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Pain Relief

Carisoprodol muscle relaxants (Pain-O-Soma, Prosoma). In 2007 the EMA recommended suspending all carisoprodol marketing authorisations in the EU because of the risk of abuse, addiction and intoxication.

4 productsCarisoprodolMuscle relaxants Free over €110

Centrally-acting muscle relaxants based on Carisoprodol — sold under the Pain-O-Soma and Prosoma brand names as 350 mg and 500 mg tablets, plus a 1000 mg generic. Important: in 2007 the European Medicines Agency recommended suspending all carisoprodol marketing authorisations in the EU because of the risk of abuse, addiction, intoxication and impaired coordination. Carisoprodol has been used as a short-term adjunct to rest and physiotherapy for acute back pain, for no more than 2–3 weeks at a time.

Pain Relief products

About Pain Relief

This category covers muscle relaxants based on Carisoprodol, used to relieve the discomfort of acute, painful muscle and skeletal conditions such as back strain or spasm. They work within the central nervous system rather than directly on the muscle, producing a calming effect that eases the perception of muscle pain.

Carisoprodol is intended for short-term use only — generally no more than two to three weeks — alongside rest, physiotherapy and other measures. It can cause drowsiness and has a potential for dependence, so it should be taken exactly as directed and never combined with alcohol or other sedatives.

EU status: in November 2007 the European Medicines Agency's scientific committee concluded that the benefits of carisoprodol medicines no longer outweigh their risks — abuse and addiction, intoxication and psychomotor impairment — and recommended suspending their marketing authorisations in all EU markets; the European Commission's decision followed in February 2008. The EMA judged alternative medicines for lower back pain to be as effective with a better safety profile, so ask your doctor about them.

What it's used for

  • Acute back pain and muscle strain
  • Muscle spasm following injury
  • Short-term musculoskeletal discomfort (adjunct to rest/physiotherapy)

How to choose

The products differ mainly by strength (350 mg, 500 mg and 1000 mg). Lower strengths are a sensible starting point; your doctor will advise the appropriate strength for your situation. Because Carisoprodol is for short courses only, it is not suitable for ongoing or chronic pain — speak to a doctor about longer-term options if your pain persists.

Safety essentials

  • EU status: the EMA recommended in 2007 that all carisoprodol marketing authorisations in the EU be suspended, and advised prescribers to switch patients to alternative treatments.
  • For short-term use only — usually no more than 2–3 weeks.
  • Causes drowsiness; do not drive or operate machinery until you know how it affects you.
  • Do not drink alcohol or combine with other sedatives, sleeping tablets or opioids.
  • Has a potential for dependence — take only as prescribed and do not stop a long course abruptly without advice.
  • Always read the patient information leaflet and consult a doctor or pharmacist.

Frequently asked questions

How long can I take Carisoprodol?+

It is intended for short courses only, generally no more than two to three weeks. For ongoing pain, speak to your doctor about more suitable long-term approaches.

Can I drink alcohol with it?+

No. Alcohol greatly increases the sedative effect and the risk of severe drowsiness and breathing problems. Avoid alcohol entirely during treatment.

Will it make me drowsy?+

Yes, drowsiness is common. Don't drive or operate machinery until you know how it affects you.

Is carisoprodol authorised in the EU?+

In November 2007 the European Medicines Agency recommended suspending all carisoprodol marketing authorisations in the EU, concluding that its risks — abuse and addiction, intoxication and psychomotor impairment — outweigh its benefits; the European Commission's decision followed in February 2008. The EMA advised doctors to switch patients to alternative treatments, and patients not to stop abruptly but to ask their doctor.

Important: This is general information, not medical advice. Always read the patient information leaflet and consult a doctor or pharmacist before use.

Sources

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