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Introduction pain o soma 500mg The tablets are called Pain O Soma and contain Carisoprodol because of the active ingredient. These tablets can alleviate lower back and neck discomfort. Soma tablets will not treat short-term pain in the muscles. This is especially true if there's severe neck or lower back pain. It's also known by the name elongator. Soma pills are a quick-acting tranquilizer. It's primarily made up of Carisoprodol pills.