may involve the inhibition of carbonic anhydrase.
Methocarbamol tablets come in two different strengths: 500 mg (generic only) and 750 mg. The recommended starting methocarbamol dosage is 1500 mg (three 500-mg tablets or two 750-mg tablets) four times daily for the first two to three days of treatment. Then, the dose should be reduced to 1500 mg twice daily, 1000 mg four times daily, or 750 mg six times daily.