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Fioricet is a Combination Medication for chronic tension headaches. A tension headache causes moderate pain in the front, sides, or back of the head. Tension headaches are common, and most people experience them occasionally.

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However, when people suffer from more than ten or fifteen headaches every month, a health care provider may write a prescription for Fioricet. Doctors sometimes also prescribe Fioricet for migraines, which are headaches that cause severe pain in one side of the head along with hyper-sensitivity to light and sound.

Fioricet and Esgic are brand names of a combination of butalbital (a barbiturate), acetaminophen and caffeine which is indicated for the treatment of tension headaches, muscle contraction headaches and post-dural puncture headaches.

What Are The Ingredients In Fioricet?

A Combination Medication is a drug which includes two or more pharmaceutical ingredients in a fixed dose. There are three ingredients in standard Fioricet: Acetaminophen, Butalbital, and Caffeine. All three ingredients have different effects which combine to soothe headaches.

• Acetaminophen is a medication which alleviates pain and reduces fever. It’s more widely known by the brand name Tylenol. Acetaminophen works by impairing the production of the prostaglandin chemical in the brain. This chemical activates pain signals in the nervous system.
• Butalbital is a Sedative Barbiturate which stimulates the brain’s production of GABA. This neurotransmitter calms the nervous system by blocking signals among neurons. It also relaxes muscle tension in the head, thereby alleviating headaches. Butalbital is a Schedule III controlled substance in the United States.
• Caffeine is a Stimulant which raises a person’s blood pressure. While high blood pressure is not necessarily healthy, low blood pressure worsens headaches by causing blood vessels to expand and push against the brain. By raising blood pressure, Caffeine causes blood vessels to constrict and increases blood flow. This effect helps relieve headaches.

With these three ingredients at work, Fioricet can be an effective source of headache relief.

Although not indicated, they are commonly used to treat migraines and other pain related ailments.

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Fioricet is indicated for the treatment of muscle tension or muscle contraction headaches. It is also commonly prescribed for migraines although it is not FDA indicated for this use in the United States. The usual adult dose is 1-2 tablets every four hours as needed, not exceeding six tablets in a 24-hour period.

Before Taking Fioricet

Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

You should not use Fioricet if you are allergic to acetaminophen, butalbital, or caffeine, if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.

To make sure Fioricet is safe for you, tell your doctor if you have:

• • • liver disease, cirrhosis, a history of alcoholism or drug addiction, or if you drink more than 3 alcoholic beverages per day;
    • kidney disease;
    • asthma, sleep apnea, or other breathing disorder;
    • stomach ulcer or bleeding;
    • a history of skin rash caused by any medication;
    • a history of mental illness or suicidal thoughts; or
    • if you use medicine to prevent blood clots.

It is not known whether Fioricet will harm an unborn baby. If you use butalbital while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.

This medicine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Fioricet Precautions :

Tell your doctor your medical history, especially of :

• • serious liver disease;
  • alcohol or narcotic dependence;
  • emotional/mental conditions;
  • heart disease (arrhythmias, recent MI);
  • stomach/intestinal ulcers;
  • any allergies.

Acetaminophen may cause liver damage. Daily use of alcohol, especially when combined with acetaminophen, may increase your risk for liver damage. Check with your doctor or pharmacist for more information.

To prevent oversedation, avoid using alcohol and other sedative type medications while taking Fioricet. Fioricet may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages.

Fioricet contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking this medication as excessive nervousness and irritability can occur.

Fioricet should be used during pregnancy only if clearly needed. Small amounts of this medication appear in breast milk. Consult your doctor before breast-feeding.

What Should I Avoid While Taking Fioricet?

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP.

While you are taking this medication, avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor’s advice.

Fioricet Side Effects :

Fioricet may cause the following side effects the first few days as your body adjusts to the medication:

• • • lightheadedness;
    • dizziness;
    • drowsiness;
    • stomach upset;
    • nausea;
    • sleeping disturbances.

If these symptoms persist or become bothersome, inform your doctor. Notify your doctor immediately if you develop a rapid/ irregular heartbeat.

An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include :

• • • rash;
    • itching;
    • swelling;
    • severe dizziness;
    • trouble breathing.

If you notice other effects of Fioricet not listed above, contact your doctor or pharmacist.

Fioricet – Drug interactions

Tell your doctor of all prescription and nonprescription drugs you may use, especially of: “blood thinners” Tell your doctor or pharmacist of all prescription and nonprescription drugs you may use that cause drowsiness such as :

• • medicine for sleep (e.g., sedatives);
  • tranquilizers;
  • anti-anxiety drugs (e.g., diazepam);
  • narcotic pain relievers (e.g., codeine);
  • psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline);
  • anti-seizure drugs (e.g., carbamazepine);
  • muscle relaxants;
  • antihistamines that cause drowsiness (e.g., diphenhydramine).

