Brand
Name:
Fioricet
The following product
information is not intended to replace the physician's or manufacturer's instructions.
Most Common Medical Uses
Acetaminophen is a pain reliever and fever reducer. Butalbital is in a class
of drugs called barbiturates that slow down your central nervous system (brain
and nerve impulses) causing relaxation. Caffeine is believed to constrict
dilated blood vessels that may contribute to tension headaches. Together,
acetaminophen, butalbital, and caffeine are used to relieve complex tension
(muscle contraction) headaches although precisely how it works is unknown.
Acetaminophen / butalbital / caffeine may also be used for purposes other
than those listed in this medication guide.
How to Take This Medication
Take acetaminophen / butalbital / caffeine exactly as directed by your doctor.
If you do not understand these directions, ask your pharmacist, nurse, or
doctor to explain them to you. Take each dose with a full glass of water.
Take acetaminophen / butalbital / caffeine with food or milk if it upsets
your stomach. Never take more acetaminophen / butalbital / caffeine than is
prescribed for you. If your pain is not being adequately treated, talk to
your doctor.
Possible Side Effects
If you experience any of the following serious side effects, stop taking acetaminophen
/ butalbital / caffeine and seek emergency medical attention: an allergic
reaction (difficulty breathing; closing of your throat; swelling of your lips,
tongue, or face; or hives); slow, weak breathing; liver damage (yellowing
of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding
or bruising, severe fatigue); blood problems (easy or unusual bleeding or
bruising); or low blood sugar (fatigue, increased hunger or thirst, dizziness,
or fainting). These side effects are very rare and are not likely to occur
during proper treatment with acetaminophen and caffeine. If you experience
any unusual reactions, stop taking this medicine and seek the advice of your
doctor. Other, less serious side effects may be more likely to occur. Continue
to take acetaminophen / butalbital / caffeine and talk to your doctor if you
experience drowsiness; dizziness,, confusion or lightheadedness; shortness
of breath; dry mouth; nausea, vomiting, abdominal pain, or decreased appetite;
tiredness, leg pain, or muscle weakness; agitation, irritability, nervousness,
anxiety or excitability; rash or itching; feeling of intoxication; headache;
or constipation.
Precautions
Use caution when driving, operating machinery, or performing other hazardous
activities. Butalbital will cause drowsiness or dizziness. If you experience
drowsiness or dizziness, avoid these activities. Avoid sleeping pills, antihistamines,
sedatives, and tranquilizers except under the supervision of your doctor.
These may also make you drowsy. Avoid alcohol. Alcohol taken during therapy
with acetaminophen and butalbital can be very damaging to your liver and can
increase drowsiness and dizziness. Check the acetaminophen content of other
over-the-counter and prescription products while taking this medication. You
should not exceed 4 grams (4000 mg) of acetaminophen per day.
Drug Interactions
Do not take acetaminophen / butalbital / caffeine if you have taken a monoamine
oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil),
or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could
result. Acetaminophen and butalbital may increase the effects of other drugs
that cause drowsiness, including antidepressants, alcohol, antihistamines,
sedatives (used to treat insomnia), other pain relievers, anxiety medicines,
and muscle relaxants. Tell your doctor about all medicines that you are taking,
and do not take any medicine unless your doctor approves. Many other medicines
contain acetaminophen, especially over-the-counter pain, fever, cold, and
allergy medications. Too much acetaminophen can be very dangerous. Drugs other
than those listed here may also interact with acetaminophen / butalbital /
caffeine. Talk to your doctor and pharmacist before taking any prescription
or over-the-counter medicines.
Missed Dose
Take the missed dose as soon as you remember. Do not take a double dose of
this medication. Wait the prescribed amount of time before taking your next
dose.
Storage
Store at room temperature away from moisture and heat. Keep this and all medications
out of the reach of children.
Notes
Remember, keep this and all other medicines out of the reach of children,
never share your medicines with others, and use this medication only for the
indication prescribed.
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