Patient was educated on the precautions to be observed while taking Marbaxin as follows:
- Your physician could change the dose of marbaxin, based on the response you show, relief obtained, and side-effects presented with. So, maintain compliance with follow-up physician appointments and be accommodative to the plan of dose changes, until you show an optimum response.
- Notify your doctor of any unresolving muscle spasms, progressively worsening muscle pain and discomfort, compromised range of motion in the involved muscle groups, and any continuing or worsening unpleasant side-effects, so that, your dosage on the medication could be revised.
- Marbaxin is mainly metabolized in the liver and the metabolites along with any unmetabolized drug are mainly excreted in the urine. If liver function is deficient, the metabolism of marbaxin can be compromised. If renal function is deficient, the elimination of marbaxin can be compromised. In either case, this can lead to increased blood levels of the medication and metabolites for longer periods of time, resulting in increased risk for side-effects and consequent toxicity. So, in individuals with history of compromised liver and/or renal function, marbaxin must be used with caution and possible multiple dose adjustments be made. Periodical labs could be ordered for monitoring liver and kidney functions and watch for development of any toxicity symptoms with the medication. So, maintain compliance with follow-up physician appointments and any lab draws ordered. Be accommodative to the plan of dose changes to achieve an optimum response and prevent development of any undesired side-effects.
- If you miss a dose, try taking it at the earliest notice of noncompliance. If it is time for the next dose, skip the missed dose and take the dose scheduled. Do not take an extra dose to try making up for the missed dose, which can result in toxicity. Notify your doctor and other health care personnel regarding your dose noncompliance.
