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Carisoprodol
Brand
Name: Soma
Most
Common Medical Uses
Soma
is a muscle relaxant. It works by blocking nerve impulses (or pain
sensations) that are sent to your brain. Codeine is a pain reliever.
Codeine is in a class of drugs called narcotic analgesics and it
works by changing the way your body feels pain. Aspirin / carisoprodol
/ codeine is used, along with rest and physical therapy, to treat
injuries and other painful muscular conditions. Aspirin / Soma may
also be used for purposes other than those listed here.
How
to Take This Medication
Take
aspirin / carisoprodol / codeine exactly as directed by your doctor.
Take each dose with a full glass of water. The maximum amount of
aspirin / carisoprodol / codeine you should take in one day is 1600
mg of carisoprodol, 2600 mg of aspirin, and 128 mg of codeine (eight
tablets).
Possible
Side Effects
If
you experience any of the following serious side effects, stop taking
aspirin / carisoprodol / codeine and seek emergency medical attention:
an allergic reaction (difficulty breathing; closing of your throat;
swelling of your lips, tongue, or face; or hives); paralysis (loss
of feeling) or extreme weakness; vision loss; agitation or tremor;
red, black, or bloody stools; or blood in your vomit. Other, less
serious side effects may be more likely to occur. Continue to take
aspirin / carisoprodol / codeine and talk to your doctor if you
experience • drowsiness or dizziness; headache; depression;
blurred vision or small pupils; insomnia; hiccups; faint ringing
in the ears; or nausea, vomiting, or constipation. Side effects
other than those listed here may also occur. Talk to your doctor
about any side effect that seems unusual or that is especially bothersome.
Precautions
Do
not take aspirin / carisoprodol / codeine if you have acute intermittent
porphyria. Codeine is habit forming and should only be used under
close supervision if you have an alcohol or drug addiction. Before
taking this medication, tell your doctor if you have kidney disease,
liver disease, an ulcer in your stomach or intestines, a bleeding
or blood-clotting disorder, urinary retention, an enlarged prostate,
hypothyroidism, a head injury, or Addison's disease. You may not
be able to take aspirin / carisoprodol / codeine, or you may require
a lower dose or special monitoring during treatment if you have
any of the conditions listed above. Do not take aspirin and aspirin
/ carisoprodol / codeine without first talking to your doctor if
you are pregnant. Do not take aspirin and aspirin / carisoprodol
/ codeine without first talking to your doctor if you are breast-feeding
a baby. Aspirin / carisoprodol / codeine is not approved for use
in children younger than 12 years of age.
Drug
Interactions
Many
drugs can increase the effects of aspirin / carisoprodol / codeine
and lead to heavy sedation. Before taking this medication, tell
your doctor if you are taking any of the following medicines: antihistamines
such as brompheniramine (Dimetane, Bromfed, others), chlorpheniramine
(Chlor-Trimeton, Teldrin, others), azatadine (Optimine), clemastine
(Tavist), and many others; narcotics (pain killers) such as meperidine
(Demerol), morphine (MS Contin, MSIR, others), propoxyphene (Darvon,
Darvocet), hydrocodone (Lorcet, Vicodin), oxycodone (Percocet, Percodan),
fentanyl (Duragesic), and codeine (Fiorinal, Fioricet, Tylenol #3,
others); sedatives such as phenobarbital (Solfoton, Luminal), amobarbital
(Amytal), and secobarbital (Seconal); phenothiazines such as chlorpromazine
(Thorazine), fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine
(Trilafon), prochlorperazine (Compazine), thioridazine (Mellaril),
and trifluoperazine (Stelazine); or antidepressants such as doxepin
(Sinequan), imipramine (Tofranil), nortriptyline (Pamelor), fluoxetine
(Prozac), paroxetine (Paxil), sertraline (Zoloft), phenelzine (Nardil),
and tranylcypromine (Parnate). Aspirin will decrease the effects
of some drugs. Tell your doctor and pharmacist that you are taking
aspirin / carisoprodol / codeine if any of the following drugs have
been prescribed for you: probenecid (Benebid) and sulfinpyrazone
(Anturane); angiotensin-converting-enzyme (ACE) inhibitors used
to treat high blood pressure and other heart conditions such as
benazepril (Lotensin), captopril (Capoten), and enalapril (Vasotec);
other commonly used ACE inhibitors, including fosinopril (Monopril),
lisinopril (Prinivil, Zestril), moexipril (Univasc), quinapril (Accupril),
and ramipril (Altace); and beta-blockers used to treat high blood
pressure and other heart conditions such as acebutolol (Sectral),
metoprolol (Lopressor), propranolol (Inderal), atenolol (Tenormin),
and carteolol (Cartrol). Other over-the-counter and prescription
drugs may increase the effects of aspirin and cause dangerous side
effects: • oral anticoagulants such as warfarin (Coumadin);
• nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen
(Motrin, Rufen, others), ketoprofen (Orudis, Oruvail), and naproxen
(Anaprox, Naprosyn, Aleve) • other commonly used NSAIDs, including
diclofenac (Voltaren, Cataflam), etodolac (Lodine), fenoprofen (Nalfon),
flurbiprofen (Ansaid), indomethacin (Indocin), ketorolac (Toradol),
nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac
(Clinoril), and tolmetin (Tolectin); • other salicylates (forms
of aspirin) such as salsalate (Disalcid), choline salicylate, and
magnesium salicylate; • bismuth subsalicylate in drugs such
as Pepto-Bismol; and • calcium supplements and antacids. Other
drugs that should not be combined with aspirin and carisoprodol
include• steroids such as prednisone (Deltasone), oral antidiabetic
drugs such as glipizide (Glucotrol) and glyburide (Micronase, Diabeta),
alcohol, lithium (Lithobid, Eskalith, others), and cyclosporine
(Sandimmune). Drugs other than those listed here may also interact
with aspirin / carisoprodol / codeine. Talk to your doctor and pharmacist
before taking any prescription or over-the-counter medicines.
Missed
Dose
Take
the missed dose as soon as you remember. However, if it is almost
time for your next dose, skip the missed dose and take only your
next regularly scheduled dose. Do not take a double dose of this
medication. Keep your doses at least 4 hours apart from one another.
Storage
Store
aspirin / Soma / codeine at room temperature away from moisture
and heat. Keep this and all medications out of the reach of children.
Notes
Use
caution when driving, operating machinery, or performing other hazardous
activities. Aspirin / Soma / codeine may cause dizziness or drowsiness.
If you experience dizziness or drowsiness, avoid these activities.
Use alcohol cautiously. Alcohol may increase drowsiness and dizziness
while you are taking aspirin / Soma / codeine. Also, in combination
with aspirin, alcohol can be very damaging to your stomach. Do not
share Soma with others for whom it was not prescribed, since they
may have a problem that is not effectively treated by this drug.
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