Drug Uses

Butalbital/APAP/Caffeine is a barbiturate sedative 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 migraine.

How Taken

Butalbital/APAP/Caffeine comes as a capsule and tablet to take by mouth. The usual dosage is one to two tablets every 4-6 hours, but should be taken as directed by your physician. Total daily dosage should not exceed 6 tablets. Extended and repeated use of this product is not recommended because of the potential for physical dependence.

Warnings/Precautions

Butalbital/APAP/Caffeine may cause you to become drowsy or less alert; therefore, driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended until you know your response to this drug. If you are being treated for severe depression or have a history of severe depression or drug abuse, consult with your doctor before taking Butalbital/APAP/Caffeine. Use this drug with caution if you are elderly or in a weakened condition, if you have liver or kidney problems, or if you have severe abdominal trouble. This medication contains acetaminophen (Tylenol), which is toxic to your liver and can be fatal when take above the recommended dosage. The total daily dose of acetaminophen should not exceed 4000mg (4g), or 2000mg (2g) if you are elderly or a chronic user of acetaminophen. Keep in mind that many over the counter products contain acetaminophen, and each tablet of this product contains 325mg. If you are pregnant or plan to become pregnant, inform your doctor immediately. Butalbital/APAP/Caffeine can affect a developing baby. It also appears in breast milk. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding your baby until your treatment is finished.

Missed 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.

Possible Side Effects

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Butalbital/APAP/Caffeine. More common side effects may include: Abdominal pain, dizziness, drowsiness, intoxicated feeling, light-headedness, nausea, sedation, shortness of breath, vomiting. Less common or rare side effects may include: Agitation, allergic reactions, constipation, depression, difficulty swallowing, dry mouth, earache, exaggerated feeling of well-being, excessive sweating, excessive urination, excitement, fainting, fatigue, fever, flatulence, headache, heartburn, heavy eyelids, high energy, hot spells, itching, leg pain, mental confusion, muscle fatigue, numbness, rapid heartbeat, ringing in the ears, seizure, shaky feeling, skin redness and/or peeling, sluggishness, stuffy nose, tingling.

Storage

Store below 86 F (30 C); dispense in a tight container and out of reach of children.

Overdose

An overdose of Butalbital/APAP/Caffeine, or combining this medication with alcohol or other central nervous system depressant, may lead to unconsciousness or perhaps death. Butalbital/APAP/Caffeine overdose is indicated by severe drowsiness, confusion, extreme weakness, hallucination, shortness of breath, too slow or troubled breathing, slurred speech, lack of coordination, vomiting with blood, unusually slow heartbeat.

More Information

Do not take Butalbital/APAP/Caffeine if you have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days. Dangerous side effects could result. Butalbital/APAP/Caffeine 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.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Drugs for Nerve Pain Nerve pain or neuropathic pain is caused by nerve damage or nerve disease. The pain is often aching, burning or shooting in nature. * Drugs can be used to treat neuropathic pain. There are 3 types of drugs: Anti-depressants eg. amitriptyline, which were developed to treat depression, have long been used "off licence" to treat nerve pain. * Anti-convulsants or anti-epileptic drugs (AEDs) such as carbamazepine, developed to control fits in epilepsy have long been used to treat nerve pain. Newer anticonvulsants such as gabapentin and pregabalin are licensed in the UK for the treatment of neuropathic pain. * Opioids such as tramadol are sometimes useful in some people for nerve pain. These drugs are available on prescription and may have side-effects. Nerve pain is difficult to treat and the best result is often only 50% pain reduction. Patience is needed in trying out various drug combinations to get the best pain reduction and least side effects. These drugs often need to be taken for several years. Arthritis is inflammation of one, or usually several, joints. There are many different types. The most common is osteoarthritis, which is caused by damage or wear and tear, affecting the smooth, shiny cartilage that covers the end of the bones where they come into contact. The affected joints become stiff and painful, and in time the bone around them becomes roughened and knobbly. This happens to some extent to all of us, but in a small minority the osteoarthritis becomes severe and crippling. Knobbly fingers and knees are almost universal in people after middle age, and osteoarthritis can also affect the hips, big toes, the neck and the lower back. Sometimes it develops in joints damaged by repeated small injuries - in footballers' knees for example. Osteoarthritis is a slow disease - unlike some other forms of arthritis which may progress rapidly in young adults. If you have one or more joints that have gradually become stiffer and more uncomfortable over a period of years, the most likely cause is osteoarthritis. If you think you may have it, you should see a doctor to check the diagnosis. But there is also plenty you can do to help yourself.

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