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BUTALBITAL & ASPIRIN (Also contains caffeine)

BUTALBITAL & ASPIRIN (Also contains caffeine)

BRAND & GENERIC NAMES

Axotal
B-A-C
Buff-A-Comp
Butalbital A-C
BUTALBITAL, ASPIRIN & CAFFEINE
Butal Compound
Fiorgen PF
Fiorinal
Isollyl (Improved)
Lanorinal
Marnal
Protension
Tenstan

BASIC INFORMATION

  • Habit forming? Yes
  • Prescription needed? Yes
  • Available as generic? Yes
  • Drug class: Analgesic, anti-inflammatory, sedative

    USES

  • Reduces 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.
  • Suppositories--Remove wrapper and moisten suppository with water. Gently insert into rectum, large end first. When to take: At the same times each day. No more often than every 4 hours. If you forget a dose: Take as soon as you remember up to 2 hours late. If more than 2 hours, wait for next scheduled dose (don't double this dose). What drug does:
  • May partially block nerve impulses at nerve-cell connections.
  • Affects hypothalamus, the part of the brain which regulates temperature by dilating small blood vessels in skin.
  • Prevents clumping of platelets (small blood cells) so blood vessels remain open.
  • Decreases prostaglandin effect.
  • Suppresses body's pain messages.

    Time lapse before drug works:
    30 minutes.
    Don't take with:
    Any other medicines, even over-the-counter drugs such as cough
    and cold medicines, nose drops, diet pills, laxatives or
    caffeine, without consulting your doctor.
    OVERDOSE
    SYMPTOMS:
    Deep sleep, weak pulse, ringing in ears, nausea, vomiting,
    dizziness, fever, deep and rapid breathing, hallucinations,
    convulsions, coma.
    WHAT TO DO:

  • Dial 0 (operator) or 911 (emergency) for an ambulance or medical help. Then give first aid immediately.
  • See EMERGENCY INFORMATION.

    POSSIBLE ADVERSE REACTIONS OR SIDE EFFECTS

    SYMPTOMS WHAT TO DO

    Life-threatening:
    Hives, rash, intense Seek emergency
    itching, faintness treatment immediately.
    soon after a dose
    (anaphylaxis);
    wheezing; tightness
    in chest; black or
    bloody vomit; black
    stools; shortness of
    breath.
    Common:
    Dizziness, drowsiness, Continue. Call doctor
    heartburn. when convenient.
    Infrequent:
    Jaundice; vomiting Discontinue. Call
    blood; easy bruising; doctor right away.
    skin rash, hives;
    confusion; depression;
    sore throat, fever,
    mouth sores; hearing
    loss; slurred speech;
    decreased vision.
    Rare:

  • Diminished vision, Discontinue. Call blood in urine, doctor right away. unexplained fever.
  • Insomnia, nightmares, Continue. Call doctor constipation, headache, when convenient. jaundice, nervousness.

    WARNINGS & PRECAUTIONS

    Don't take if:

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

    Before you start, consult your doctor:

  • If you have had stomach or duodenal ulcers.
  • If you have asthma, nasal polyps, epilepsy, kidney or liver damage, anemia, chronic pain.
  • If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia. Pregnancy: Risk to unborn child outweighs drug benefits. Don't use. Infants & children:
  • Overdose frequent and severe. Keep bottles out of children's reach.
  • Use only under doctor's supervision. 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 or hazardous activities:
    Don't drive or pilot aircraft until you learn how medicine
    affects you. Don't work 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, pregnancy, labor and delivery, and illness.
  • 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

    Allopurinol Decreased allopurinol effect.
    Antacids (see Decreased aspirin
    Drugs Glossary) effect.
    Anticoagulants (oral, Increased anticoagulant
    see Drugs Glossary) effect. Abnormal bleeding.
    Anticonvulsants Changed seizure
    (see Drugs Glossary) patterns.
    Antidepressants Decreased
    (see Drugs Glossary) antidepressant effect. Possible
    dangerous oversedation.
    Antidiabetics (oral, Increased
    see Drugs Glossary) butalbital effect. Low blood sugar.
    Antihistamines Dangerous sedation.
    (see Drugs Glossary) Avoid.
    Aspirin (other) Likely aspirin toxicity.
    Beta-adrenergic Decreased effect of
    blockers (see beta-adrenergic blocker.
    Drugs Glossary)
    Contraceptives Decreased
    (oral, see Drugs contraceptive effect.
    Glossary)
    Cortisone drugs Increased cortisone
    (see Drugs Glossary) effect. Risk of ulcer and stomach
    bleeding.
    Digitoxin Decreased digitoxin effect.
    Doxycycline Decreased doxycycline effect.
    Dronabinol Increased effect of both drugs.
    Furosemide Possible aspirin toxicity.
    Gold compounds Increased likelihood
    (see Drugs Glossary) of kidney damage.
    Griseofulvin Decreased griseofulvin effect.
    Indapamide Increased indapamide effect.
    Indomethacin Risk of stomach bleeding and
    ulcers.
    MAO inhibitors Increased butalbital
    (see Drugs Glossary) effect.
    Methotrexate Increased
    methotrexate effect.
    Mind-altering drugs Dangerous sedation.
    (see Drugs Glossary) Avoid.
    Minoxidil Decreased minoxidil effect.
    Narcotics (see Dangerous
    Drugs Glossary) sedation. Avoid.
    Non-steroidal Risk of stomach
    anti-inflammatory bleeding and ulcers.
    drugs (NSAIDs,
    see Drugs Glossary)
    Pain relievers Dangerous
    (see Drugs Glossary) sedation. Avoid.
    Rifampin May decrease butalbital effect.
    Salicylates (others) Likely aspirin
    (see Drugs Glossary) toxicity.
    Sedatives Dangerous
    (see Drugs Glossary) sedation. Avoid.
    Sleep inducers Dangerous
    (see Drugs Glossary) sedation. Avoid.
    Spironolactone Decreased spironolactone effect.
    Sulfinpyrazone Decreased sulfinpyrazone effect.
    Terfenadine May conceal symptoms of aspirin
    overdose, such as ringing in ears.
    Tranquilizers Dangerous
    (see Drugs Glossary) sedation. Avoid.
    Valproic acid Increased butalbital effect.
    Vitamin C Possible aspirin
    (large doses) toxicity.

    POSSIBLE INTERACTION WITH OTHER SUBSTANCES

    Tobacco: None expected.

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