17 . October , 2018 - Wednesday
Check todays hot topics or new products

Find a Drug: Advanced

Please Sign in or Register

All about: aspirin, butalbital, caffeine, and codeine

Big Image

Generic Name: aspirin, butalbital, caffeine, and codeine (AS pir in, bue TAL bi tal, KAF een, and KOE deen)
Brand Names: Fiorinal with Codeine

What is aspirin, butalbital, caffeine, and codeine?

Aspirin is in a group of drugs called salicylates (sa-LIS-il-ates). It works by reducing substances in the body that cause pain, fever, and inflammation.

Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache.

Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

Codeine is in a group of drugs called narcotic pain relievers.

The combination of aspirin, butalbital, caffeine, and codeine is used to treat tension headaches. This medicine is not for treating headaches that come and go.

This medication may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about aspirin, butalbital, caffeine, and codeine?

Aspirin should not be given to a child or teenager who has a fever, especially if the child also has flu symptoms or chicken pox. Aspirin can cause a serious and sometimes fatal condition called Reye's syndrome in children.

Stop using this medication and call your doctor at once if you have any symptoms of bleeding in your stomach or intestines. Symptoms include black, bloody, or tarry stools, and coughing up blood or vomit that looks like coffee grounds.

Codeine and butalbital may be habit-forming and should be used only by the person this medicine was prescribed for. Keep the medication in a secure place where others cannot get to it.

What should I discuss with my healthcare provider before taking aspirin, butalbital, caffeine, and codeine?

Aspirin should not be given to a child or teenager who has a fever, especially if the child also has flu symptoms or chicken pox. Aspirin can cause a serious and sometimes fatal condition called Reye's syndrome in children. Do not use this medication if you are allergic to aspirin, butalbital, caffeine, or codeine, or if you have:
  • porphyria;

  • stomach ulcer;

  • a bleeding or blood clotting disorder; or

  • an allergy to an NSAID (non-steroidal anti-inflammatory drug) such as Advil, Motrin, Aleve, Orudis, Indocin, Lodine, Voltaren, Toradol, Mobic, Relafen, Feldene, and others.

Codeine and butalbital may be habit-forming and should be used only by the person this medicine was prescribed for. This medication should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

Before using aspirin, butalbital, caffeine, and codeine, tell your doctor if you are allergic to any drugs, or if you have:

  • a history of heart attack, stroke, blood clot, or stomach ulcers;

  • asthma or other breathing disorders;

  • liver or kidney disease;
  • a history of head injury or brain tumor;

  • low blood pressure;

  • a stomach or intestinal disorder;

  • curvature of the spine; or

  • mental illness, or a history of drug or alcohol addiction.

If you have any of these conditions, you may not be able to use aspirin, butalbital, caffeine, and codeine, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. Codeine and butalbital may be harmful to an unborn baby, and could cause a birth defect, breathing problem, or addiction/withdrawal symptoms in a newborn. Taking aspirin during late pregnancy may cause bleeding in the mother or the baby during delivery. Do not take aspirin during pregnancy unless your doctor has told you to. Aspirin, butalbital, caffeine, and codeine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take aspirin, butalbital, caffeine, and codeine?

Take this medication exactly as it was prescribed for you. Do not take it in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

You may have withdrawal symptoms when you stop using aspirin, butalbital, caffeine, and codeine after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using aspirin, butalbital, caffeine, and codeine. You may need to stop using the medicine for a short time.

Store aspirin, butalbital, caffeine, and codeine at room temperature away from moisture and heat.

Keep track of how many tablets have been used from each new bottle of this medicine. Codeine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

What happens if I miss a dose?

Since aspirin, butalbital, caffeine, and codeine is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of aspirin, butalbital, caffeine, and codeine can be fatal.

Overdose symptoms may include extreme drowsiness or insomnia, restless feeling, tremors, fast heart rate, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, ringing in your ears, fainting, weak pulse, seizure (convulsions), coma, blue lips, shallow breathing, or no breathing.

What should I avoid while taking aspirin, butalbital, caffeine, and codeine?

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. Do not use any other over-the-counter cough, cold, allergy, or pain medication without first asking your doctor or pharmacist. Aspirin and caffeine are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains aspirin or caffeine. Avoid drinking alcohol while taking this medication. Alcohol may increase your risk of stomach bleeding.

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

Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, antidepressants, or seizure medication can add to sleepiness caused by codeine, or could slow your breathing. Tell your doctor if you need to use any of these other medicines while you are taking aspirin, butalbital, caffeine, and codeine.

