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BARBITURATES, ASPIRIN & CODEINE (Also contains caffeine)


Brand & Generic Names

ABC Compound with Codeine Fiorinal-C1/2
Ascomp with Codeine No. 3 Fiorinal with Codeine
B-A-C with Codeine Fiorinal with Codeine No. 3
BUTALBITAL, ASPIRIN & Idenal with Codeine
CODEINE Isollyl with Codeine
Butalbital Compound with Phenaphen with Codeine No. 2
Codeine Phenaphen with Codeine No. 3
Butinal with Codeine No. 3 Phenaphen with Codeine No. 4
Fiomor with Codeine PHENOBARBITAL, ASPIRIN &
Fiorgen with Codeine CODEINE
Fiorinal-C1/4


Basic Information

  • Habit forming? Yes
  • Prescription needed? Yes
  • Available as generic? No
  • Drug class: Narcotic, analgesic

Uses

  • Reduxes anxiety or nervous tension (low dose).
  • Reduces pain, fever, inflammation.

Dosage & Usage Information

How to take:
Tablet or capsule--Swallow with liquid or food to lessen stomach irritation. If you can't swallow whole, crumble tablet or open capsule and take with liquid or food.
Extended-release tablets or capsules--Swallow each dose whole.

When to take:
When needed. No more often than every 4 hours.

If you forget a dose:
Take as soon as you remember. Wait 4 hours for next dose.

What drug does:
May partially block nerve impulses at nerve-cell connections.
Affects hypothalamus, the part of the brain that regulates temperature by dilating small blood vessels in skin.
Prevents clumping of platelets (small blood cells) so blood vessels remain open.
Decreases prostaglandin effect.
Blocks pain messages to brain and spinal cord.
Reduces sensitivity of brain's cough-control center.

Time lapse before drug works:
30 minutes.

Don't take with:
Non-prescription drugs without consulting doctor.
See interactions section (below) and consult doctor.


Overdose

SYMPTOMS:
Deep sleep, slow and weak pulse, ringing in ears, nausea, vomiting, dizziness, fever, deep and rapid breathing, hallucinations, convulsions, coma.

WHAT TO DO:

  • Dial 911 (emergency) or 0 (operator) for an ambulance or medical help. Then give first aid immediately.
  • If patient is unconscious and not breathing, give mouth-to-mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility.
  • See EMERGENCY information.

Possible Adverse Reactions or Side Effects

Life-threatening:

    Wheezing, tightness Seek emergency treatment immediately. in chest, pinpoint pupils.

Common:

    Dizziness, drowsiness, heartburn, flushed face, depression, false sense of well-being, increased urination.

Infrequent:

    Jaundice; vomiting blood; easy bruising; skin rash, hives; confusion; depression; sore throat, fever, mouth sores; difficult urination; hearing loss; slurred speech; blood in urine; decreased vision.

Rare:

    Insomnia, nightmares, constipation, headache, nervousness, flushed face, increased sweating, unusual tiredness.

Warnings & Precautions

Don't take if:

  • You are allergic to any barbiturate or narcotic.
  • You have a peptic ulcer or stomach or duodenum, bleeding disorder, porphyria.

Before you start, consult your doctor:

  • If you have had stomach or duodenal ulcers.
  • If you have asthma, epilepsy, kidney or liver damage, anemia, chronic pain, gout.
  • If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia.

Over age 60:

  • Adverse reactions and side effects may be more frequent and severe than in younger persons.
  • More likely to cause hidden bleeding in stomach or intestines. Watch for dark stools.
  • More likely to be drowsy, dizzy, unsteady or constipated. Use only if absolutely necessary.

Pregnancy:
Risk to unborn child outweighs drug benefits. Don't use.

Breast-feeding:
Drug passes into milk. Avoid drug or discontinue nursing until you finish medicine. Consult doctor for advice on maintaining milk supply.

Infants & children:

  • Overdose frequent and severe. Keep bottles out of children's reach.
  • Use only under doctor's supervision.
  • Consult doctor before giving to persons under age 18 who have fever and discomfort of viral illness, especially chicken pox and influenza. Probably increases risk of Reye's syndrome.

