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What special precautions should I follow? 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.

Proper Use of This Medicine Soma comes as a tablet to take by mouth. It usually is taken three times daily and at bedtime. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Soma exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Special warnings about this medication 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.

Side Effects of This Medicine 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

What is this Drug 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.

Other Medicines 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])

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