Carisoprodol (Soma 350 mg) Urine Detection Window
Carisoprodol (Soma) is a centrally acting muscle relaxant metabolized to meprobamate (active, long‑half‑life anxiolytic).
Detection in Urine
- Parent drug (carisoprodol): 24–48 hours.
- Metabolite (meprobamate): 2–4 days (up to 5–7 days in chronic use).
- Standard immunoassay panels: Often detect meprobamate (cross‑reactivity with barbiturate assay) or specific carisoprodol/meprobamate LC‑MS/MS.
Factors Influencing Window
- Age, hydration, urine pH, renal function.
- Chronic dosing → accumulation of meprobamate (t½ ~10 h) → longer detection.
- CYP2C19 poor metabolizers → higher carisoprodol, lower meprobamate.
Clinical & Legal Notes
- Schedule IV controlled substance (US).
- Prescribed use: Provide prescription documentation to MRO.
- False positives: Rare; confirmatory GC‑MS/LC‑MS/MS eliminates.
Typical window for a single 350 mg dose: Positive for meprobamate 2–4 days; carisoprodol itself often undetectable by 24h.
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