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Fioricet
acetaminophen/butalbital/caffeine (oral) (a seet a MIN oh fen and boo TAL bi
tall and CAFF een)
What is the most important information I should know about Fioricet?
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Use caution when driving, operating machinery, or performing other
hazardous activities. Butalbital will cause drowsiness. If you
experience drowsiness or dizziness, avoid these activities. |
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Avoid sleeping pills, sedatives, and tranquilizers except under the
supervision of your doctor. These may also make you drowsy. |
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Avoid alcohol. Alcohol taken during therapy with Fioricet can be very
damaging to your liver and can increase drowsiness and dizziness. |
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Check the acetaminophen content of other over-the-counter and
prescription products while taking this medication. You should not
exceed 4 grams (4000 mg) of acetaminophen per day. |
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Never take more Fioricet than is prescribed for you. If your pain is
not being adequately treated, talk to your doctor. |
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Acetaminophen is a pain reliever and fever reducer. |
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Butalbital is in a class of drugs called barbiturates that slow down
your central nervous system (brain and nerve impulses) causing
relaxation. |
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Caffeine is believed to constrict dilated blood vessels that may
contribute to tension headaches. |
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Together, acetaminophen, butalbital, and caffeine are used to relieve
complex tension (muscle contraction) headaches although precisely how it
works is unknown. |
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Fioricet may also be used for purposes other than those listed in this
medication guide. |
What should I discuss with my healthcare provider before taking
Fioricet?
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This medication is habit forming and should only be used under close
supervision. Take this drug only for as long as it is prescribed , in
the amounts it is prescribed, and no more frequently than prescribed. |
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Do not take Fioricet without first talking to your doctor if you drink
more than three alcoholic beverages per day or if you have had alcoholic
liver disease. You may not be able to take Fioricet, or you may require
a lower dose. |
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Do not take Fioricet if you have porphyria. |
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Before taking this medication, tell your doctor if you have |
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You may not be able to take Fioricet, or you may require a lower dose
or special monitoring during treatment if you have any of the conditions
listed above. |
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This drug combination is in the FDA pregnancy category C. This means
that its effects on an unborn baby are not known. Do not take this
medication without first talking to your doctor if you are pregnant. |
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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. |
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Fioricet has not been approved for use in children younger than 12
years of age. |
How should I take Fioricet?
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Take Fioricet exactly as directed by your doctor. If you do not
understand these directions, ask your pharmacist, nurse, or doctor to
explain them to you. |
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Take each dose with a full glass of water. |
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Take Fioricet with food or milk if it upsets your stomach. |
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Never take more Fioricet than is prescribed for you. If your pain is
not being adequately treated, talk to your doctor. |
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Store Fioricet at room temperature away from moisture and heat. |
What happens if I miss a dose?
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Take the missed dose as soon as you remember. Do not take a
double dose of this medication. Wait the prescribed amount of time
before taking your next dose. |
What happens if I overdose?
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Seek emergency medical attention. |
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Symptoms of an Fioricet overdose include insomnia, restlessness,
tremor, nausea, vomiting, diarrhea, abdominal pain, sweating, seizures,
drowsiness, decreased breathing, dizziness or fainting, confusion, an
irregular heartbeat, and coma. |
What should I avoid while taking Fioricet?
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Use caution when driving, operating machinery, or performing other
hazardous activities. Butalbital will cause drowsiness or dizziness. If
you experience drowsiness or dizziness, avoid these activities. |
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Avoid sleeping pills, antihistamines, sedatives, and tranquilizers
except under the supervision of your doctor. These may also make you
drowsy. |
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Avoid alcohol. Alcohol taken during therapy with Fioricet can be very
damaging to your liver and can increase drowsiness and dizziness. |
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Check the acetaminophen content of other over-the-counter and
prescription products while taking this medication. You should not
exceed 4 grams (4000 mg) of acetaminophen per day. |
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Avoid taking too much caffeine. Check the caffeine content of other
over-the-counter and prescription products as well as beverages (coffee,
tea, and colas) while taking this medication |
What are the possible side effects of Fioricet?
