Drugs >  Butalbital, Acetaminophen, and ...
Butalbital, Acetaminophen, and Caffeine
Pronunciation
Brand Names
Therapeutic Categories
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(byoo TAL bi tal KOM pound & a seet a MIN oh fen)

Brand Names
Esgic®; Esgic-Plus™; Fioricet®; Repan®

Therapeutic Categories
Barbiturate

Reasons not to take this medicine
  • If you have an allergy to butalbital, acetaminophen, caffeine, or any other part of this medicine.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
  • If you have porphyria.
  • If you are pregnant or may be pregnant.
  • If you are breast-feeding.

  • What is this medicine used for?
  • This medicine is used to treat tension headaches.

  • How does it work?
  • Butalbital calms the brain.
  • Acetaminophen blocks production and release of chemicals that cause pain.
  • Caffeine relieves pain.

  • How is it best taken?
  • Use prescription as directed, even if feeling better.
  • Do not take more than prescribed amount. Liver damage can occur.

  • What do I do if I miss a dose?
  • Take a missed dose as soon as possible.
  • Do not take a double dose or extra doses.
  • Many times this medicine is taken on an as needed basis. Do not take more often than every 4 hours, unless instructed by healthcare provider.

  • What are the precautions when taking this medicine?
  • This medicine may be habit-forming with long-term use.
  • If you are 65 or older, use this medicine with caution. You could have more side effects.
  • Check medicines with healthcare provider. This medicine may not mix well with other medicines.
  • You may not be alert. Avoid driving, doing other tasks or activities until you see how this medicine affects you.
  • Avoid medicines and natural products that slow your actions and reactions. These include sedatives, tranquilizers, mood stabilizers, antihistamines, and other pain medicine.
  • Avoid or limit alcohol intake (includes wine, beer, and liquor) to less than 3 drinks a day. Drinking too much alcohol may increase the risk of liver disease.
  • If you have lung disease, you may be more sensitive to this medicine.
  • Use birth control that you can trust to prevent pregnancy while taking this medicine.

  • What are the common side effects of this medicine?
  • Feeling lightheaded, sleepy, having blurred vision, or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.
  • Feeling dizzy. Rise slowly over several minutes from sitting or lying position. Be careful climbing.
  • Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
  • Liver damage can rarely occur.

  • What should I monitor?
  • Change in condition being treated. Is it better, worse, or about the same?
  • Keep a diary of your headaches.
  • Follow up with healthcare provider.

  • Reasons to call healthcare provider immediately
  • If you suspect an overdose, call your local poison control center immediately or dial 911.
  • Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
  • Difficulty breathing.
  • Significant change in balance.
  • Significant change in thinking clearly and logically.
  • Very nervous and excitable.
  • Feeling extremely tired or weak.
  • Any rash.
  • No improvement in condition or feeling worse.

  • How should I store this medicine?
  • Store at room temperature.
  • Protect from light.
  • Protect from moisture. Do not store in a bathroom or kitchen.

  • General statements
  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, nurse practitioner, pharmacist, physician assistant).
  • Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products, or vitamins.

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