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Butalbital APAP w/Caffeine instructions


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Brand Names: Fioricet, Esgic

Generic Name: Butalbital APAP w/Caffeine

The following product information is not intended to replace the physician's or manufacturer's instructions.

Butalbital APAP w/Caffeine Common Medical Uses:
Butalbital/Acetaminophen/Caffeine is a pain reliever and sedative. Acetaminophen is a pain reliever and fever reducer. Butalbital is in a class of drugs called barbiturates that slow down central nervous system 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 headaches although exactly how it works is unknown. Butalbital APAP w/Caffeine may be used for purposes other than those listed in this instruction.

How to Take Butalbital APAP w/Caffeine:
The combination of acetaminophen, butalbital, and caffeine comes as a capsule and tablet to take by mouth. Take Butalbital APAP w/Caffeine exactly as directed by your doctor. To prevent upset stomach, take this medication with food or milk. Do not take more often, or for a longer period than prescribed for you. If your pain is not being adequately treated, talk to your doctor.

Butalbital APAP w/Caffeine Possible Side Effects:
Although side effects from acetaminophen, butalbital, and caffeine are not common, they can occur.
If you experience any of the following serious side effects, stop taking Butalbital APAP w/Caffeine and inform your doctor:

  • 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)
  • blood problems (easy or unusual bleeding or bruising)
  • low blood sugar (fatigue, increased hunger or thirst, dizziness, or fainting)

Continue to take Butalbital APAP w/Caffeine and notify your doctor if you develop:

  • breathing difficulties
  • rapid/irregular heartbeat
  • dry mouth
  • severe stomach pain
  • muscle weakness
  • leg pain
  • abdominal pain or decreased appetite
  • headache
  • nervousness
  • anxiety

If you notice other effects not listed above, contact your doctor or pharmacist.

Butalbital APAP w/Caffeine Precautions:
Avoid activities requiring alertness (driving, operating machinery and other hazardous activities) while taking Butalbital APAP w/Caffeine. Butalbital can cause dizziness, drowsiness or blurred vision. Avoid sleeping pills, antihistamines, sedatives, and tranquilizers except under the supervision of your doctor. These may also make you drowsy. Tell your doctor your medical history, especially of: liver problems, emotional/mental conditions, becose Acetaminophen may cause liver damage. Alcohol taken during therapy with acetaminophen and butalbital may increase your risk for liver damage and can increase drowsiness and dizziness.Check with your doctor or pharmacist for more information. Butalbital/Acetaminophen/Caffeine should be used during pregnancy only if clearly needed. Small amounts of Butalbital/Acetaminophen/Caffeine appear in breast milk. You should not exceed 4 grams (4000 mg) of acetaminophen per day.

Drug Interactions:
The best way for you to avoid harmful interactions is to tell your doctor and/or pharmacist what medications you are currently taking, including prescription and nonprescription drugs, vitamins, and herbals.

  • Acetaminophen and butalbital may increase the effects of other drugs that cause drowsiness, including antidepressants, antihistamines, sedatives , other pain relievers, anxiety medicines, and muscle relaxants.
  • Do not take Butalbital APAP w/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.
  • Many other medicines contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Too much acetaminophen can be very dangerous.

Avoid using alcohol and large amounts of caffeinated beverages while taking Butalbital/Acetaminophen/Caffeine. Do not start or stop any prescription or over-the-counter medicines without doctor or pharmacist approval.

Missed Dose:
Take the missed dose as soon as you remember . 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 of this medication.

Storage:
Store it at room temperature, away from excess heat and moisture. Keep this medication in the container it came in, tightly closed. Keep this and all medications out of the reach of children.

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