Fioricet instructions

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Patient Education Monograph Fioricet

Generic Name: Acetaminophen / butalbital / caffeine

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

Fioricet Common Medical Uses:
Fioricet 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. Fioricet may be used for purposes other than those listed in this instruction.

How to Take Fioricet:
The combination of acetaminophen, butalbital, and caffeine comes as a capsule and tablet to take by mouth. Take Fioricet 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.

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

Continue to take Fioricet and notify your doctor if you develop:

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

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

Fioricet Precautions:
Avoid activities requiring alertness (driving, operating machinery and other hazardous activities) while taking Fioricet. 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. Fioricet should be used during pregnancy only if clearly needed. Small amounts of Fioricet 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. Avoid using alcohol and large amounts of caffeinated beverages while taking Fioricet. Do not take Fioricet 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. 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.

Notes:
Do not share this product with others.

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