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PRESCRIPTION REQUIRED
IMPORTANT: HOW TO USE THIS INFORMATION: This is a list and doesn’t have all the possible details regarding this item. This advice doesn’t guarantee that this item is safe, effective, or appropriate for you personally.
This info isn’t individual medical advice and doesn’t substitute for the advice of your healthcare professional. Always ask your wellbeing care professional for comprehensive info regarding this solution along with your particular health requirements.
CODEINE/BUTALBITAL/ASPIRIN/CAFFEINE – ORAL
(KO-deen/AS-pir-in/KAF-een/byou-TAL-bih-tall)
COMMON BRAND NAME(S): Fiorinal with Codeine #3
USES: Codeine is a narcotic pain reliever (opiate-type) that functions in certain centers in the brain to provide you pain relief. Aspirin will help to lower the pain from the headache. Caffeine helps boost the effects of aspirin. Butalbital is a stimulant that helps to reduce anxiety and lead to sleepiness and comfort.
OTHER USES: This segment includes uses of the medication which aren’t recorded in the approved professional labeling for the drug but this could be prescribed by your wellbeing care professional.
Use this medication for a condition that’s recorded within this section only when it’s been so prescribed by your healthcare professional. This medicine might also be used in the treatment of migraine headaches.
HOW TO USE: Don’t take more than 6 capsules at a 24-hour period. Take with a complete glass of water (8 oz or 240 milliliters) unless your doctor directs you otherwise.
Don’t lie down for at least 10 minutes after taking this medicine. In case you have nausea, you might take this medicine with meals.
Ask your physician or pharmacist regarding other techniques to reduce nausea (e.g., antihistamines, lying down for 1-2 hours with as small head motion as you can ).
The dose is based on your medical condition and response to treatment. If you’re incredibly tired after using this medicine, ask your physician or pharmacist immediately.
Your dose might have to be lowered. This medicine works best if it’s used as the initial indications of a hassle happen.
Should you wait till the aggravation gets worsened, the medicine may not work also. This medicine can lead to withdrawal reactions, particularly if it’s been used frequently for quite a while or in large doses.
In these situations, withdrawal symptoms (such as the runny nose, watery eyes, mental/mood adjustments, seizures) may happen in case you abruptly stop using this medicine.
To avoid withdrawal responses, your physician may lower your dosage slowly. Ask your doctor or pharmacist for additional information, and examine any withdrawal responses instantly.
To lower the probability of becoming hooked, don’t raise your dose, take it more often, or take it for a longer time than prescribed.
Inform your health care provider if you notice greater utilization of the drug, a worsening of headaches, a rise in the number of headaches, the drug not functioning too, or use this medicine for at least 2 headache episodes weekly. Your physician might have to change your medicine and/or add another medicine to avoid headaches.
SIDE EFFECTS: Nausea, vomiting, stomach upset, gas, shaking (tremor), constipation, dry mouth, lightheadedness, dizziness, or drowsiness may occur.
To reduce your risk of dizziness and lightheadedness, get up slowly when rising from a lying or sitting position. Bear in mind that your doctor has prescribed this medication because he or she has judged the benefit to you is greater than the possibility of side effects.
A lot of people using this medication don’t have severe side effects. Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood effects (e.g., confusion), fast/irregular heartbeat, greater thirst/urination, hearing fluctuations (e.g., ringing in the ears), simple bruising/bleeding signs of disease (e.g., fever, persistent sore throat), nausea, distress when swallowing, dark urine, yellowing eyes/skin, change in the quantity of urine, unusual fatigue.
Seek immediate medical care if any of these rare but serious side effects occur: slow/shallow tingling, tingling, seizure, black stools, severe stomach/abdominal pain, vomit that looks like coffee grounds, slurred speech, weakness on one side of their human body.
A very serious allergic reaction to this medication is uncommon. But, seek prompt medical attention if you see any signs of a severe allergic reaction, such as rash, and itching/swelling (particularly of this face/tongue/throat), severe dizziness, trouble breathing. This isn’t a comprehensive list of potential side effects.
In the US – Phone your physician for medical advice about side effects. You may report side effects to FDA in 1-800-FDA-1088. In Canada – Telephone your physician for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS: Before taking this medicine, tell your doctor or pharmacist if you’re allergic to aspirin, caffeine, codeine, or butalbital; or into other barbiturates (e.g., phenobarbital), salicylates (e.g., salsalate), anti-hypertensive anti-inflammatory drugs (e.g., aspirin ), narcotic pain medicines (e.g., morphine) or xanthine derivatives (e.g., theophylline); or in case you have any other allergies.
This item could contain inactive ingredients, which may lead to allergic reactions or other issues. Speak with your pharmacist for additional information.