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If you experience any of the following serious side effects, stop
taking Fioricet and seek emergency medical attention: |
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an allergic reaction (difficulty breathing; closing of your throat;
swelling of your lips, tongue, or face; or hives); |
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liver damage (yellowing of the skin or eyes, nausea, abdominal pain or
discomfort, unusual bleeding or bruising, severe fatigue); |
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blood problems (easy or unusual bleeding or bruising); or |
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low blood sugar (fatigue, increased hunger or thirst, dizziness, or
fainting). |
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These side effects are very rare and are not likely to occur during
proper treatment with acetaminophen and caffeine. If you experience any
unusual reactions, stop taking this medicine and seek the advice of your
doctor. |
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Other, less serious side effects may be more likely to occur. Continue
to take Fioricet and talk to your doctor if you experience |
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dizziness,, confusion or lightheadedness; |
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nausea, vomiting, abdominal pain, or decreased appetite; |
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tiredness, leg pain, or muscle weakness; |
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agitation, irritability, nervousness, anxiety or excitability; |
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feeling of intoxication; |
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Butalbital may be habit forming. |
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Side effects other than those listed here may also occur. Talk to your
doctor about any side effect that seems unusual or that is especially
bothersome. |
What other drugs will affect Fioricet?
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Do not take Fioricet if you have taken a monoamine oxidase inhibitor (MAOI)
such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine
(Parnate) in the last 14 days. Dangerous side effects could result. |
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Fioricet 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. |
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Many other medicines contain acetaminophen, especially
over-the-counter pain, fever, cold, and allergy medications. Too much
acetaminophen can be very dangerous. |
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Drugs other than those listed here may also interact with Fioricet.
Talk to your doctor and pharmacist before taking any prescription or
over-the-counter medicines. |
Where can I get more information?
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Your pharmacist has additional information about Fioricet written for
health professionals that you may read. |
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Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this
medication only for the indication prescribed. |
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Every effort has been made to ensure that the information provided by
Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained
herein may be time sensitive. Multum information has been compiled for
use by healthcare practitioners and consumers in the United States and
therefore Multum does not warrant that uses outside of the United States
are appropriate, unless specifically indicated otherwise. Multum's drug
information does not endorse drugs, diagnose patients or recommend
therapy. Multum's drug information is an informational resource designed
to assist licensed healthcare practitioners in caring for their patients
and/or to serve consumers viewing this service as a supplement to, and
not a substitute for, the expertise, skill, knowledge and judgment of
healthcare practitioners. The absence of a warning for a given drug or
drug combination in no way should be construed to indicate that the drug
or drug combination is safe, effective or appropriate for any given
patient. Multum does not assume any responsibility for any aspect of
healthcare administered with the aid of information Multum provides. The
information contained herein is not intended to cover all possible uses,
directions, precautions, warnings, drug interactions, allergic
reactions, or adverse effects. If you have questions about the drugs you
are taking, check with your doctor, nurse or pharmacist. |
Why is Carisoprodol prescribed?
Carisoprodol, a muscle relaxant, is used with
rest, physical therapy, and other measures to relax muscles and relieve pain and
discomfort caused by strains, sprains, and other muscle injuries.
Carisoprodol is sometimes prescribed for other
uses; ask your doctor or pharmacist for more information.
How should Carisoprodol be used?
Carisoprodol comes as a tablet to take by
mouth. It usually is taken three times daily and at bedtime. It may be taken
with or without food. Follow the directions on your prescription label
carefully, and ask your doctor or pharmacist to explain any part you do not
understand. Take carisoprodol exactly as directed. Do not take more or less of
it or take it more often than prescribed by your doctor.
What special precautions should I follow?
Before taking carisoprodol,
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tell your doctor and pharmacist if you are allergic to
carisoprodol, meprobamate (Equanil, Meprospan, Miltown, Neuramate), or any
other drugs.
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tell your doctor and pharmacist what prescription and
nonprescription medications you are taking, especially medications for
allergies, coughs, or colds; muscle relaxants; sedatives; sleeping pills;
tranquilizers; and vitamins.
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tell your doctor if you have or have ever had kidney or
liver disease.
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tell your doctor if you are pregnant, plan to become
pregnant, or are breast-feeding. If you become pregnant while taking
carisoprodol, call your doctor.
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you should know that this drug may make you drowsy. Do not
drive a car or operate machinery until you know how carisoprodol affects
you.
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remember that alcohol can add to the drowsiness caused by
this drug.
What special dietary instructions should I follow?
Carisoprodol may cause an upset stomach. Take
carisoprodol with food or milk.
What should I do if I forget a 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.
What side effects can Carisoprodol cause?
Carisoprodol may cause side effects. Tell your
doctor if any of these symptoms are severe or do not go away:
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drowsiness
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dizziness
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clumsiness
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headache
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fast heart rate
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upset stomach
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vomiting
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skin rash
If you experience any of the following
symptoms, call your doctor immediately:
-
difficulty breathing
- fever
- weakness
- burning in the eyes
What storage conditions are needed for Carisoprodol?
