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Fioricet is a barbiturate sedative (butalbital) 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 migraines.


What is Fioricet?
Fioricet is a barbiturate sedative (butalbital) mixed with caffeine, and a non-aspirin analgesic (acetaminophen).

Things to Know Before using Fioricet
Fioricet is habit forming and should only be used under close supervision of your prescribing doctor. Take Fioricet only for as long and in the amounts it is prescribed. Do not take Fioricet without first talking to your doctor if you drink more than 3 alcoholic beverages /day or if you have had cirrhosis or liver disease. You may not be able to take Fioricet, or you may require a dosage reduction.

  • Do not take Fioricet if you have porphyria.
  • Before taking this medication, tell your doctor if you have
    liver disease, or kidney disease.
  • You may not be able to take Fioricet, or you may require a dosage reduction or special monitoring during treatment if you have any of the conditions listed above.
  • Do not take this medication without first talking to your doctor if you are pregnant. This drug combination passes into breast milk and may harm a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. This drug combination is in the FDA pregnancy category C. This means that its effects on an unborn baby are not known.

Fioricet has not been approved for use in children younger than 12 years of age.

Use extreme caution when operating machinery, driving, or performing other hazardous activities. Fioricet will cause dizziness or somnolence. If you experience drowsiness or somolence, refrain from these activities.

Avoid tranquilizers, antihistamines, and sedatives except under the supervision of your prescribing doctor. These may also make you somnolenant.

AVOID ALCOHOL. Alcohol consumption with Fioricet can be very damaging to your liver and can increase somnolence and dizziness.

Check the acetaminophen content of other over the counter and prescription medications while taking this medication. You should not exceed 4 grams (4000 mg) of acetaminophen per day.

Avoid consuming too much caffeine. Check the caffeine content of other over the counter and prescription meds as well as beverages (coffee, tea, and sodas) while taking Fioricet.

HOW to take Fiorcet:-
Take Fiorcet exactly as directed by your physician. If you do not understand these directions, ask your physician, nurse, or pharmacist to explain them to you.

  • Take each dose with a FULL glass of water.
  • Take Fioricet with food or milk if it upsets your stomach.
  • Never take more Fioricet than is prescribed for you. If your pain is not being adequately controlled, speak with your physician.
  • Store Fioricet at room temperature away from moisture and heat.

Drug Interactions:-
Do not take Fioricet if you have taken a monoamine oxidase inhibitor (MAOI) such as Marplan, Nardil, or Parnate in the last 14 days. Dangerous side effects could result.

Fioricet may exacerbate the effects of other drugs that cause somnolence, including sedatives, antidepressants, alcohol, antihistamines, other pain relievers, anxiety medicines, and muscle relaxants. Tell your physician about all meds that you are taking, and do not take any medication unless your physicians approves.

Many other medications contain acetaminophen, especially over the counter pain, fever, cold, and allergy medications. Too much acetaminophen can be hazardous.

Drugs other than those listed here may also interact with Fioricet. Talk to your physicains and pharmacist before taking any prescription or over the counter medications.

Possible Side Effects:
If you experience any of the following significant side effects, stop taking Fioricet and seek emergency medical attention:-

  • Liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue);
  • Blood problems (easy or unusual bleeding or bruising); or
  • Low blood sugar (fatigue, increased hunger or thirst, dizziness, or fainting).
  • An allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
  • Slow, weak breathing;

These side effects are very unusual and are unlikely to occur during proper treatment with Fioricet. If you experience any unusual reactions, stop taking this medicine and seek the advice of your physician.

Other, less serious side effects may be more likely to occur. Continue to take Fioricet and talk to your prescribing doctor if you experience

  • Drowsiness/somnolence;
  • Dizziness,, confusion or lightheadedness;
  • Difficulty breathing;
  • Rash or itching;
  • Feeling of intoxication;
  • Headache; or
  • Constipation.
  • Dry mouth;
  • Nausea, vomiting, abdominal pain, or decreased appetite;
  • Tiredness, leg pain, or muscle weakness;
  • Agitation, irritability, nervousness, anxiety or excitability;

Fioricet may be habit forming.
Side effects other than those listed here may also occur. Talk to your physician about any side effect that seems unusual.

If you take too much Fioricet
SEEK emergency medical attention.
Symptoms of a Fioicet overdose include nausea, vomiting, insomnia, restlessness, tremor, diarrhea, somnolence, abdominal pain, sweating, seizures, drowsiness, confusion, an irregular heartbeat, decreased breathing, dizziness or fainting, and coma.

Additional Information
Remember, keep this and all other medications out of the reach of children, never share your medications with others, and use this medication only for the indication prescribed.