DOSAGE AND ADMINISTRATION
The usual adult dosage of `SOMA' (carisoprodol) Tablets, USP is one 350
mg tablet, three times daily and at bedtime. Usage in patients under
age 12 is not recommended.
HOW SUPPLIED
`SOMA' (carisoprodol) Tablets, USP 350 mg: Round, convex, white
tablets, inscribed with SOMA 350, are available in bottles of 100 (NDC
0037-2001-01).
Storage: Store at controlled room temperature 20 to 25° C (68 to 77° F).
Dispense in a tight container.
OVERDOSAGE
Overdosage of Soma produces CNS depression, and in severe cases coma.
Shock, respiratory depression, seizures and death have also been
reported rarely. The following signs and symptoms may be associated
with Soma overdosage: horizontal and vertical nystagmus, blurred
vision, mydriasis, mild tachycardia and hypotension, respiratory
depression, euphoria, CNS stimulation, muscular incoordination, and/or
rigidity, confusion, headache, hallucinations, and dystonic reactions.
The effects of an overdosage of Soma and alcohol or other CNS
depressants or psychotropic agents can be additive even when one of the
drugs has been taken in the usual recommended dosage. Fatal accidental
and non-accidental overdoses have been reported alone or in combination
with alcohol or psychotropic drugs.
INDICATIONS
Carisoprodol is indicated as an adjunct to rest, physical therapy, and
other measures for the relief of discomfort associated with acute,
painful musculoskeletal conditions.
CLINICAL PHARMACOLOGY
Soma is a centrally acting
skeletal muscle relaxant that does not directly relax tense skeletal
muscles in man. The mode of action of Soma in relieving acute muscle
spasm of local origin has not been clearly identified, but may be
related to its sedative properties. In animals, Soma
has been shown to produce muscle relaxation by blocking interneuronal
activity and depressing transmission of polysynaptic neurons in the
spinal cord and in the descending reticular formation of the brain. The
onset of action is rapid and lasts four to six hours.
Soma is metabolized in the
liver and is excreted by the kidneys. One of the products of
metabolism, meprobamate, is active as an anxiolytic. The degree to
which it contributes to the efficacy of Soma is unknown. Soma is dialyzable by peritoneal and hemodialysis.
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Important information about Soma
These pills may be habit-forming and should be used just by the person
it was prescribed for. Soma should never be given to another person,
particularly someone who has a history of drug abuse or dependence.
Keep the drug in a secure place where others cannot get it. You may
have removal symptoms when you stop using Soma after using it a long
period of time. Do not stop using Soma suddenly without first talking
to your medical doctor. You may need to use less and less before you
stop usage of medication completely. Soma can cause side effects that
may slow your judgment or reactions. Be careful if you drive or do
anything that requires you to be awake and alert. Avoid drinking
alcohol. It can increase sleepiness and giddiness caused by Soma.
SOMA: GENERAL DESCRIPTION
Soma (Carisoprodol) is a muscle relaxant, used to relieve the pain and stiffness of muscle strains and spasms.
SOMA (carisoprodol) Tablets, USP is available as 350 mg round, white tablets.
Chemically, carisoprodol is N-isopropyl-2-methyl-2-propyl-1,3-propanediol dicarbamate.
Soma (Carisoprodol) is a white,
crystalline powder, having a mild, characteristic odor and a bitter
taste. It is very slightly soluble in water; freely soluble in alcohol,
in chloroform, and in acetone; its solubility is practically
independent of pH. Soma (Carisoprodol) is present as a racemic mixture.
The molecular formula is C 12 H 24 N 2 O 4 , with a molecular weight of
260.33.
The structural formula is:
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