Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemma

Soma (Carisoprodol) is N-isopropyl-2 methyl-2-propyl-1,3-propanediol dicarbamate; a commonly prescribed, centrally acting skeletal muscle relaxant. Neuroleptic malignant syndrome (NMS) is a potentially life-threatening adverse effect of antipsychotic agents. Although diagnostic criteria for NMS have...

Full description

Bibliographic Details
Main Authors: Gunchan Paul, Gautam L Parshotam, Rajneesh Garg
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Anaesthesiology Clinical Pharmacology
Subjects:
Online Access:http://www.joacp.org/article.asp?issn=0970-9185;year=2016;volume=32;issue=3;spage=387;epage=388;aulast=Paul
_version_ 1811205375069782016
author Gunchan Paul
Gautam L Parshotam
Rajneesh Garg
author_facet Gunchan Paul
Gautam L Parshotam
Rajneesh Garg
author_sort Gunchan Paul
collection DOAJ
description Soma (Carisoprodol) is N-isopropyl-2 methyl-2-propyl-1,3-propanediol dicarbamate; a commonly prescribed, centrally acting skeletal muscle relaxant. Neuroleptic malignant syndrome (NMS) is a potentially life-threatening adverse effect of antipsychotic agents. Although diagnostic criteria for NMS have been established, it should be recognized that atypical presentations occur and more flexible diagnostic criteria than currently mandated, may be warranted. We wish to report a postoperative case of bilateral knee replacement who presented with carisoprodol (Soma) withdrawal resembling NMS that was a diagnostic dilemma. Subsequently, it was successfully treated with oral baclofen in absence of sodium dantrolene.
first_indexed 2024-04-12T03:29:51Z
format Article
id doaj.art-c32c3c595982438a90573f03388afcf7
institution Directory Open Access Journal
issn 0970-9185
language English
last_indexed 2024-04-12T03:29:51Z
publishDate 2016-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Anaesthesiology Clinical Pharmacology
spelling doaj.art-c32c3c595982438a90573f03388afcf72022-12-22T03:49:34ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852016-01-0132338738810.4103/0970-9185.173346Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemmaGunchan PaulGautam L ParshotamRajneesh GargSoma (Carisoprodol) is N-isopropyl-2 methyl-2-propyl-1,3-propanediol dicarbamate; a commonly prescribed, centrally acting skeletal muscle relaxant. Neuroleptic malignant syndrome (NMS) is a potentially life-threatening adverse effect of antipsychotic agents. Although diagnostic criteria for NMS have been established, it should be recognized that atypical presentations occur and more flexible diagnostic criteria than currently mandated, may be warranted. We wish to report a postoperative case of bilateral knee replacement who presented with carisoprodol (Soma) withdrawal resembling NMS that was a diagnostic dilemma. Subsequently, it was successfully treated with oral baclofen in absence of sodium dantrolene.http://www.joacp.org/article.asp?issn=0970-9185;year=2016;volume=32;issue=3;spage=387;epage=388;aulast=PaulCarisoprodolcarisoprodol abusecarisoprodol withdrawalneuroleptic malignant syndromesoma
spellingShingle Gunchan Paul
Gautam L Parshotam
Rajneesh Garg
Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemma
Journal of Anaesthesiology Clinical Pharmacology
Carisoprodol
carisoprodol abuse
carisoprodol withdrawal
neuroleptic malignant syndrome
soma
title Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemma
title_full Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemma
title_fullStr Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemma
title_full_unstemmed Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemma
title_short Carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome: Diagnostic dilemma
title_sort carisoprodol withdrawal syndrome resembling neuroleptic malignant syndrome diagnostic dilemma
topic Carisoprodol
carisoprodol abuse
carisoprodol withdrawal
neuroleptic malignant syndrome
soma
url http://www.joacp.org/article.asp?issn=0970-9185;year=2016;volume=32;issue=3;spage=387;epage=388;aulast=Paul
work_keys_str_mv AT gunchanpaul carisoprodolwithdrawalsyndromeresemblingneurolepticmalignantsyndromediagnosticdilemma
AT gautamlparshotam carisoprodolwithdrawalsyndromeresemblingneurolepticmalignantsyndromediagnosticdilemma
AT rajneeshgarg carisoprodolwithdrawalsyndromeresemblingneurolepticmalignantsyndromediagnosticdilemma