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Other medical problems
Tell your doctor if you have any other medical problems, especially:
- EpilepsyˇXConvulsions 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
- PorphyriaˇXDepending 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?
The effects of Soma during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. This drug appears in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.

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.

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.

What side effects can this medication cause?
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.

Drug 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])


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