Fiorinal with codeine (butalbital), also known as Fioricet, is a prescription medication used to relieve tension headaches. It works by relaxing muscle contractions that can result in mild to moderate head pain. Fiorinal is a combination of three ingredients: the pain reliever acetaminophen; butalbital, a barbiturate; and caffeine, a stimulant. The original formulation of Fiorinal included 50 milligrams (mg) of butalbital, 40 mg of caffeine, and 325 mg of acetaminophen.
The recommended dose:
• 1 to 2 capsules every 4 hours as you need it for pain
• Do not take more than 6 capsules daily.
You should not use Fioricet long term, due to the possibility for physical dependence and abuse.
Fiorinal Overdose: If you overdose on Fiorinal, toxicity is more likely to result from the butalbital and acetaminophen than the caffeine, since it is present in relatively small amounts. If you are affected by confusion or extreme drowsiness or other worrisome symptoms, contact your doctor right away or go to the closest emergency room.
Missed Dose of Fiorinal: If you miss a scheduled dose, take it when you remember it. However, if it is nearly time for the next dose, resume your regular medication schedule. Never double up on doses.
Like all medicines, Fiorinal can have side effects. Common Side Effects of Fiorinal:
• Light-headedness, dizziness
• Feeling short of breath
• Nausea, vomiting, stomach pain
• Feeling of intoxication
If you have any of the following symptoms, contact your doctor right away or go to the closest emergency room:
• Skin rash
• Breathing problems
• Rare Side Effects of Fioricet
• Dry mouth, swallowing problems
• Gas, constipation, heartburn
• Leg pain or fatigued muscles
The effects of one or more of the drugs in Fioricet may enhance the effects of other medications. These may include:
• Monoamine oxidase inhibitors (MAOIs), antidepressants including Marplan (isocarboxazid), Nardil (phenelzine), and others
• Tranquilizers such as chlordiazepoxide (Librium)
• Sedative-hypnotics, such as prescription sleeping pills
• General anesthesia drugs
Remember to always tell your doctor about any prescription, non-prescription, over-the-counter (OTC), illegal and recreational drugs, herbal remedies, nutritional and dietary supplements, and all other drugs and treatments you're taking.
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