Patient/caregiver was educated on precautions to be exercised while taking carisoma as follows:
- Carisoma can start acting very quickly in a span of 30 minutes and induce severe dizziness and make one drowsy. Starting the medication at a low dose and gradually increasing the dose, to help optimum control of your symptoms, can contribute to reducing the risk for drowsiness and dizziness due to the medication. Do not change the prescribed dose on this medication without consulting your physician. The dizziness should progressively decrease and ease out in due course of time. If the dizziness continues/worsens and becomes bothersome, report it to your physician and other health care personnel, for any change in plan of care to be considered. Stay away from activities, such as, driving and operating heavy machinery, until you are used to the side effects caused by carisoma intake. Observing compliance with use of recommended assistive devices, such as, cane and walker can further safety during confused states. Avoiding quick changes in position can also contribute towards fall and accident prevention.
- Do not take carisoma with alcohol or opioid pain medications, such as, hydrocodone and codeine, as these products can add to the dizziness and confusion caused by carisoma. A number of OTC cough medications, antihistamines, antiseizure, antidepressant, and antianxiety medications, can potentiate the confusion caused by carisoma and so, must be avoided taking along with carisoma. Avoid taking any other medications with potential to cause drowsiness along with carisoma at the same time.
- Carisoma, especially when taken in high doses, can lead to depression of respiratory center in the brain, exacerbation of SOB, and difficulty breathing. Low oxygen levels in the body with elevated carbon-di-oxide levels can contribute to altered levels of consciousness, sedation, slow & shallow breathing, severely compromised endurance and exercise tolerance, extreme fatigue, and development of seizures. Severe cases might also lead to emergency situations, such as, respiratory arrest and can result in serious debility and death. This risk with carisoma can be even high when it is taken along with any other products and medications causing central nervous and respiratory depression, such as, alcohol, opioid pain medications, antidepressants, antianxiety medications, and sedatives. Carisoma could either be avoided for a safer alternative or used with extra caution in individuals with history of breathing issues, such as, asthma and COPD, to prevent development of any episodes of severe SOB and respiratory arrest.
