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These highlights do not include all the information needed to use carisoprodol safely and effectively. See full prescribing information for carisoprodol tablets, USP.Carisoprodol Tablets, USP for Oral use CIVInitial U.S. Approval: 1959


1 INDICATIONS AND USAGE


2 DOSAGE AND ADMINISTRATION


3 DOSAGE FORMS AND STRENGTHS


4 CONTRAINDICATIONS


5 WARNINGS AND PRECAUTIONS


5.1 Sedation


5.2 Drug Dependence, Withdrawal, and Abuse


5.3 Seizures


6 ADVERSE REACTIONS


6.1 Clinical Studies Experience

    Drowsiness 31 (6) 47 (17)
    Dizziness 11 (2) 19 (7)
    Headache 11 (2) 9 (3)

6.2 Postmarketing Experience


7 DRUG INTERACTIONS


7.1 CNS Depressants


7.2 CYP2C19 Inhibitors and Inducers


8 USE IN SPECIFIC POPULATIONS


8.1 Pregnancy: Pregnancy Category C.


8.2 Labor and Delivery


8.3 Nursing Mothers


8.4 Pediatric Use


8.5 Geriatric Use


8.6 Renal Impairment


8.7 Hepatic Impairment


8.8 Patients with Reduced CYP2C19 Activity


9 DRUG ABUSE AND DEPENDENCE


10 OVERDOSAGE


11 DESCRIPTION


12 CLINICAL PHARMACOLOGY


12.1 Mechanism of Action


12.2 Pharmacodynamics


12.3 Pharmacokinetics

 Carisoprodol
 Cmax (mcg/mL) 1.8 ± 1
 AUCinf (mcg*hr/mL) 7 ± 5
 Tmax (hr) 1.7 ± 0.8
 T1/2 (hr) 2 ± 0.5
 Meprobamate
 Cmax (mcg/mL) 2.5 ± 0.5
 AUCinf (mcg*hr/mL) 46 ± 9
 Tmax (hr) 4.5 ± 1.9
 T1/2 (hr) 9.6 ± 1.5

13 NONCLINICAL TOXICOLOGY


13.1 Carcinogenesis, Mutagenesis, Impairment of Fertility


14 CLINICAL STUDIES

 1 Number of Patients n=269 n=273 
    Relief from Starting Backache, Mean (SE)b 1.4 (0.1) 1.8 (0.1) 
    Difference between Carisoprodol and Placebo, Mean (SE)b (95% CI)   0.4(0.2, 0.6) 
 
    Global Impression of Change, Mean (SE)b 1.9 (0.1) 2.2 (0.1) 
    Difference between Carisoprodol and Placebo, Mean (SE)b (95% CI)  0.3(0.1, 0.4) 

16 HOW SUPPLIED/STORAGE AND HANDLING

Carisoprodol Tablets USP, 350 mg are white colored, round shaped, biconvex, uncoated tablets, identified with ‘D’ debossed on one side and ‘31’ on the other side.             Bottles of 60                 NDC 33261-676-60

            Store at controlled room temperature 20º to 25ºC (68º to 77ºF). Dispense in tight container.


17 PATIENT COUNSELING INFORMATION


17.1 Sedation


17.2 Avoidance of Alcohol and Other CNS Depressants


17.3 Carisoprodol Should Only Be Used for Short-Term Treatment


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