Author :

Agnes Smith

Post Uploaded Date : May 20, 2024 Last Updated Date : May 31, 2024

Soma Pills and Pregnancy: Safety Considerations for Expectant Mothers

soma during pregnancy

Soma pills, a muscle relaxant, can pose risks during pregnancy. Limited studies suggest potential adverse effects on fetal development, leading to mild sedation and congenital malformations during the first trimester of pregnancy. Soma pill is a category C pregnancy medication, and doctors advise caution when taking it during pregnancy.

Navigating through the numerous factors to consider during pregnancy can be a big task for expectant mothers. From dietary restrictions to medication concerns, every decision holds significant weight in ensuring the well-being of both mother and child. In this comprehensive guide, we explore one such concern- the safety considerations surrounding Soma pills during pregnancy.

Soma, a muscle relaxant commonly prescribed to treat body pain associated with musculoskeletal conditions, presents a unique set of questions for pregnant women. While its effectiveness in pain management is well-documented, the potential risks it poses during pregnancy are a subject of considerable debate and concern.

Join us as we look into the complexities surrounding Soma pills and pregnancy, shedding light on crucial safety considerations and potential risks. If you are a soon-to-be mother seeking clarity, this guide aims to provide the necessary insights for informed decision-making and optimal maternal and fetal health.

Understanding How Soma Can Be Harmful During Pregnancy

The impact of taking a Soma pill or Carisoprodol during pregnancy can be explained in the following ways.

Soma Pill Crosses The Wall Of The Placenta

Many studies demonstrate that Carisoprodol, the active compound of the Soma pill, is capable of crossing the placenta wall (an organ that develops in the uterus during pregnancy).

This generally means that when a pregnant woman administers the Soma pill, the drug enters the bloodstream and potentially reaches the fetus. This increases the developing fetus’s exposure to the medication’s effects, which may vary from patient to patient depending on the dosage and frequency of use.

Key Points:

  • Soma transfers to the fetus through the placenta by breaking the placental wall.

  • The amount of medication transferred depends on the dosage, which varies from person to person.

Increased Risk of Birth Defects

Many in-vitro studies indicate that exposure to Soma pills at the time of pregnancy can be associated with an increased risk of congenital anomalies. These risks are high when the drug is taken during the first trimester, a critical period, as most of the major organs and structures develop during the first trimester.

Key Points:

  • It increases the potential for teratogenicity (a stage where defects are caused in a developing fetus), resulting in birth defects.

  • There are chances of higher risks when the pill is used in the first trimester.

Soma pill is highly not recommended during the last three months of pregnancy because it might possibly harm the newborn baby, or many complications might arise during the delivery process.

Risks Associated With Soma In Each Trimester Of Pregnancy


There are three trimesters during the whole pregnancy phase (9 months). The consequences of taking Soma pills during each trimester of pregnancy are outlined below.

First Trimester: Defects Risks are its Peak

During the first trimester (conception to 12 weeks), the fetus undergoes the development process. The use of Soma pills during this stage can affect the proper formation of organs and limbs.

Many detailed studies have laid down a correlation between the use of muscle relaxants like Soma and an increased risk for heart defects, cleft lips, and skeletal abnormalities.

Second and Third Trimesters: Risk of Dependence in the Baby

The development process continues in the second (13-27 weeks) and third trimesters (27-40 weeks), although the major organs have formed. However, the risk of consuming the Soma pill continues.

If the Soma pill is used consistently during the second and third trimester of pregnancy, it increases the chances of developing dependency and abuse in the baby. The withdrawal symptoms after birth, with signs like irritability, abnormal sleep patterns, and tremors, might occur as a side effect of taking the Soma pill during pregnancy.

Soma Pregnancy Category

Soma or carisoprodol is classified as a pregnancy category C medication. This means that there may be risks associated with its use during pregnancy, but the potential benefits may outweigh the risks in certain situations. However, it’s essential to consult with a healthcare provider before taking the Soma pill during pregnancy.

Research And Expert Insights

In a case study, a 28-year-old woman used high doses of carisoprodol (2800 mg/day) for severe back muscle spasms throughout pregnancy and breastfeeding. Despite measurable concentrations of carisoprodol and its metabolite found in breast milk, no developmental toxicity was observed in the infant. Mild sedation was noted during breastfeeding, but no withdrawal symptoms occurred upon cessation [1].

Another study evaluating the maternal and fetal toxicity of Carisoprodol suggests Meprobamate, the metabolite of the Soma pill, is associated with an increased risk of congenital malformations during the first trimester of pregnancy. The study also indicates that Carisoprodol is excreted in breast milk at concentrations two to four times that in the mother’s blood [2].

Safety Guidelines For Expectant Mothers

Safety guidelines for expectant mothers taking Soma pill include-

  • Avoid if Possible- Whenever possible, avoid taking Soma muscle relaxer during pregnancy, especially during the first trimester when fetal development is critical.

  • Alternative Therapies- Explore non-pharmacological therapies for managing muscle pain, such as physical therapy, heat or cold therapy, and gentle exercises approved by your doctor.

  • Lowest Effective Dose- If the treatment is necessary, it is advisable to use the lowest effective dose of the Soma pill for the shortest duration possible. This will help to minimize the potential risks to the fetus.

  • Monitoring- If the mother has taken a Soma pill during the pregnancy, it is advisable to monitor both the health of the mother and the baby’s development regularly.

  • Risk-Benefit Assessment- Consider the potential risks of Soma to the fetus against the benefits of symptom relief for the mother before taking the medication.

  • Avoiding Self-Medication- Do not self-medicate with Soma or any other medication during pregnancy without medical supervision.

Always prioritize safety and informed decision-making when considering medication use during pregnancy.

Soma Alternatives For Pain Relief During Pregnancy


A few safe alternatives to Soma for expecting mothers are given below-

Over-the-Counter Medicines Approved for Pregnancy

  • Acetaminophen: The medication is often recommended as a first-line treatment for pain relief and can be used for headaches, muscle aches, and fever.

  • Antacids: These are basically used for heartburn or indigestion discomfort.

Physical Therapy and Massage

  • Guided exercises: This is necessary to strengthen muscles and relieve pain.

  • Massage: This reduces stress and provides relief from muscle tension.

Acupuncture or Chiropractic Care

  • Acupuncture: It is a therapy where needles are inserted through your skin at strategic points in your body.

  • Chiropractic care: This is a therapy that alleviates pain related to spinal alignment issues.


Safety Advice- Discuss With An OB-GYN (Obstetrics And Gynaecology)

It is important to have a conversation with an OB-GYN to help you understand the potential risks of taking the Soma pill to both the unborn child and the woman. With their specialized knowledge, they can provide invaluable insights into your unique medical background and current health condition.


+ Is it safe to take soma while pregnant?

No, it is not safe to take Soma while pregnant.

+ Can I take Soma while pregnant?

You should always consult with your doctor before taking the medication, as it has many negative impacts depending upon the dosage.

+ What pregnancy category is Soma (Carisoprodol)?

Soma belongs to the pregnancy category C drug approved by the FDA.

+ What drugs cross the placenta?

The drugs that cross the placenta are- opiates, benzodiazepines, beta-blockers, barbiturates, local anesthetics, etc.

+ How long does Soma take to kick in?

Soma takes 30 minutes to kick in after its administration.


  1. High-dose carisoprodol during pregnancy and lactation PubMed.

  2. Maternal and Fetal Toxicity of Carisoprodol, ejhm.journals.


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