{"id":630846,"date":"2024-12-30T14:28:28","date_gmt":"2024-12-30T19:28:28","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630846"},"modified":"2026-01-28T13:55:06","modified_gmt":"2026-01-28T18:55:06","slug":"is-soma-controlled-substance","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/is-soma-controlled-substance\/","title":{"rendered":"Is Soma a controlled substance?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Soma, the brand name for the generic medication Carisoprodol, is a muscle relaxant given to those with pain related to musculoskeletal conditions. The prescription drug is part of the skeletal muscle relaxant class of medications. Due to the risk of substance abuse on this medicine, some may wonder if Soma is considered a controlled substance.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We went to the medical experts to learn everything you want to know about Soma and its potential for drug abuse.<\/span><\/p>\n<h2 id=\"is-soma-a-controlled-substance\"><span style=\"font-weight: 400;\">Is Soma a controlled substance?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cYes, Soma is classified as a Schedule IV controlled substance in the United States,\u201d said Dr. Andrew Youssouf, a dual board-certified physician and Medical Director at Ikon Recovery. \u201cThis means it has recognized medical uses but also carries a risk of misuse, dependency, or abuse.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Soma is not a narcotic. Soma is a controlled substance, but only medications belonging to the opioid drug class are considered narcotics. Soma is not an opioid; it is part of the skeletal muscle relaxant drug class.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Like narcotics, there is a potential for patients to misuse Soma, especially for those who have a history of substance abuse. Due to the increased risk, doctors and other healthcare professionals use caution when dispensing this prescription medication.<\/span><\/p>\n<h2 id=\"are-there-any-risks-of-soma-misuse\"><span style=\"font-weight: 400;\">Are there any risks of Soma misuse?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As Soma is a schedule IV controlled substance, that means there are risks of misuse, abuse, and dependency.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe use of Soma has fallen out of favor because of its potential for abuse and addiction,\u201d said Dr. <\/span><a href=\"https:\/\/askdrshana.com\/about\/\"><span style=\"font-weight: 400;\">Shana Johnson<\/span><\/a><span style=\"font-weight: 400;\">, a board-certified physical medicine and rehabilitation physician in Scottsdale, Arizona.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The addictive nature of Soma is likely because it can induce a feeling similar to <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/barbiturates\"><span style=\"font-weight: 400;\">barbiturates <\/span><\/a><span style=\"font-weight: 400;\">(ex: <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/phenobarbital\/what-is\"><span style=\"font-weight: 400;\">phenobarbital<\/span><\/a><span style=\"font-weight: 400;\">), like mild short-term euphoria, decreased anxiety, lack of inhibition, and impaired judgment. This is because of how Soma works.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cInstead of directly relaxing the muscles, Soma works on the central nervous system (CNS) by altering how pain signals are processed between the brain and spinal cord,\u201d said Dr. Youssouf. \u201cThis helps reduce the sensation of pain and makes it easier for muscles to relax.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is a risk of side effects to consider when taking this product. Common side effects of Soma include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Drowsiness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irritability<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach cramps<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are also more serious side effects, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seizure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hallucinations<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fast heart rate<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergic reaction<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You can speak to your pharmacist for a complete list of possible side effects upon dispensing the drug. You may also want to discuss any interaction of Soma with the combination of medications, vitamins, and herbal products you&#8217;re currently taking.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cOver time, regular misuse can lead to physical dependence, and stopping the medication abruptly may cause withdrawal symptoms like anxiety, tremors, or insomnia,\u201d warned Dr. Youssouf. It\u2019s also possible to overdose on Soma, which could cause symptoms like ataxia, respiratory distress, and even death in severe cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Based on this information, a prescribing physician will consider a person&#8217;s medical conditions, medical history, current medications, and family history of a substance use disorder before prescribing the medication. Those with a history of liver disease, kidney disease, and acute intermittent porphyria should also use caution when taking Soma, along with those who are breastfeeding, as a small <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK582623\/\"><span style=\"font-weight: 400;\">amount of Soma<\/span><\/a><span style=\"font-weight: 400;\"> can get into breast milk.\u00a0<\/span><\/p>\n<h2 id=\"alternatives-to-soma-that-are-not-controlled-substances\"><span style=\"font-weight: 400;\">Alternatives to Soma that are not controlled substances<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cFor musculoskeletal pain, safer muscle relaxants are now preferred,\u201d said Dr. Johnson.