Before using this medicine, tell your physician or pharmacist your medical history, especially of: asthma (such as a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), brain disorders (e.g., seizures, head trauma, tumor, raised intracranial pressure), breathing difficulties (e.g., chronic obstructive pulmonary disease-COPD( sleep apnea), bleeding/blood clotting disorders (e.g., hemophilia, von Willebrand’s disease, thrombocytopenia), a particular receptor disorder (porphyria), disease of the pancreas (e.g., pancreatitis), heart disease (e.g., irregular heartbeat, recent heart attack), certain enzyme deficiencies (pyruvate kinase or G6-PD lack ), gout, liver disease, kidney disease, heartburn, growths in the nose (nasal polyps), a specific spinal difficulty (kyphoscoliosis), gallbladder disease, family or personal history of routine use/abuse of drugs/alcohol, mental/mood ailments, stomach/intestinal issues (e.g., stomach/intestinal nausea, infectious arthritis, colitis), adrenal gland problem (e.g., Addison’s disease), difficulty urinating (e.g., because of enlarged prostate or urethral stricture), underactive thyroid (hypothyroidism), current bowel/abdominal operation.
Before having surgery, tell your doctor or dentist that you’re using this medicine. Don’t drive, use machines, or do any activity that needs alertness until you’re certain that you can perform such tasks safely.
Stay away from alcoholic drinks. This medication may lead to stomach bleeding. Restrict alcohol and quit smoking. Ask your doctor or pharmacist to learn more.
This medicine includes aspirin. Children and teenagers shouldn’t take aspirin if they have Chickenpoxinfluenza, or any undiagnosed disease, or if they’ve only been given a live virus vaccine, without consulting a doctor about Reye’s syndrome, a rare but severe illness.
Before using this medicine, women of childbearing age should speak to their physician (s) about the dangers and advantages. Tell your doctor if you’re pregnant or if you’re planning to get pregnant.
This medicine isn’t recommended for use while pregnant. It might harm an unborn infant and interfere with regular labor/delivery. Ask your physician for additional information.
This medication passes into breast milk and may have undesirable effects on a nursing infant. Consequently, breast-feeding isn’t recommended when using this medication.
Ask your physician prior to breast-feeding.
DRUG INTERACTIONS: Drug interactions can change how your drugs work or increase your risk for severe side effects. This record doesn’t include all possible drug interactions.
Maintain a listing of all of the products that you use (such as prescription/nonprescription medications and herbal remedies ) and discuss it with your health care provider and pharmacist.
Do not start, stop, or change the dose of any medications without your doctor’s approval. Some goods which may interact with this medication include acetazolamide, adenosine, antacids, anticholinergic medicines (e.g., scopolamine), beta-agonists (e.g., albuterol), certain medications used in the treatment of gout (e.g., uricosuric medications like probenecid, sulfinpyrazone), certain antibiotics (e.g., penicillin, sulfonamides like sulfamethoxazole), drugs affecting liver enzymes that remove this medicine from the body (for instance, macrolide antibiotics such as erythromycin, cimetidine, disulfiram, valproic acid), lithium, MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine), 6-mercaptopurine, methotrexate, methoxyflurane, mifepristone, naltrexone, additional medicines such as pain (e.g., pentazocine, nalbuphine, morphine), pemetrexed, phenytoin, sodium Oxybate.
This medicine may increase the chance of bleeding when taken with other medications that also may lead to bleeding. Examples include anti-platelet medications like clopidogrel, “blood thinners” such as dabigatran/enoxaparin/warfarin, amongst others.
This medication can hasten the elimination of different drugs from the body by changing certain liver enzymes. The probability of severe side effects (for instance, slow/shallow breathing, acute drowsiness/dizziness) can be raised if this medicine is taken along with other products which may also have an effect on breathing or cause nausea. Also remember that certain drinks (e.g., coffee, colas, tea) contain caffeine.
Consult your pharmacist about using those products securely. Additionally, assess all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (NSAIDs like ibuprofen, naproxen, aspirin, ketorolac) which might increase your risk for side effects when taken with this medicine.
But if your doctor has directed you to choose low-dose aspirin to prevent heart attack or stroke (usually at dosages of 81-325 mg a day), you need to keep on taking the aspirin unless your physician instructs you differently. Consult your physician or pharmacist for additional information.
This medicine may decrease the efficacy of hormonal birth control such as tablets, patches, or rings.
This may lead to pregnancy. Also, tell your health care provider if you have some fresh spotting or breakthrough bleeding since these can be signs your birth control isn’t functioning well.
This medicine may interfere with specific medical/laboratory evaluations (like fasting blood sugar, cholesterol levels, prothrombin time, urine 5-HIAA amounts, amylase and lipase levels, particular urine sugar tests, dipyridamole-thallium imaging tests), possibly causing false test results. Make sure laboratory personnel and all of your doctors know you use this drug.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US National Poison Hotline at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include severe drowsiness, slow breathing, very small pupils, severe dizziness, persistent nausea/vomiting, ringing in the ears.
NOTES: Don’t share this medicine with others. It’s contrary to the law. Massage, hot tubs, and other relaxation techniques can help with tension headaches. Ask your doctor or pharmacist for additional information.
Laboratory or clinical tests (e.g., kidney and liver function tests) may be done periodically to monitor your progress or check for unwanted effects. Ask your physician for additional information.
Don’t store in the bathroom. Keep all medicines away from children and pets.
Don’t flush drugs down the toilet or put them in a drain unless instructed to do so.
Properly discard this product if it’s expired or no longer desired. Ask your pharmacist or local waste disposal firm.
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