Drug Uses

Esgic Plus is a pain reliever and a relaxant. Use this medicine to treat tension headaches.

How Taken

Take this medicine only as directed by your doctor . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Adults should take one or 2 capsules or tablets every four hours as needed. If your medicine contains 325 or 500 milligrams (mg) of acetaminophen in each capsule or tablet, you should not take more than six capsules or tablets a day.

Warnings/Precautions

If the medicine stops working as well as it did when you first started using it, this may mean that you are in danger of becoming dependent on the medicine. Do not try to get better pain relief by increasing the dose. If you are having headaches more often than you did before you started taking this medicine ;this is especially important if a new headache occurs within 1 day after you took your last dose of this medicine, headaches begin to occur every day, or a headache continues for several days in a row. This may mean that you are dependent on the medicine. Continuing to take this medicine will cause even more headaches later on . Your doctor can give you advice on how to relieve the headaches.

Missed Dose

If your doctor has ordered you to take this medicine according to a regular schedule and you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double dose.

Possible Side Effects

Check with your doctor immediately if any of the following side effects occur, especially if several of them occur together: bleeding or crusting sores on lips; chest pain; fever with or without chills; hive-like swellings (large) on eyelids, face, lips, and/or tongue; muscle cramps or pain; red, thickened, or scaly skin; shortness of breath, troubled breathing, tightness in chest, or wheezing; skin rash, itching, or hives; sores, ulcers, or white spots in mouth (painful); sore throat; confusion (mild); mental depression; unusual excitement (mild)

Storage

Keep out of the reach of children. Store away from heat and direct light. Do not store this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.

Overdose

If you think you or anyone else may have taken an overdose of this medicine, seek emergency medical attention. Taking an overdose of this medicine or taking alcohol or CNS depressants with this medicine may lead to unconsciousness or possibly death.

More Information

This medicine may cause drowsiness or dizziness. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert and clearheaded.

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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Are primary headaches dangerous?
Tension headaches have not been shown to lead to neurological dysfunction or brain damage. In general, this is true of migraine headaches. However, there is a rare association of migraine headaches and stroke, particularly in sufferers of complicated migraines. While cluster headaches need to be differentiated from more serious neurological conditions, there is no known danger of cluster headaches leading to stroke.
What diseases cause secondary headaches?
Important examples of diseases causing secondary headaches include:
* Tumors in the brain, including tumors that have spread (metastasized) to the brain from another organ such as the lung or breast
* Subdural hematomas, which are collections of blood underneath the dura (the covering of the brain) due to bleeding from ruptured veins. Subdural hematomas typically occur in elderly individuals after a fall or other trauma to the head. Sometimes the fall can precede the visit to the doctor by weeks, and the elderly patients may not even recall the fall. Symptoms of subdural hematomas include chronic headaches, change in personality, and weakness of the extremities.
* Epidural hematomas, which are rapid collections of blood due to the rupture of arteries that run on the inner surface of the skull. Epidural hematomas usually are the result of skull fractures. The typical story is a head injury that causes a concussion with loss of consciousness and a skull fracture. The return of consciousness is followed by the sudden development of coma caused by an expanding hematoma.
* Infections such as meningitis caused by bacteria (meningococcus and pneumococcus), tuberculosis, Lyme disease, or cryptococcus
* Strokes due either to blood clots within the arteries of the brain or rupture of the blood vessels in the brain
* Subarachnoid hemorrhages which are caused by bleeding into the space between the brain and its outer arachnoid lining. The most common source of subarachnoid hemorrhage is an aneurysm, a ballooning of the weakened wall of an artery inside the head.
* Sudden onset of severe high blood pressure. (Chronic mild to moderate high blood pressure is not a common cause of headache).
* Temporal arteritis, a vasculitis (inflammation) of the temporal artery which runs beneath the skin of the temple. Temporal arteritis occurs primarily in older people and may be associated with fatigue, body aches, and anemia. Without proper treatment, temporal arteritis may lead to blindness and strokes.
* Acute angle glaucoma with sudden elevation of pressures inside the eyes
* Infections of the sinuses (sinusitis), ear (otitis), and teeth
* Hypothyroidism, a condition in which the thyroid gland does not produce enough thyroid hormone
* Repeated carbon monoxide poisoning
* Parkinson's disease
* Medications such as indomethacin, estrogen, progestins, calcium channel blockers (commonly used for treating high blood pressure), and selective serotonin reuptake inhibitors (commonly used to treat depression)
* Overuse of over-the-counter or prescription pain relievers. Overuse of pain relievers causes the pain relievers to become less effective. As the effect of the pain reliever wears off, headaches recur (rebound headache).
* Cardiac ischemia (lack of blood supply to the muscles of the heart caused by coronary artery disease). Although cardiac ischemia is best known as a cause of either heart attacks or angina, it also may cause a headache. The headache may occur with or without the accompanying chest pain of a heart attack or angina. As with angina, in some individuals the headache may occur with exertion and subside with rest.

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