Prolonged use:

  • Kidney damage. Periodic kidney function test recommended.
  • May cause addiction, anemia, chronic intoxication.
  • May lower body temperature, making exposure to cold temperatures hazardous.

Skin & sunlight:
May cause rash or intensify sunburn in areas exposed to sun or sunlamp.

Driving, piloting or hazardous work:
Don't drive or pilot aircraft until you learn how medicine affects you. Don't drive around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs.

Discontinuing:
May be unnecessary to finish medicine. Follow doctor's instructions. If you develop withdrawal symptoms of hallucinations, agitation or sleeplessness after discontinuing, call doctor right away.

Others:

  • Aspirin can complicate surgery; illness; pregnancy, labor and delivery.
  • For arthritis--Don't change dose without consulting doctor.
  • Urine tests for blood sugar may be inaccurate.
  • Great potential for abuse.

Possible Interaction with Other Drugs

GENERIC NAME COMBINED EFFECT
------------------------- -----------------------
Allopurinol Decreased allopurinol effect.
Analgesics, other* Increased analgesic effect.
Antacids* Decreased aspirin effect.
Anticoagulants, Increased anticoagulant effect. Abnormal
oral* bleeding.
Anticonvulsants* Changed seizure patterns.
Antidepressants* Decreased antidepressant effect.
Possible dangerous oversedation.
Antidiabetics, oral* Increased butalbital effect. Low blood
sugar.
Antihistamines* Dangerous sedation. Avoid.
Aspirin, other Likely aspirin toxicity.
Beta-adrenergic Decreased effect of beta-adrenergic
blockers* blocker.
Carteolol Increased narcotic effect. Dangerous
sedation.
Contraceptives, Decreased contraceptive effect.
Cortisone drugs* Increased cortisone effect. Risk of
ulcer and stomach bleeding.
Digitoxin Decreased digitoxin effect.
Doxycycline Decreased doxycycline effect.
Dronabinol Increased effect of drugs.
Furosemide Possible aspirin toxicity.
Gold compounds* Increased likelihood of kidney damage.
Griseofulvin Decreased griseofulvin effect.
Indapamide Increased indapamide effect.
Indomethacin Risk of stomach bleeding and ulcers.
MAO inhibitors* Increased butalbital effect.
Methotrexate Increased methotrexate effect.
Mind-altering Dangerous sedation. Avoid.
Minoxidil Decreased monoxidil effect.
Naltrexone Decreased analgesic effect.
Narcotics* Dangerous sedation. Avoid.
Nitrates* Excessive blood pressure drop.
Non-steroidal Risk of stomach bleeding and ulcers.
Pain relievers* Dangerous sedation. Avoid.
Para-aminosalicylic Possible aspirin toxicity.
Penicillins* Increased effect of drugs.
Phenobarbital Decreased aspirin effect.
Phenothiazines* Increased phenothiazine effect.
Phenytoin Increased phenytoin effect.
Probenecid Decreased probenecid effect.
Propranolol Decreased aspirin effect.
Rauwolfia alkaloids* Decreased aspirin effect.
Salicylates*, others Likely aspirin toxicity.
Sedatives* Dangerous sedation. Avoid.
Sleep inducers* Dangerous sedation. Avoid.
Sotalol Increased narcotic effect. Dangerous
sedation.
Spironolactone Decreased spironolactone effect.
Sulfinpyrazone Decreased sulfinpyrazone effect.
Terfenadine May conceal symptoms of aspirin over-
dose, such as ringing in ears.
Tranquilizers* Dangerous sedation. Avoid.
Valproic acid Increased phenobarbital effect.
Vitamin C Possible aspirin toxicity.
Zidovudine Increased toxicity of both.


Possible Interaction with Other Substances

INTERACTS WITH COMBINED EFFECT
--------------- ---------------
Alcohol: Possible stomach irritation and
bleeding, possible fatal overdose.
Avoid.
Beverages: None expected.
Cocaine: Increased cocaine toxic effects. Avoid.
Foods: None expected.
Marijuana: Possible increased pain relief, but
marijuana may slow body's recovery.
Impairs physical and mental performance.
Avoid.
Tobacco: None expected.



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