Keep Carisoprodol in the container it came in, tightly
closed, and out of reach of children. Store it at room temperature and away
from moisture and heat (not in the bathroom). Throw away any medication that
is outdated or no longer needed. Talk to your pharmacist about the proper
disposal of your medication.
In case of emergency/overdose
In case of overdose, call your local poison control center
at 1-800-222-1222. If the victim has collapsed or is not breathing, call local
emergency services at 911.
What other information should I know?
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your
pharmacist any questions you have about refilling your prescription.
Brand names
Brand names of combination products
- Somaฎ Compound containing Carisoprodol and Aspirin
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- Somaฎ Compound with Codeine containing Carisoprodol, Aspirin,
and Codeine Phosphate
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What is Congenital Myopathy?
Congenital myopathy is a term for any muscle disorder present at birth. By this
definition the congenital myopathies could include hundreds of distinct
neuromuscular syndromes and disorders. In general, congenital myopathies cause
loss of muscle tone and muscle weakness in infancy and delayed motor milestones,
such as walking, later in childhood. Three distinct disorders are definitively
classified as congenital myopathies: central
core disease, nemaline rod myopathy, and centronuclear
(myotubular) myopathy. Central core disease is a dominantly inherited
genetic disease characterized by mild leg weakness appearing in infancy. This
weakness does not progress with age, but leads to delay in walking. Nemaline rod
myopathy is a dominantly or recessively inherited, genetic disease characterized
by infantile muscle weakness and loss of muscle tone, accompanied by problems in
suckling or feeding, delay in walking, and occasionally respiratory problems.
Other characteristics surface with maturity, such as reduction of muscle bulk,
weakness of the trunk and limbs, and development of a long and abnormally shaped
face with a protruding jaw. Muscle weakness and wasting may progress slowly
throughout life. Centronuclear (myotubular) myopathy is an inherited genetic
disorder characterized by muscle weakness and loss of tone present at birth or
by development of muscle weakness later in infancy. Weakness gets gradually
worse and can become moderately severe. Infants may have ophthalmoplegia or
paralysis of the eye muscles.
Is there
any treatment?
Treatment involves supportive measures to help patients cope with the symptoms
of congenital myopathies.
What is the
prognosis?
Patients with central core disease generally have a normal life expectancy
with non-progressive muscle weakness. Patients with nemaline rod myopathy may
have a normal life expectancy with progressive weakness, or may die early in
infancy from respiratory distress depending upon the severity of the disorder.
Patients with centronuclear (myotubular) myopathy generally have a poor
prognosis and suffer an early death, usually in infancy.
What
research is being done?
The NINDS is committed to research on the congenital myopathies. Research
includes studies on the molecular basis of muscular activity and genetic
studies. The goals of these studies are to increase understanding of these
disorders and to find ways to treat, prevent, and ultimately cure them.
Muscle Disorders
Muscle aches and pains are common and can involve more than one muscle.
Muscle pain also can involve ligaments, tendons, and fascia, the soft tissues
that connect muscles, bones, and organs together.
Muscle pain is most frequently related to tension, overuse, or muscle
injury from exercise or physically-demanding work. In these situations, the
pain tends to involve specific muscles and starts during or just after the
activity. It is usually obvious which activity is causing the pain.
Muscle pain also can be a sign of conditions affecting your whole body,
like some infections (including the
flu) and disorders that affect connective tissues throughout the body
(such as lupus).
One common cause of muscle aches and pain is fibromyalgia,
a condition that includes tenderness in your muscles and surrounding soft
tissue, sleep difficulties, fatigue, and headaches.
For muscle pain from overuse or injury, rest that body part and take
acetaminophen or ibuprofen. Apply ice for the first 24 - 72 hours of an injury
to reduce pain and inflammation. After that, heat often feels more soothing.
Muscle aches from overuse and fibromyalgia often respond well to massage.
Gentle stretching exercises after a long rest period are also helpful.
Regular exercise can help restore proper muscle tone. Walking, cycling, and
swimming are good aerobic activities to try. A physical therapist can teach
you stretching, toning, and aerobic exercises to feel better and stay
pain-free. Begin slowly and increase workouts gradually. Avoid high-impact
aerobic activities and weight lifting when injured or while in pain.
Be sure to get plenty of sleep and try to reduce stress. Yoga and
meditation are excellent ways to help you sleep and relax.
If home measures aren't working, call your doctor, who will consider
prescription medication, physical therapy referral, or referral to a
specialized pain clinic.
If your muscle aches are due to a specific disease, follow the instructions
of your doctor to treat the primary illness.
The most common causes are:
- Tension or stress
- Overuse: using a muscle too much, too soon, too often
- Injury or trauma including sprains
and strains
Muscle pain may also be due to:
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