What is Butalbital-Acetaminophen-Caffeine-Codeine: Uses, Warnings & Interactions

How to take Butalbital-Acetaminophen-Caffeine-Codeine

• This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

• Your doctor will tell you how much medicine to use. Do not use more than directed.

• This medicine contains acetaminophen. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day.

• This medicine is not for long-term use.

• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Store the medicine in a safe and secure place. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA website for locations. Here is the link to the FDA safe disposal of medicines web site: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

• Your doctor will tell you how much medicine to use. Do not use more than directed.

• This medicine is not for long-term use.

• This medicine contains acetaminophen. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day.

• This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Store the medicine in a safe and secure place. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA website for locations. Here is the link to the FDA safe disposal of medicines web site: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

What to do if you miss a dose of Butalbital-Acetaminophen-Caffeine-Codeine

Butalbital-Acetaminophen-Caffeine-Codeine contraindications

• This medicine is not right for everyone. Do not use it if you had an allergic reaction to butalbital, acetaminophen, caffeine, or codeine, or if you have porphyria, severe breathing problems, or stomach blockage (including paralytic ileus).

Butalbital-Acetaminophen-Caffeine-Codeine warnings

• This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.

• Keep all medicine out of the reach of children. Never share your medicine with anyone.

• This medicine could cause infertility. Talk with your doctor before using this medicine if you plan to have children.

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, lung or breathing problems (such as COPD, sleep apnea), Addison disease, an enlarged prostate, trouble urinating, gallbladder problems, pancreas problems, an underactive thyroid, or stomach problems. Tell your doctor if you have a history of brain tumor, head injury, depression, seizures, or drug or alcohol addiction.

• This medicine may cause the following problems:High risk of overdose, which can lead to deathRespiratory depression (serious breathing problem that can be life-threatening)Sleep-related breathing problems (including sleep apnea, sleep-related hypoxemia)Liver damageSerious skin reactionsSerotonin syndrome (when used with certain medicines)

• This medicine may make you dizzy or drowsy. Do not drive or do anything that could be dangerous until you know how this medicine affects you. Sit or lie down if you feel dizzy. Stand up carefully.

• Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

• This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working.

• Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.

Butalbital-Acetaminophen-Caffeine-Codeine interactions

• Do not use this medicine if you are using or have used an MAO inhibitor within the past 14 days.

• Some medicines can affect how this medicine works. Tell your doctor if you are using any of the following:Amiodarone, bupropion, carbamazepine, cyclobenzaprine, erythromycin, fluoxetine, ketoconazole, metaxalone, mirtazapine, paroxetine, phenytoin, quinidine, rifampin, ritonavir, tramadol, trazodoneDiuretic (water pill)Medicine to treat anxiety, depression, or mental health problemsPhenothiazine medicineTriptan medicine to treat migraine headaches

• Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol. Tell your doctor if you are using buprenorphine, butorphanol, nalbuphine, pentazocine, or a muscle relaxer.

• Do not drink alcohol while you are using this medicine. Acetaminophen can damage your liver, and alcohol can increase this risk.

• Do not eat grapefruit or drink grapefruit juice while you are using this medicine.

• Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.

• Keep all medicine out of the reach of children. Never share your medicine with anyone. Medicine that contains codeine can cause serious breathing problems and death in children.