Generic Fioricet (50/40/325)
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Fioricet

Fioricet and Esgic are brand name drugs made from a combination of acetaminophen (325 mg), butalbital (a barbiturate, 50 mg), and caffeine (40 mg). They are usually used to treat tension headaches and migraine headaches. more...

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Usage and Dosage

Fioricet is usually perscribed for difficult to treat tension headaches as well as migraine. The common dosing schedule is to take 1 - 2 tablets every 4 hours as needed, being careful not to exceed 12 tablets in 24 hours, both to avoid an overdose on the Butalbital and Caffeine, but also because an exceess of 4 grams of Acetaminophen per day causes a serious risk of liver damage.

This usage and dosing info is for informational purposes only and should not be used in place of the instructions of your doctor.

Side Effects

Side effects for any drug are difficult to predict, but commonly reported side effects for Fioricet include:

  • Abdominal pain
  • Dizziness
  • Drowsiness
  • Intoxicated feeling
  • Light-headedness
  • Nausea
  • Sedation
  • Addiction

There are other potential side-effects, this list should not be considered all-inclusive.

Dangers and Risks

Fioricet contains acetaminophen, which has been shown to cause Liver damage at higher dosages. Care should be excersized when using Fioricet to prevent possible liver damage. Fioricet also contains Butalbital, which is an addictive, mind (and behavior) altering barbituate. Fioricet can be habit forming. Fioricet should not be mixed with Alcohol, both due to the possibility of exacerbating liver damage in combination with the APAP, and due to increased risk of intoxication in combination with the Butalbital.

There are other potential risks, this list should not be considered all-inclusive.

Read more at Wikipedia.org


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From the pharmacy
From Saturday Evening Post, 9/1/05 by Cory SerVaas

X Glaucoma Alert: Many drugs can worsen-or even triggerglaucoma. Some antidepressants, blood pressure medicines, antihistamines, over-the-counter cold remedies containing pseudaephedrine, and steroids may increase glaucoma risk. Read product information carefully. Regular eye exams are essential if you are over 40, African-American, diabetic, or have a family history of glaucoma.

X BP medicines: Those taking a new drug (or a different dose) to lower blood pressure may experience dizziness. Be cautious--particularly during the first week and when standing up after reclining in a bed, couch, or chair.

X Tetracycline: Common side effects of this antibiotic include increased sensitivity to the sun, abdominal pain, loose stools, nausea, and vomiting. The prescription drug can permanently discolor teeth in children under 8 years old. It is also not recommended for women who are pregnant or breast-feeding. For optimal absorption, avoid taking TUMS, Maalox, Mylanta, or Pepto-Bismol within two hours of this drug.

X Inhalers: Doctors often instruct patients to take two puffs at a time. For the best results, take one puff and then wait one minute before taking the other. This allows the first puff of medicine to begin opening airways, allowing the second puff to travel deeper into the lungs. In some cases, a spacer attachment (commonly used to enhance drug delivery in children) can work wonders in adults.

X Tylenol: To avoid serious side effects, adults should take less than four grams of Tylenol (acetaminophen) per day. Be aware that Tylenol is an ingredient in many prescription pain medicines, including Vicodin, Lortab, Norco, Darvocet, Ultracet, and Fioricet. And those who are also taking over-the-counter preparations such as Tylenol arthritis or cold medications can easily take too much of the drug.

X Flagyl (metronidazole): Drink absolutely no alcohol when taking this antibiotic-consuming even small amounts causes severe facial flushing, nausea and vomiting.

X Warfarin (Coumadin): Be sure to inform all healthcare providers that you are on blood-thinning medicine. Other drugs you are taking may affect the Warfarin dosage you need.

Editor's Note: Pharmacists are equipped to do more than dispense drugs accurately. These well-trained professionals are an integral, and sometimes untapped, part of the healthcare maintenance team.

In this issue, pharmacist Cara Acklin offers tips on taking drugs ranging from painkillers to inhalers. If you have a question about medications, please write to From the Pharmacy, 1100 Waterway Bird, Indianapolis IN 46202.

COPYRIGHT 2005 Saturday Evening Post Society
COPYRIGHT 2005 Gale Group

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