Carisoprodol (Soma®) sold as diazepam

What is Carisoprodol (Soma®)?
Carisoprodol is a muscle relaxant medication used to treat painful musculoskeletal conditions. It was marketed under the trade name Soma®. It is no longer commonly prescribed in Australia.
Carisoprodol acts similarly to diazepam (Valium®) however it is metabolised into meprobamate, which acts more like a barbiturate by directly binding to GABAA receptors.
Generally, carisoprodol is considered to have a higher risk of harm than diazepam (Valium®).
Risks
- Overdose risk is very high when combining this with any other central nervous system (CNS) depressants like benzos, barbiturates, alcohol, opioids, gabapentinoids or GHB
- Falling and injury risks at higher doses
- The drug stays in your system longer than the euphoric effects, so re-dosing has a ‘stacking’ effect which increases the risk of harm
- Respiratory depression and seizures are a risk
Carisoprodol requires medical supervision to safely undergo withdrawal if you have a physical dependence.
Effects – Onset of effects: felt within 30 minutes / Duration: approx. six hours
- Cognitive and physical euphoria – more intense than benzodiazepines
- Sedation
- Nausea / vomiting
- Dizziness
- Loss of voluntary muscle coordination, causing unsteadiness, clumsiness, and impaired balance (ataxia)
Researchers have described carisoprodol as producing an effect similar in some ways to alcohol intoxication.
Harm Reduction Tips
- Test it! You may think you know, but it’s best to test and be sure.
- Carry naloxone. whilst Naloxone will not reverse a carisoprodol overdose, it does reverse an opioid overdose, is legal and widely available
- Avoid mixing drugs. Carisoprodol mixed with other drugs especially CNS depressants can be dangerous
- Avoid using alone. Use with people you trust who can help if something goes wrong
- Start low and go slow. Start with a small amount, avoid re-dosing until you know what to expect.
If you think someone has overdosed, call ‘000’ immediately.
It’s best to test! Only a very small amount is needed – approximately 10mg (0.01g)
Free, Legal & Confidential
The Victorian Pill Testing service
95 Brunswick Street
Fitzroy VIC
Call: 1800 762 844
www.vicpilltesting.org.au



