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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Overview
Pain is a signal from our body that something is not right. It can be due to a physical injury, some kind of disease, or emotional upset. Most types of physical pain can be treated with pain relievers.
Analgesics such as acetaminophen or paracetamol are used to treat mild or moderate pain, and can also be used to reduce temperature in fevers. Narcotic analgesics such as codeine can be used alone or in combination with other analgesics for stronger pain, such as dental pain, period pain or migraines. Non-steroidal anti-inflammatory drugs (including aspirin) are used to reduce pain associated with inflammation, such as sports injuries, and can also be used to relieve fever.
Common Pain Conditions
There are many acute and chronic pain conditions, including:
MUSCULOSKELETAL PAIN
* Back and Leg Pain
* Neck, Shoulder and Arm Pain
* "Whiplash" Injuries
* Motor Vehicle, Work-Related and Sports Injuries
* Failed Back Surgery and Other Post Surgical Pain Syndromes
* Pain Due to Arthritis
* Fibromyalgia
CANCER PAIN
* Primary and Metastatic Cancer Pain
* Medication Side Effect Management
PAIN ASSOCIATED WITH OTHER CONDITIONS
* Vascular Pain
* Raynaud’s Disease
* Psychogenic Pain
* Trigeminal Neuralgia
* Spinal Cord Injury
* Spasticity
* Pelvic Pain
* Pediatric Pain
NEUROPATHIC PAIN
* Complex Regional Pain Syndrome(RSD)
* Shingles
* Neuralgia
* Nerve Injuries
* Phantom Limb Pain
Common Pain Medications Pain medications (analgesics) are not all the same. Each pain medication has its advantages and risks. Specific types of pain may respond better to one kind of medication than to another kind. Each person may have a slightly different response to a pain medication.
Over-the-counter medications are good for many types of pain. Acetaminophen (Tylenol) is good for relieving pain and fever. It is less irritating to the stomach than other over-the-counter pain medications and is safer for children. It can, however, be toxic to the liver if you take more than the recommended dose.
Aspirin, naproxen (Aleve), and ibuprofen (Advil, Motrin) are examples of non-steroidal anti-inflammatory drugs (NSAIDs). These reduce inflammation caused by injury, arthritis, or fever. NSAIDs also relieve pain associated with menstruation. Take these medications in regular dosing intervals as directed by the manufacturer until the pain is gone.
However, DO NOT give aspirin to children. Reye's syndrome is associated with the use of aspirin to treat children with viral infections, such as chicken pox. This syndrome can cause brain and liver damage.
If you have high blood pressure, kidney disease, or a history of gastrointestinal bleeding, you should consult your health care provider before using any over-the-counter NSAID.
Prescription medications may be needed for other types of pain. There are specific uses and risks of prescription narcotic and non-narcotic medications.
There are alternate methods to help reduce pain that may be helpful instead of, or in addition to, pain medications. These include heat for sore or overworked muscles, ice applied to recent injuries (such as a sprained ankle), massage, resting the affected body part, and biofeedback or relaxation techniques.
Consult your doctor if pain lasts longer than a few days, if over-the-counter pain medications are not helping to reduce the pain, or if other symptoms arise. A consultation with a pain clinic or other specialist may be helpful for control of long-term pain.

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