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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. |
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. |
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. |
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. |
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. |
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. |
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 |
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. |
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. |
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. |
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