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Fioricet
This page contains drug information on Fioricet.
The information provided includes the following:
- what is Fioricet
- the possible side effects of Fioricet
- what happens if you miss a dose of Fioricet
- what happens if you overdose with Fioricet
- the most important information about Fioricet
- how to use Fioricet
- other drugs that may affect Fioricet
- what to avoid while using Fioricet
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Generic Name: acetaminophen/ butalbital/ caffeine (oral) (a
seet a MIN oh fen and boo TAL bi tall and CAFF een)
Brand Names:
Esgic, Esgic-Plus, Fioricet |
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What is the most important information I should know about
acetaminophen/ butalbital/ caffeine?
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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. |
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Avoid sleeping pills, antihistamines, sedatives, and tranquilizers
except under the supervision of your doctor. These may also make you
drowsy. |
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Avoid alcohol. Alcohol taken during therapy with acetaminophen and
butalbital can be very damaging to your liver and can increase
drowsiness and dizziness. |
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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. |
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Never take more acetaminophen/ butalbital/ caffeine than is
prescribed for you. If your pain is not being adequately treated, talk
to your doctor. |
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What is acetaminophen/ butalbital/ caffeine?
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Acetaminophen is a pain reliever and fever reducer. |
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Butalbital is in a class of drugs called barbiturates that slow down
your central nervous system (brain and nerve impulses) causing
relaxation. |
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Caffeine is believed to constrict dilated blood vessels that may
contribute to tension headaches. |
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Together, acetaminophen, butalbital, and caffeine are used to
relieve complex tension (muscle contraction) headaches although
precisely how it works is unknown. |
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Acetaminophen/ butalbital/ caffeine may also be used for purposes
other than those listed in this medication guide. |
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What should I discuss with my healthcare provider before taking
acetaminophen/ butalbital/ caffeine?
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This medication is habit forming and should only be used under close
supervision. Take this drug only for as long as it is prescribed , in
the amounts it is prescribed, and no more frequently than prescribed.
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Do not take acetaminophen/ butalbital/ caffeine without first
talking to your doctor if you drink more than three alcoholic beverages
per day or if you have had alcoholic liver disease. You may not be able
to take acetaminophen and butalbital, or you may require a lower dose. |
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Do not take acetaminophen/ butalbital/ caffeine if you have
porphyria. |
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Before taking this medication, tell your doctor if you have |
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You may not be able to take acetaminophen/ butalbital/ caffeine, or
you may require a lower dose or special monitoring during treatment if
you have any of the conditions listed above. |
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This drug combination is in the FDA pregnancy category C. This means
that its effects on an unborn baby are not known. Do not take this
medication without first talking to your doctor if you are pregnant. |
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This drug combination passes into breast milk and may harm a nursing
infant. Do not take this medication without first talking to your doctor
if you are breast-feeding a baby. |
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Acetaminophen/ butalbital/ caffeine has not been approved for use in
children younger than 12 years of age. |
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How should I take acetaminophen/ butalbital/ caffeine?
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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. |
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Take each dose with a full glass of water. |
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Take acetaminophen/ butalbital/ caffeine with food or milk if it
upsets your stomach. |
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Never take more acetaminophen/ butalbital/ caffeine than is
prescribed for you. If your pain is not being adequately treated, talk
to your doctor. |
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Store acetaminophen/ butalbital/ caffeine at room temperature away
from moisture and heat. |
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What happens if I miss a dose?
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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. |
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What happens if I overdose?
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Seek emergency medical attention. |
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Symptoms of an acetaminophen/ butalbital/ caffeine overdose include
insomnia, restlessness, tremor, nausea, vomiting, diarrhea, abdominal
pain, sweating, seizures, drowsiness, decreased breathing, dizziness or
fainting, confusion, an irregular heartbeat, and coma. |
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What should I avoid while taking acetaminophen/ butalbital/ caffeine?
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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. |
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Avoid sleeping pills, antihistamines, sedatives, and tranquilizers
except under the supervision of your doctor. These may also make you
drowsy. |
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Avoid alcohol. Alcohol taken during therapy with acetaminophen and
butalbital can be very damaging to your liver and can increase
drowsiness and dizziness. |
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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. |
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Avoid taking too much caffeine. Check the caffeine content of other
over-the-counter and prescription products as well as beverages (coffee,
tea, and colas) while taking this medication |
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What are the possible side effects of acetaminophen/ butalbital/
caffeine?
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If you experience any of the following serious side effects, stop
taking acetaminophen/ butalbital/ caffeine and seek emergency medical
attention: |
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an allergic reaction (difficulty breathing; closing of your throat;
swelling of your lips, tongue, or face; or hives); |
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liver damage (yellowing of the skin or eyes, nausea, abdominal pain
or discomfort, unusual bleeding or bruising, severe fatigue); |
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blood problems (easy or unusual bleeding or bruising); or |
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low blood sugar (fatigue, increased hunger or thirst, dizziness, or
fainting). |
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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. |
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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 |
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dizziness,, confusion or lightheadedness; |
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nausea, vomiting, abdominal pain, or decreased appetite; |
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tiredness, leg pain, or muscle weakness; |
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agitation, irritability, nervousness, anxiety or excitability; |
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feeling of intoxication; |
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Butalbital may be habit forming. |
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Side effects other than those listed here may also occur. Talk to
your doctor about any side effect that seems unusual or that is
especially bothersome. |
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What other drugs will affect acetaminophen/ butalbital/ caffeine?
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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. |
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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. |
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Many other medicines contain acetaminophen, especially
over-the-counter pain, fever, cold, and allergy medications. Too much
acetaminophen can be very dangerous. |
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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. |
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Where can I get more information?
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Your pharmacist has additional information about acetaminophen/
butalbital/ caffeine written for health professionals that you may read. |
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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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Every effort has been made to ensure that the information provided
by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained
herein may be time sensitive. Multum information has been compiled for
use by healthcare practitioners and consumers in the United States and
therefore Multum does not warrant that uses outside of the United States
are appropriate, unless specifically indicated otherwise. Multum's drug
information does not endorse drugs, diagnose patients or recommend
therapy. Multum's drug information is an informational resource designed
to assist licensed healthcare practitioners in caring for their patients
and/ or to serve consumers viewing this service as a supplement to, and
not a substitute for, the expertise, skill, knowledge and judgment of
healthcare practitioners. The absence of a warning for a given drug or
drug combination in no way should be construed to indicate that the drug
or drug combination is safe, effective or appropriate for any given
patient. Multum does not assume any responsibility for any aspect of
healthcare administered with the aid of information Multum provides. The
information contained herein is not intended to cover all possible uses,
directions, precautions, warnings, drug interactions, allergic reactions,
or adverse effects. If you have questions about the drugs you are taking,
check with your doctor, nurse or pharmacist. |
Copyright 1996-2004 Cerner Multum, Inc. Version: 1.07. Revision date: 7/
8/ 04. |
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