| Qty/Dose |
Cost |
RxFee |
Shipping |
Total |
| 30 Apap-Caffeine 50-325-40mg Tablet | $ 40.00 | $ 10.00 | $ 9.95 | $ 59.95 |
| 60 Apap-Caffeine 50-325-40mg Tablet | $ 50.00 | $ 10.00 | $ 9.95 | $ 69.95 |
| 90 Apap-Caffeine 50-325-40mg Tablet | $ 60.00 | $ 10.00 | $ 9.95 | $ 79.95 |
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What is Butalbital?
The Butalbital name used in this document refers to the Acetaminophen-Butalbital-Caffeine
combination found in the following brand-name medications: Fioricet, Esgic, and Endolor.
The Butalbital combination is used to treat certain types of headaches and migraines as well as mild to moderate pain.
Federal law prohibits the transfer of Butalbital to any person other than the patient for whom it was prescribed.
Do not share Butalbital with any one else.
What should my health care professional know before I Butalbital?
They need to know if you have any of these conditions:
anemia
attempted suicide
diabetes mellitus
drink more than 3-alcohol containing drinks per day
drug abuse or use of illicit drugs
heart disease
high or low blood pressure
infection
kidney disease
liver disease
lung disease or breathing difficulties
mental depression or mental problems
peptic ulcer disease
porphyria
thyroid disease
an unusual or allergic reaction to acetaminophen, butalbital or other barbiturates, caffeine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I take Butalbital?
Take Butalbital tablets or capsules by mouth. Follow the directions on the prescription label.
Swallow the tablets or capsules with a drink of water.
If Butalbital upsets your stomach, take it with food or milk.
Do not take Butalbital more often than directed.
Contact your pediatrician or health care professional regarding the use of Butalbital in children.
Special care may be needed.
Do not share Butalbital with anyone.
What if I miss a dose of Butalbital?
If it is almost time for your next dose, take only that dose.
Do not take double or extra doses of Butalbital.
What drug(s) may interact with Butalbital?
alcohol
cyclosporine
corticosteroids
female hormones, including contraceptive or birth control pills
grapefruit juice
medicines for high blood pressure or other heart problems
medicines for depression or other mental health problems
medicines for pain
medicines to control heart rhythm
quinine
seizure medicine
theophylline
warfarin
Because Butalbital can cause drowsiness, other medicines that also cause drowsiness may increase this effect of Butalbital.
Some other medicines that cause drowsiness are:
alcohol-containing medicines
certain antidepressants or tranquilizers
muscle relaxants
certain antihistamines used in cold medicines
Tell your prescriber or health care professional about all other medicines that you are taking,
including non-prescription medicines, nutritional supplements, or herbal products.
Also, tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol,
if you smoke, or if you use illegal drugs. These may affect the way Butalbital works.
Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking Butalbital?
Side effects that you should report to your prescriber or health care professional as soon as possible:
bone tenderness
changes in behavior, mood, or mental ability
seizures
difficulty breathing or shortness of breath
eye problems, very small or enlarged centers to the eyes
fever, sore throat
hallucinations
lightheadedness or fainting spells
redness, blistering, peeling or loosening of the skin, including inside the mouth
skin rash, itching, hives
slow or fast heartbeat
swelling of the face or lips
unusual bleeding or bruising, pinpoint red spots on the skin
unusual tiredness or weakness
yellowing of skin or eyes
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
confusion, agitation
trembling
increased frequency passing urine
constipation
clumsiness, unsteadiness, or a "hang-over" effect
difficulty sleeping or nightmares
drowsiness, dizziness
headache
irritability, nervousness
nausea or vomiting
What should I watch for while taking Butalbital?
Visit your prescriber or health care professional for regular checks on your progress.
After taking Butalbital you may get a residual hangover effect that leaves you drowsy or dizzy.
Do not drive, use machinery, or do anything that needs mental alertness until you know how
Butalbital affects you. To reduce dizzy or fainting spells, do not sit or stand up quickly,
especially if you are an older patient. Avoid alcoholic drinks while you are taking Butalbital.
Alcohol can increase possible damage to your liver and can increase possible unpleasant effects.
Butalbital can stop birth control pills (oral contraceptives) from working properly.
Use another method of birth control while you are taking Butalbital.
If you have been taking caffeine or butalbital on a regular basis, you can get withdrawal symptoms if you stop taking them.
Symptoms include tiredness, dizziness, headache, anxiety, or nervousness.
Try to avoid foods and drinks that contain caffeine while taking Butalbital.
Do not take Butalbital with other non-prescription medicines, especially cold and allergy medicines without asking your
prescriber or health care professional for advice.
Grapefruit juice may increase the effects of Butalbital.
Many non-prescription medicines contain acetaminophen as an ingredient.
Always read the labels carefully to avoid taking an accidental overdose,
which can be dangerous.
If you are receiving cancer chemotherapy or other immunosuppression medicine, do not take Butalbital with
out checking with your prescriber or health care professional.
Butalbital may hide the signs of an infection such as fever or pain.
If you are going to have surgery, tell your prescriber or health care professional that you are taking Butalbital.
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Where can I keep Butalbital?
Keep out of the reach of children in a container that small children cannot open.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F).
Keep container tightly closed. Throw away any unused Butalbital after the expiration date.
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