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Possible food and 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

Symptoms of 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!

What special precautions should I follow? In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For the Soma, the following should be con sidered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to any of the Soma or to carbromal, mebutamate, meprobamate (e.g., Equanil), or tybamate. Also tell our health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Other medical problems 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

What special precautions should I follow? Soma may impair the mental or physical abilities you need to drive a car or operate dangerous machinery. Do not participate in hazardous activities until you know how this drug affects you.

If you have a history of drug dependence, make sure your doctor is aware of it before you start taking this medication.

Withdrawal symptoms, including abdominal cramps, chilliness, headache, insomnia, and nausea, have occurred in people who suddenly stop taking Soma.

Take this drug cautiously if you have any kidney or liver problems.

Side Effects 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.

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