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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

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

Proper Use of This Medicine 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.

What Is It Soma are used to relax certain muscles in your body and relieve the stiffness, pain, and discomfort caused by strains, sprains, or other injury to your muscles. However, these medicines do not take th e place of rest, exercise or physical therapy, or other treatment that your doctor may recommend for your medical problem. Methocarbamol also has been used to relieve some of the muscle problems cause d by tetanus.

Soma act in the central nervous system (CNS) to produce their muscle relaxant effects. Their actions in the CNS may also produce some of their side effects.

Before Using This Medicine Pregnancy—Although Soma have not been shown to cause birth defects or other problems, studies on birth defects have not been done in pregnant women. Studies in animals with metaxalone have not shown hat it causes birth defects.

Breast-feeding—Soma passes into the breast milk and may cause drowsiness or stomach upset in nursing babies. It is not known whether chlorphenesin, chlorzoxazone metaxalone, or methocarbamol passes into the breast milk. However, these medicines have not been reported to cause problems in nursing babies.

Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

Less common
Fainting; fast heartbeat; fever; hive-like swellings (large) on face, eyelids, mouth, lips, and/or t ongue; mental depression; shortness of breath, troubled breathing, tightness in chest, and/or wheezing; skin rash, hives, itching, or redness; slow heartbeat (methocarbamol injection only); sting ing or burning of eyes; stuffy nose and red or bloodshot eyes

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