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Fioricet is a pain reliever and sedative medication to relieve mild to moderate pain and tension headaches.

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The combination of acetaminophen, Butalbital, Caffeine comes as a capsule and tablet to take by mouth. It usually is taken every 4 hours as needed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take acetaminophen, Butalbital, Caffeine exactly as directed. Do not take more than six tablets or capsules in 1 day. If you think that you need more to relieve your symptoms, call your doctor.

This medication can be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to.

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Fioricet is used to treat tension headaches that are caused by muscle contractions. It comes as a capsule and pill form to take by mouth. One or 2 pills every 4 hours as needed. Total daily dosage should not exceed 6 pills. Extended and repeated use of this product is not recommended because of the potential for physical dependence.

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Information About Fioricet :

Fioricet – Important note : The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of Fioricet is safe, appropriate, or effective for you. Consult your healthcare professional before using Fioricet.

BUTALBITAL/ACETAMINOPHEN/CAFFEINE – ORAL (byou-TAL-bih-tall/uh-seet-uh-MEE-no-fen/kaff-EEN)

Fioricet common brand names : Esgic, Fioricet

Fioricet uses :

Fioricet is a pain reliever and sedative. It is used to relieve mild to moderate pain and tension headaches.

How to use Fioricet :

To prevent upset stomach, take Fioricet with food or milk. Pain medications work best in preventing pain before it occurs. Once the pain becomes intense, the medication is not as effective in relieving it. Take Fioricet as prescribed. Do not increase your dose of Fioricet or take it more frequently without your doctor’s approval.

Fioricet side effects :

Fioricet may cause the following side effects the first few days as your body adjusts to the medication:

  • lightheadedness;
  • dizziness;
  • drowsiness;
  • stomach upset;
  • nausea;
  • sleeping disturbances.

If these symptoms persist or become bothersome, inform your doctor. Notify your doctor immediately if you develop a rapid/ irregular heartbeat.

An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include :

  • rash;
  • itching;
  • swelling;
  • severe dizziness;
  • trouble breathing.

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

Fioricet precautions :

Tell your doctor your medical history, especially of :

  • serious liver disease;
  • alcohol or narcotic dependence;
  • emotional/mental conditions;
  • heart disease (arrhythmias, recent MI);
  • stomach/intestinal ulcers;
  • any allergies.

Acetaminophen may cause liver damage. Daily use of alcohol, especially when combined with acetaminophen, may increase your risk for liver damage. Check with your doctor or pharmacist for more information.

To prevent oversedation, avoid using alcohol and other sedative type medications while taking Fioricet. Fioricet may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages.

Fioricet contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking this medication as excessive nervousness and irritability can occur.

Fioricet should be used during pregnancy only if clearly needed. Small amounts of this medication appear in breast milk. Consult your doctor before breast-feeding.

Fioricet – Drug interactions :

Tell your doctor of all prescription and nonprescription drugs you may use, especially of: “blood thinners” Tell your doctor or pharmacist of all prescription and nonprescription drugs you may use that cause drowsiness such as :

  • medicine for sleep (e.g., sedatives);
  • tranquilizers;
  • anti-anxiety drugs (e.g., diazepam);
  • narcotic pain relievers (e.g., codeine);
  • psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline);
  • anti-seizure drugs (e.g., carbamazepine);
  • muscle relaxants;
  • antihistamines that cause drowsiness (e.g., diphenhydramine).

Because Fioricet contains acetaminophen, check with your doctor or pharmacist before taking other medications containing acetaminophen which is commonly found in nonprescription pain relievers and cough-and-cold products. Read labels carefully to check ingredients.

Fioricet may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

Fioricet overdose :

If Fioricet overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of Fioricet overdose may include :

  • vomiting;
  • unusual drowsiness;
  • lack of feeling alert;
  • slow or shallow breathing;
  • cold or clammy skin;
  • loss of consciousness;
  • dark urine;
  • stomach pain;
  • extreme fatigue.

Fioricet – Missed dose :

If you miss Fioricet dose, take it as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the Fioricet dose to catch up.

Fioricet storage :

Store Fioricet at room temperature away from moisture and sunlight. Do not store Fioricet in the bathroom.

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Fioricet contains a combination of acetaminophen, butalbital, and caffeine Acetaminophen is a pain reliever and fever reducer. Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache. Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

Fioricet is used to treat tension headaches that are caused by muscle contractions.

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What to avoid

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP.

While you are taking this medication, avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor’s advice.