I understand how distressing severe neck pain can be, especially when Myospaz isn't helping. However, a blood pressure reading of 190/110 mmHg is very high and requires immediate medical attention. Please seek urgent medical care to safely evaluate and manage her blood pressure first. For her neck pain, it is best to avoid pain relievers like nonsteroidal anti-inflammatory drugs (NSAIDs), as they can further elevate blood pressure. Once her blood pressure is stabilized, a healthcare provider can safely recommend alternatives like paracetamol or physical therapy.

Given your young age and the fact that carrying a heavy laptop bag worsens the pain, a heart-related issue is highly unlikely. Instead, this is much more likely a musculoskeletal issue, such as muscle strain or a pinched nerve in your spine, which can cause radiating pain to your shoulder and thigh. Since the muscle relaxant in Myospaz Forte only offers temporary relief, it is best to avoid carrying heavy loads and consult a doctor or physical therapist. They can evaluate your spine and help you find lasting relief.

Since the pain worsens with movement, coughing, and sneezing, it is highly likely related to the musculoskeletal system. A common cause is costochondritis, which is inflammation of the cartilage connecting your ribs to your breastbone. Another possibility is a strain of the small muscles between your ribs (intercostal strain). Even though typical muscle relaxants haven't helped, these conditions often require simple rest, warm compresses, or anti-inflammatory medications like ibuprofen. Please discuss these possibilities with your doctor to find a tailored management plan.

Myospaz Forte contains paracetamol, which is safe, and chlorzoxazone, a muscle relaxant with limited safety data for breastfeeding. Because of chlorzoxazone, it is best to avoid this medication if possible. If you must take it, waiting at least 4 to 6 hours after a dose before breastfeeding can help minimize your baby's exposure, which is safer now that your toddler is older and likely eating solids. I highly recommend consulting your doctor about safer alternatives, like ibuprofen or paracetamol alone, to keep you both comfortable and safe.

Continue taking your Pan 40 (pantoprazole) to protect your stomach and Myospaz Forte (paracetamol and chlorzoxazone) to help relax your muscles. For your spinal narrowing, gentle stretching, physiotherapy, and heat packs can provide great relief. It is best to avoid bike riding right now because the hunched posture and physical jolts from uneven roads can compress your spine further, worsening your pain.

You should not continue Myospaz Forte on your own without your doctor?s guidance, especially for severe pain. Consult your doctor to determine the proper dosage and check for underlying causes of your lower back pain.