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Precautions Before Using This Medicine
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

Before Using This Medicine
Before taking Soma,

- tell your doctor and pharmacist if you are allergic to Soma, meprobamate (Equanil, Meprospan, Miltown, Neuramate), or any other drugs.
- tell your doctor and pharma cist what prescription and nonprescription medications you are taking, especially medications for allergies, coughs, or colds; muscle relaxants; sedatives; sleeping pills; tranquilizers; and vitamins.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Soma, call your doctor.
- you should know that this drug may make you drowsy.
- remember that alcohol can add to the drowsiness caused by this drug.

Possible food and drug interactions when taking this medication
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

Precautions while Using this Medicine
For diabetic patients:

Metaxalone (e.g., Skelaxin) may cause false test results with one type of test for sugar in your urine. If your urine sugar test shows an unusually large amount of sug ar, or if you have any questions about this, check with your health care professional. This is especially important if your diabetes is not well controlled

Why is this medication prescribed?
Soma is used, along with rest, physical therapy, and other measures, for the relief of acute, painful muscle strains and spasms.

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