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What special precautions should I follow?
If you will be taking this medicine for a long time, your doctor should check your progress at regular visits.

This medicine will add to the effects of alcohol and other CNS depressants (medi cines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizer s, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; other muscle relaxants; or anesthetics, including some dental anesthetics. Do not drink alcoholic beverages, and check with your doctor before taking any of the medicines listed above, while you are using this medicine.

Side Effects
Although side effects from Soma are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- drowsiness
- dizziness
- clumsiness
- headache
- fast heart rate
- upset stomach
- vomiting
- skin rash

If you experience any of the following symptoms, call your doctor immediately:

- difficulty b reathing
- fever
- weakness
- burning in the eyes

Before Taking This Medicine
Tell your doctor if you have any other medical problems, especially:
- Epilepsy¡XConvulsions 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¡XDepending 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

Before Using This Medicine
Children¡XStudies with the Soma have been done only in adult patients, and there is no specific information comparing use of these medicines in children with use in other age groups. However, Soma and chlorzoxazone have been used in children. They have not been reported to cause different side effects or problems in children than they do in adults.

Significant Interactions:
When you are taking a skeletal muscle relaxant, it is especially important that your health care professional know if you are taking any of the following:

Alcohol or
Central nervous sy stem (CNS) depressants or
Tricyclic antidepressants (amitriptyline [e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil], desipramine [e.g., Pertofrane], doxepin [e.g., Sinequ an], imipramine [e.g., Tofranil], nortriptyline [e.g., Aventyl], protriptyline [e.g., Vivactil], trimipramine [e.g., Surmontil])

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.


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