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The most popular alternatives to Soma that are not controlled substances include <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/fexmid\"><span style=\"font-weight: 400;\">Fexmid<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/cyclobenzaprine-hcl\"><span style=\"font-weight: 400;\">cyclobenzaprine<\/span><\/a><span style=\"font-weight: 400;\">), Skelaxin (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/metaxalone\"><span style=\"font-weight: 400;\">metaxalone<\/span><\/a><span style=\"font-weight: 400;\">), and Robaxin (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/methocarbamol\"><span style=\"font-weight: 400;\">methocarbamol<\/span><\/a><span style=\"font-weight: 400;\">).\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fexmid is a prescription muscle relaxant intended for the short-term treatment of painful muscle spasms.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skelaxin is a similar prescription muscle relaxant, but in addition to treating muscle spasms, it can help alleviate pain from sprains and other similar injuries.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Robaxin is a prescription muscle relaxant intended for musculoskeletal conditions.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other prescription alternatives for Soma include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/zanaflex#coupons\"><span style=\"font-weight: 400;\">Zanaflex<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tizanidine-hcl\"><span style=\"font-weight: 400;\">tizanidine<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/gablofen\"><span style=\"font-weight: 400;\">Gablofen<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/baclofen\"><span style=\"font-weight: 400;\">Baclofen<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These drugs all perform best when prescribed alongside physical therapy to address the underlying condition of the pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are also nonprescription drugs that serve as an alternative to Soma. \u201cOver-the-counter medications like ibuprofen (Advil) or naproxen (Aleve) can reduce pain and inflammation,\u201d said Dr. Youssouf. He also suggested Tylenol (acetaminophen) as it is \u201ca safer alternative for general pain relief, especially if anti-inflammatory effects are not needed.\u201d<\/span><\/p>\n<h2 id=\"what-does-the-fda-consider-a-controlled-substance\"><span style=\"font-weight: 400;\">What does the FDA consider a controlled substance?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The U.S. Food and Drug Administration (FDA) considers a controlled substance a drug, substance, or chemical that has the potential for abuse or dependency. This is due to the <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3839489\/\"><span style=\"font-weight: 400;\">Controlled Substances Act<\/span><\/a><span style=\"font-weight: 400;\"> (CSA) of 1970, which establishes a federal policy regulating substances. A foundation of this act is the five different drug schedule classifications. These indicate how harmful a drug may be to patients based on the potential for addiction.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s a quick rundown of what each scheduled class means according to the United States <\/span><a href=\"https:\/\/www.dea.gov\/drug-information\/drug-scheduling\"><span style=\"font-weight: 400;\">Drug Enforcement Administration<\/span><\/a><span style=\"font-weight: 400;\"> (DEA).<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Schedule I<\/b><span style=\"font-weight: 400;\"> drugs are the most addictive, with the highest rates of abuse. These are drugs with no medical purpose and a high likelihood of abuse, like heroin, marijuana, and ecstasy.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Schedule II <\/b><span style=\"font-weight: 400;\">drugs have a high potential for drug abuse with possible dependence on the drug, like Vicodin (hydrocodone), cocaine, fentanyl, and Adderall.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Schedule III <\/b><span style=\"font-weight: 400;\">drugs have a moderate to low potential for dependence, this class includes codeine, ketamine, and testosterone.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Schedule IV<\/b><span style=\"font-weight: 400;\"> drugs have a low potential for abuse and dependence, but it\u2019s still possible. These drugs include Soma, Xanax, Ativan, and Ambien.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Schedule V<\/b><span style=\"font-weight: 400;\"> drugs have the lowest potential for abuse. This can include drugs like cough suppressants with low amounts of codeine, such as Robitussin AC.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Soma, the brand name for the generic medication Carisoprodol, is a muscle relaxant given to those with pain related to musculoskeletal conditions. The prescription drug is part of the skeletal muscle relaxant class of medications. Due to the risk of substance abuse on this medicine, some may wonder if Soma is considered a controlled substance.\u00a0 [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":630847,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[4343,788],"coauthors":[15090],"class_list":["post-630846","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-brand-name-drugs","tag-drug-safety","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Soma&#039;s risks, side effects, and non-controlled alternatives<\/title>\n<meta name=\"description\" content=\"Soma is a Schedule IV controlled substance with potential risks of misuse and dependence. 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