Drug Uses

Butalbital/APAP/Caffeine is a barbiturate sedative mixed with a non-aspirin pain medication (acetaminophen) and caffeine. This non-narcotic pain medication and relaxant is often prescribed for tension headaches caused by contractions of the muscles in the neck and shoulder area, and migraine.

How Taken

Butalbital/APAP/Caffeine comes as a capsule and tablet to take by mouth. The usual dosage is one to two tablets every 4-6 hours, but should be taken as directed by your physician. Total daily dosage should not exceed 6 tablets. Extended and repeated use of this product is not recommended because of the potential for physical dependence.

Warnings/Precautions

Butalbital/APAP/Caffeine may cause you to become drowsy or less alert; therefore, driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended until you know your response to this drug. If you are being treated for severe depression or have a history of severe depression or drug abuse, consult with your doctor before taking Butalbital/APAP/Caffeine. Use this drug with caution if you are elderly or in a weakened condition, if you have liver or kidney problems, or if you have severe abdominal trouble. This medication contains acetaminophen (Tylenol), which is toxic to your liver and can be fatal when take above the recommended dosage. The total daily dose of acetaminophen should not exceed 4000mg (4g), or 2000mg (2g) if you are elderly or a chronic user of acetaminophen. Keep in mind that many over the counter products contain acetaminophen, and each tablet of this product contains 325mg. If you are pregnant or plan to become pregnant, inform your doctor immediately. Butalbital/APAP/Caffeine can affect a developing baby. It also appears in breast milk. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding your baby until your treatment is finished.

Missed Dose

Take the missed dose as soon as you remember it. 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 to make up for a missed one.

Possible Side Effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Butalbital/APAP/Caffeine. More common side effects may include: Abdominal pain, dizziness, drowsiness, intoxicated feeling, light-headedness, nausea, sedation, shortness of breath, vomiting. Less common or rare side effects may include: Agitation, allergic reactions, constipation, depression, difficulty swallowing, dry mouth, earache, exaggerated feeling of well-being, excessive sweating, excessive urination, excitement, fainting, fatigue, fever, flatulence, headache, heartburn, heavy eyelids, high energy, hot spells, itching, leg pain, mental confusion, muscle fatigue, numbness, rapid heartbeat, ringing in the ears, seizure, shaky feeling, skin redness and/or peeling, sluggishness, stuffy nose, tingling.

Storage

Store below 86 F (30 C); dispense in a tight container and out of reach of children.

Overdose

An overdose of Butalbital/APAP/Caffeine, or combining this medication with alcohol or other central nervous system depressant, may lead to unconsciousness or perhaps death. Butalbital/APAP/Caffeine overdose is indicated by severe drowsiness, confusion, extreme weakness, hallucination, shortness of breath, too slow or troubled breathing, slurred speech, lack of coordination, vomiting with blood, unusually slow heartbeat.

More Information

Do not take Butalbital/APAP/Caffeine if you have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days. Dangerous side effects could result. Butalbital/APAP/Caffeine 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.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Many people suffer from chronic and acute pain. These individuals rely on over-the-counter medications and prescribed drugs which offer pain relief. Physicians realize that pain management is an integral part of the healing process. Also they are aware that both acute pain and chronic pain dealt with on a daily basis can lead to other complications such as depression, lack of sleep, and immobility. None of these are in the patient's best interest so if the pain is treated the patient will get well sooner. Acute or chronic back pain can be a disabling condition. Since the spinal cord and millions of nervous connecting to the spinal column are present in the back, a back pain sufferer can experience excruciating pain. Two available medications which help alleviate chronic and acute back pain are acetaminophen and the non-steroidal anti-inflammatory drugs. Both of these pain medications target the pain and can be used simultaneously. This is because acetaminophen and non-steroidal anti-inflammatory drugs target the pain in different ways, which is the pain sufferer faster and more satisfying relief of their pain. Most of the back pain medications available today are comprised of both muscle relaxants and a narcotic pain medication which helps relieve pain and certain related complications. Some patients who experienced chronic pain will also need to make use of an antidepressant and/or an anti-seizure medication. As with most medications in NSAIDs and acetaminophen both have risks and their own side effects. Anyone suffering from back pain or chronic pain should first see their physician for a consult before deciding on a particular medicine for their pain. This is because even over-the-counter drugs are not safe for some individuals to use. People who have liver problems and certain other health conditions are advised not to take acetaminophen except under doctor's orders. So it is of the utmost importance to consult with your physician before you self medicate. It is also advised that you read all directions on the label of any drug you take and familiarize yourself with the instructions with each drug that you take. NSAIDs are particularly effective against back pain and chronic pain since many times in inflammation is a contributing factor to the pain. As an example it would be effective for a vertebral disc which had slipped out of alignment and degenerated. Non-steroidal anti-inflammatory drugs are so effective because they help relieve inflammation around an injury which makes the body's process of healing much more efficient and faster. One of the unfortunate side effects of non-steroidal anti-inflammatory drugs is that they tend to calls gastrointestinal issues after continued use. Not all of the non-steroidal anti-inflammatory drugs will cause an individual a gastrointestinal problem. Currently acetaminophen happens to be among the most effective of nonprescription drugs for back pain and chronic pain. Acetaminophen also has fewer side effects than most non-steroidal anti-inflammatory drugs. As a matter of fact acetaminophen is often an additive to other pain medications. Acetaminophen actually fights pain by targeting the pain sensors within the brain, which in turn makes the patient feel less pain.

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