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Possible Side Effect Side effects may include:
- Agitation, depression, dizziness, drowsiness, facial flushing, fainting, headache, hiccups, inability to fall or stay asleep, irritability, light-headedness upon stand ing up, loss of coordination, nausea, rapid heart rate, stomach upset, tremors, vertigo, vomiting

Allergic reactions usually seen between the first and fourth doses of Soma in patients who h ave never taken this drug before include: itching, red welts on the skin, and skin rash. A more severe allergic reaction may include symptoms such as asthmatic attacks, dizziness, fever, low blood pre ssure, shock, stinging of the eyes, swelling due to fluid retention, and weakness.

Overdose If you suspect an overdose, seek medical help immediately.

Symptoms of Soma overdose may include:
- Breathing difficulty, coma, shock
A severe overdose of Soma can be fatal!

Cautions Soma may cause blurred vision or clumsiness or unsteadiness in some people. They may also cause some people to feel drowsy, dizzy, lightheaded, faint, or less alert than they are normally. Make sure y ou know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert, well-coordinated, and able to see well.

How to Use Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up f or a missed one.

Precautions Before Using This Medicine Tell your doctor if you have any other medical problems, especially:
- Epilepsy—Convulsions may be more likely to occur if methocarbamol is given by injection
- Kidney disease or
- Liver disease or
- Allergies, history of, or
- Blood disease caused by an allergy or reaction to any other medicine, history of, or
- Drug abuse or dependence, or history of, or
- Porphyria—Depending on which of the Soma you take, the chance of side effects may be increased; your doctor can choose a muscle relaxant that is less likely to cause problems

Drug Interactions Soma may intensify the effects of alcohol. Be careful drinking alcoholic beverages while you are taking this medication.

If Soma is taken with certain other drugs, the effects of either coul d be increased, decreased, or altered. It is especially important to check with your doctor before combining Soma with the following:

- Antidepressant drugs such as Elavil, Tofranil, and Nar dil
- Major tranquilizers such as Haldol, Stelazine, and Thorazine
- Sedatives such as Nembutal and Halcion
- Tranquilizers such as Librium, Valium, and Xanax

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