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A year-old woman with chronic back pain found relief by taking carisoprodol, a centrally acting skeletal muscle relaxant. She then abruptly stopped the medication and presented to the emergency room one week later with waxing and waning attention, confusion, disorientation and visual hallucinations. Her symptoms of delirium resolved rapidly and she was discharged home on day three. Such withdrawal symptoms could be expected as the mechanism of action of carisoprodol is similar to that of hypnotic sedatives. Its availability and ease with which it can be acquired through the Internet puts it at great risk for a drug of abuse.
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