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Precautions 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.

Overdosage
A severe overdose of Soma can be fatal. If you suspect an overdose, seek medical help immediately.

Symptoms of Soma overdose may include:
- Breathing difficulty, coma, shock, stupor

Precautions Before Using This Medicine
The presence of other medical problems may affect the use of a skeletal muscle relaxant. Make sure you tell your doctor if you have any other medical problems, especially:
- 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
- Kidney disease or
- Liver disease 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
- Epilepsy¡XCon lsions may be more likely to occur if methocarbamol is given by injection

Why is this drug prescribed?
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.

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

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

Blood in urine; bloody or black, tarry stools; convulsions (seizures) (methocarbamol injection only); cough or hoarseness; fast or irregular breathing; lower back or side pain ; muscle cramps or pain (not present before treatment or more painful than before treatment); painful or difficult urinat ion; pain, tenderness, heat, redness, or swelling over a blood vessel (vein) in arm or leg (methocarbamol injection only); pinpoint red spots on skin; puffiness or swelling of the eyelids or around the eyes; sores, ulcers, or white spots on lips or in mouth; sore throat and fever with or without chills;




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