Aspirin, butalbital, caffeine, and codeine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:
  • shallow breathing, slow heart rate;

  • fast or pounding heart rate, muscle twitching;

  • confusion, unusual thoughts or behavior;

  • black, bloody, or tarry stools;

  • coughing up blood or vomit that looks like coffee grounds;

  • problems with urination; or

  • nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Less serious side effects include:

  • feeling dizzy, shaky, anxious, or agitated;

  • heartburn, mild nausea, vomiting, upset stomach, constipation, diarrhea;

  • mood changes, sleep problems (insomnia);

  • sweating, urinating more than usual; or

  • ringing in your ears, blurred vision, or dry mouth.

Other side effects may also occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect aspirin, butalbital, caffeine, and codeine?

Before taking this medication, tell your doctor if you are using any of the following drugs:

  • a blood thinner such as warfarin (Coumadin); or

  • an NSAID such as ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprofen (Orudis), naproxen (Aleve, Naprosyn), and others;

  • insulin or diabetes medications you take by mouth;

  • steroids (such as prednisone);

  • mercaptopurine (Purinethol);

  • sulfinpyrazone (Anturane);

  • ciprofloxacin (Cipro);

  • atropine (Donnatal, and others), dimenhydrinate (Dramamine), glycopyrrolate (Robinul), or scopolamine (Transderm-Scop);

  • bowel or bladder medications such as dicyclomine (Bentyl), solfenacin (Vesicare), tolterodine (Detrol) and others;

  • a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva); or

  • an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).

If you are using any of these drugs, you may not be able to use aspirin, butalbital, caffeine, and codeine, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect aspirin, butalbital, caffeine, and codeine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about this medication.

  • 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.
  • 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.
Copyright 1996-2006 Cerner Multum, Inc. Version: 5.04. Revision Date: 07/26/2007 11:21:19 AM.

Recent Drug Updates at DrugIndexOnline:





Digoxin Digoxin
Generic Name: Digoxin Injection (di-JOX-in) Brand Name: LanoxinDigoxin is used for:Treating heart failure and slowing the heart rate in patients with chronic atrial fibrillation, a type of abnormal heart rhythm. It may also be used for certain conditions as determined by your doctor. Digoxin i more...

DOK DOK
Some commonly used brand names are: In the U.S.— Agoral 35 Alophen 25 Alphamul 30 Alramucil Orange 7 Alramucil Regular 7 Bisac-Evac 25 Black-Draught 26 Black-Draught Lax-Senna 32 Carter's Little Pills 25 Cholac 14 Citroma 16 Citrucel Orange Flavor 3 Citrucel Sugar-Free Orange Flavor 3 Col more...

Estradiol vaginal ring Estradiol vaginal ring
Generic name: Estradiol vaginal ring Brand names: Estring Why is Estradiol vaginal ring prescribed? Estring is an estrogen replacement system for relief of the vaginal problems that often occur after menopause, including vaginal dryness, burning, and itching, and difficult or painful intercourse more...

Microlipid Microlipid
Some commonly used brand names are: In the U.S.— Accupep HPF 9 Advera 2 Alitraq 9 Amin-Aid 2 Attain 10 Carnation Instant Breakfast 7 Carnation Instant Breakfast No Sugar Added 7 Casec 8 CitriSource 10 Compleat Modified 1 Compleat Regular 1 Comply 10 Criticare HN 9 Crucial 2 Deliver 2.0 10 more...

Mylanta Child Mylanta Child
Generic Name: calcium carbonate (KAL see um CAR boe nate) Brand Names: Alka-Mints, Alkets, Alkums, Amilac, Amitone, Cal Oys, Cal-Gest, Calcarb, Calci Mix, Calci-Chew, Calcitab, Caltrate, Caltro, Chooz, Dicarbosil, Equilet, Mylanta Child, Nephro Calci, OsCal 500, Oysco 500, Oyst Cal, Oyst more...

Novo-Triamzide Novo-Triamzide
Some commonly used brand names are: In the U.S.— Aldactazide 2 Dyazide 3 Maxzide 3 Moduretic 1 Spirozide 2 In Canada— Aldactazide 2 Apo-Triazide 3 Dyazide 3 Moduret 1 Novo-Spirozine 2 Novo-Triamzide 3 Note: For quick reference, the following medicines are numbered to match t more...

Omnipaque Injection Omnipaque Injection
Generic Name: iohexol Dosage Form: Injection PHARMACY BULK PACKAGE–NOT FOR DIRECT INFUSION Section I — Intrathecal Section II — IntravascularSection III — Oral/Body Cavity Use 350 NOT FOR INTRATHECAL USE Rx ONLY Omnipaque Description Iohexol,N,N´ - Bis(2,3-dihy more...

PMS Lindane Topical PMS Lindane Topical
Some commonly used brand names are: In the U.S.— Kwell Thionex In Canada— Hexit PMS Lindane Generic name product may be available in the U.S. and Canada. Another commonly used name for lindane is gamma benzene hexachloride . Category Pediculicide Scabicide Description Lin more...