Reeves R R, Liberto V
Department of Psychiatry, G.V. (Sonny) Montgomery VA Medical Center and the University of Mississippi School of Medicine, Jackson 39216, USA.
South Med J. 2001 May;94(5):512-4.
Neither carisoprodol (Soma) nor tramadol (Ultram) is a controlled substance at the federal level. However, evidence indicates that these medications may have abuse potential, particularly in patients with a history of substance abuse. We report three cases in which a combination of carisoprodol and tramadol was used illicitly to obtain psychotropic effects. Carisoprodol or tramadol should be prescribed with caution for patients at risk for substance abuse, and extreme caution should be used when prescribing both drugs simultaneously for any patient.
在联邦层面，卡立普多（索马）和曲马多（奥施康定）都不属于管制药物。然而，有证据表明这些药物可能具有滥用潜力，尤其是在有药物滥用史的患者中。我们报告了三例非法使用卡立普多和曲马多组合以获得精神作用的病例。对于有药物滥用风险的患者，应谨慎开具卡立普多或曲马多，而对于任何患者同时开具这两种药物时应格外谨慎。
