Patient/caregiver was educated on precautions to be exercised while taking carisoma as follows:
- Carisoma could take some time to fairly adjust to your body, before any optimal relief with muscle spasms and easing of side-effects is experienced. So, do not discontinue taking the medication without your physician’s consult, as you failed to see the desired result immediately after taking the medication.
- Carisoma only helps with relieving muscle spasms, probably by depressing the brain and inhibiting the conduction of nerve impulses from the brain to the skeletal muscles. Carisoma only temporarily relieves the spasms but does not fix the actual condition causing the muscle spasms and so, is not a permanent cure. Continue taking carisoma as ordered, even if you experience relief from muscle pain and spasms, until your physician orders for the discontinuation on the medication.
- Carisoma is mainly metabolized inside the body by the liver and is excreted out of the body in urine by the kidneys. Carisoma is metabolized by the liver to active products that have a strong abuse potential, which makes carisoma a risky drug for individuals with history of drug abuse. If liver is deficient, metabolism of the drug could be compromised, which can result in higher concentrations of the drug in the body for longer periods of time. If kidney function is deficient, elimination of the drug could be compromised, which also can result in higher concentrations of the drug and metabolites in the body for longer periods of time. Either case can contribute to toxicity. While taking carisoma, periodical labs could be ordered for evaluation of liver and kidney functions. So, maintain compliance with follow-up physician appointments and lab draws ordered. Be accommodative to the plan of dose changes accordingly to achieve an optimum response and prevent development of any undesired side-effects & toxicity.
- If you miss a dose, try taking it at the earliest notice of noncompliance. If it is time for the next dose, skip the missed dose and take the dose scheduled. Do not take an extra dose to try making up for the missed dose, which can result in toxicity. Notify your doctor and other health care personnel regarding your dose noncompliance.
