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Butalbital-Apap-Caffeine, Butalbital/apap/caff.-Oral

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Butalbital-Apap-Caffeine Aliases : Fioricet, Butalbital/apap/caffeine, Esgic, Repan, Quala-Cet, Americet

Butalbital-Apap-Caffeine Uses : Butalbital-Apap-Caffeine is a pain reliever and sedative. It is used to relieve mild to moderate pain and tension headaches.

How to Use Butalbital-Apap-Caffeine : To prevent upset stomach, take Butalbital-Apap-Caffeine with food or milk. Pain medications work best if they are used as the first signs of pain (or first signs of migraine) occur. If you wait until the pain has significantly worsened, the pain medicine may not work as well. Take this as prescribed. Do not increase your dose or take it more frequently without your doctor s approval. Butalbital-Apap-Caffeine contains acetaminophen. Do not take more acetaminophen than recommended (see Side Effects section).

Butalbital-Apap-Caffeine Side Effects : May cause lightheadedness, dizziness, drowsiness, stomach upset, nausea, and sleeping disturbances the first few days as your body adjusts to the medication. If these symptoms persist or become bothersome, inform your doctor. Notify your doctor immediately if you develop: a rapid/ irregular heartbeat. If you do not have liver problems, the adult maximum dose of acetaminophen is 4 grams per day (4000 milligrams). If you take more than the maximum daily amount, it may cause serious (possibly fatal) liver disease. Tell your doctor immediately if you have any of the following symptoms of liver damage: severe nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue. An allergic reaction to Butalbital-Apap-Caffeine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Butalbital-Apap-Caffeine Precautions : Tell your doctor your medical history, especially of: liver disease, alcohol or narcotic dependence, emotional/mental conditions, heart disease (arrhythmias, recent MI), stomach/intestinal ulcers, any allergies. This product contains acetaminophen. Acetaminophen may cause liver damage. Daily use of alcohol, especially when combined with acetaminophen, may increase your risk for liver damage. Check with your doctor or pharmacist for more information. To prevent oversedation, avoid using alcohol and other sedative type medications while taking this. Butalbital-Apap-Caffeine may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages. Butalbital-Apap-Caffeine contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking Butalbital-Apap-Caffeine as excessive nervousness and irritability can occur. Butalbital-Apap-Caffeine should be used during pregnancy only if clearly needed. Small amounts of Butalbital-Apap-Caffeine appear in breast milk. Consult your doctor before breast-feeding.

Butalbital-Apap-Caffeine Interactions : Tell your doctor of all prescription and nonprescription drugs you may use, especially of: blood thinners Tell your doctor or pharmacist of all prescription and nonprescription drugs you may use that cause drowsiness such as: medicine for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine). Acetaminophen is an ingredient in many nonprescription products and in some combination prescription medications. Read the labels carefully before taking other pain relievers, fever reducers, or cold products to see if they also contain acetaminophen. Consult your pharmacist if you are uncertain if your other prescription or nonprescription products contain acetaminophen. (Also see adult maximum daily dose information in Side Effects section). Butalbital-Apap-Caffeine may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

Overdose of Butalbital-Apap-Caffeine : If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include vomiting, unusual drowsiness, lack of feeling alert, slow or shallow breathing, cold or clammy skin, loss of consciousness, severe nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue.

Butalbital-Apap-Caffeine : Not applicable.

Storing Butalbital-Apap-Caffeine : Store at room temperature away from moisture and sunlight. Do not store in the bathroom.


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