Because Fioricet contains acetaminophen, check with your doctor or pharmacist before taking other medications containing acetaminophen which is commonly found in nonprescription pain relievers and cough-and-cold products. Read labels carefully to check ingredients.

Fioricet may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

 

Fioricet overdose :

If Fioricet overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of Fioricet overdose may include :

• • • vomiting;
    • unusual drowsiness;
    • lack of feeling alert;
    • slow or shallow breathing;
    • cold or clammy skin;
    • loss of consciousness;
    • dark urine;
    • stomach pain;
    • extreme fatigue.

What Are The Symptoms Of A Fioricet Overdose?

While Butalbital is the addictive ingredient in Fioricet, Acetaminophen is the ingredient which is liable to cause an overdose. Unfortunately, people who misuse Fioricet as a recreational drug or as a way to suppress withdrawal are most likely to suffer an overdose.

When a person overdoses on Fioricet, the Acetaminophen will damage their liver. In severe cases, an overdose can even provoke fatal liver failure. For this reason, it is dangerous to take Fioricet together with another medication which contains Acetaminophen because it increases the risk of overdose and death. Furthermore, drinking alcohol while taking Fioricet may also inflict liver damage.

A Fioricet overdose is a medical emergency, so it’s important to know the symptoms. An overdose on Fioricet may cause jaundice, a yellowing of the skin and eyes. Other symptoms of an overdose include:

• • • Confusion
    • Convulsions and seizures
    • Fainting
    • Irregular heartbeat
    • Lack of appetite
    • Nausea and vomiting
    • Restlessness
    • Stomach pain
    • Sweating
    • Tremors

Fioricet – Missed dose :

If you miss Fioricet dose, take it as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the Fioricet dose to catch up.

Key Points of Fioricet

Fioricet is a medication commonly prescribed for the treatment of tension headaches and migraine headaches. It contains a combination of three active ingredients: acetaminophen, butalbital, and caffeine. Here are key points to know about Fioricet:

1. Ingredients: Fioricet contains three active ingredients:
   • Acetaminophen: A pain reliever and fever reducer.
   • Butalbital: A barbiturate that helps relax muscle contractions and alleviate tension.
   • Caffeine: A central nervous system stimulant that can enhance the effects of acetaminophen.
2. Headache Treatment: Fioricet is primarily used for the treatment of tension headaches and migraine headaches. It is not intended for the routine treatment of other types of pain or headaches.
3. Prescription Medication: Fioricet is available only with a prescription from a healthcare provider. It is essential to follow the prescribed dosage and instructions carefully.
4. Short-Term Use: Fioricet is typically recommended for short-term use to relieve headache symptoms. Long-term or excessive use may lead to medication overuse headaches or dependence.
5. Dosage: The dosage of Fioricet is determined by a healthcare provider and should be based on the patient’s specific condition and response to treatment. The usual dosage may range from one to two tablets every four to six hours as needed for pain relief.
6. Potential Side Effects: Fioricet may cause side effects, including drowsiness, dizziness, lightheadedness, nausea, vomiting, and abdominal pain. It may also lead to physical and psychological dependence when misused or overused.
7. Caution: Fioricet should be used with caution in individuals with a history of substance abuse, as butalbital is a barbiturate and can be habit-forming.
8. Avoid Alcohol: It is advisable to avoid alcohol while taking Fioricet, as it can increase the risk of side effects and adverse reactions.
9. Not for Everyone: Fioricet is not suitable for everyone, and it should not be used by individuals with certain medical conditions or allergies to its components. It is crucial to inform the healthcare provider about any existing health conditions or medications being taken.
10. Withdrawal: If Fioricet has been used regularly and is abruptly stopped, withdrawal symptoms may occur. A healthcare provider should be consulted for guidance on discontinuing the medication safely.
11. Pregnancy and Breastfeeding: The safety of Fioricet during pregnancy and breastfeeding should be discussed with a healthcare provider, as acetaminophen is generally considered safe in pregnancy, but butalbital and caffeine may have risks.
12. Storage: Fioricet should be stored at room temperature away from moisture and heat. It should be kept out of reach of children and not shared with others.

Fioricet Storage :

Store Fioricet at room temperature away from moisture and sunlight. Do not store Fioricet in the bathroom.

Fioricet FAQs