Important Info

DRUG INFO: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

BUTALBITAL/ACETAMINOPHEN/CAFFEINE - ORAL (byou-TAL-bih-tall/uh-seet-uh-MEE-no-fen/kaff-EEN)

COMMON BRAND NAME(S): Esgic, Fioricet

USES: This medication is a pain reliever and sedative. It is used to relieve mild to moderate pain and tension headaches.

HOW TO TAKE BUTALBITAL: Take butalbital exactly as directed by your doctor. If you do not understand the directions, ask your pharmacist, nurse, or doctor to explain them to you. Take each dose with at least 8 oz. of water. Take butalbital with food or milk if it upsets your stomach. Never take more butalbital than is prescribed for you. If your pain is not being adequately treated, talk to your doctor.

SIDE EFFECTS: Butalbital 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 physician immediately and ask if there may be alternative medications you can try. Notify your doctor immediately if you develop: a rapid/ irregular heartbeat. An allergic reaction to this drug 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.

PRECAUTIONS: Tell your doctor your medical history, especially of: serious liver disease, alcohol or narcotic dependence, emotional/mental conditions, heart disease (arrhythmias, recent MI), stomach/intestinal ulcers, any allergies. 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 may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages. This medication contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking this medication as excessive nervousness and irritability can occur. This medication should be used during pregnancy only if clearly needed. Small amounts of this medication appear in breast milk. Consult your doctor before breast-feeding.

DRUG 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: sleep medications (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). Because this medication contains acetaminophen, check with your doctor or pharmacist before taking other medications containing acetaminophen - which is frequently in nonprescription pain relievers and cough-and-cold products. Read labels carefully and pay attention to all the ingredients. This drug 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 consulting with a doctor or pharmacist first.

OVERDOSE: If overdose of Butalbital is suspected, contact your local poison control center or emergency room immediately. Signs that you may have overdosed include vomiting, unusual drowsiness, lack of feeling alert, slow or shallow breathing, cold or clammy skin, loss of consciousness, tinted urine, stomach pain, and extreme fatigue.

NOTES: Do not share this product with others.

MISSED DOSE: If you miss a dose of Butalbital, take it as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

STORAGE: Store Butalbital at room temperature and away from moisture and sunlight. Avoid storing this medicine in the bathroom or areas where humidity is consistently high.




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