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How should you take this medication?
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.

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])

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 while Using this Medicine
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.

What special precautions should I follow?
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
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.


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