What is Butalbital and Where to Buy Butalbital ?

Butalbital, or 5-allyl-5-isobutylbarbituric acid, is a derivative of barbituric acid which the hydrogens at position 5 are substituted by an allyl group and an isobutyl group.

It is a short-to-intermediate acting member of barbiturates that exhibit muscle-relaxing and anti-anxiety properties that produce central nervous system (CNS) depression that ranges from mild sedation to general anesthesia 1. Butalbital has a low degree of selectivity and a narrow therapeutic index.

Typically indicated to manage tension (or muscle contraction) headaches, butalbital is often combined with one or more therapeutic agents, such as acetylsalicylic acid, acetaminophen, aspirin, and caffeine. There have not been clinical trials that evaluate the clinical efficacy of butalbital in migraines  thus it is not indicated for such condition.

As with other barbiturates, butalbital carries a risk of abuse or misuse potential, intoxication, hangover, tolerance, dependence, and over-dosage possibly leading to death Label.

Butalbital‐containing analgesics can also produce a drug‐induced headache in addition to tolerance and dependence. Due to these risks, the use of butalbital-containing combination products is typically limited for use only in cases where other medications are deemed ineffective and such usage is advised to be carefully monitored.

Buy Fioricet Online
Buy Fioricet Online

Butalbital, acetaminophen, and caffeine combination is used to relieve symptoms of tension (or muscle contraction) headaches.

Butalbital belongs to the group of medicines called barbiturates. Barbiturates act in the central nervous system (CNS) to produce their effects.

Fioricet is a prescription medication typically prescribed as a treatment for tension headaches. The medication is also available as an opiate painkiller, and experiencing a Fioricet withdrawal is a definite possibility when someone has taken the substance regularly for a long period of time.

When a person goes through the process of withdrawing from a substance, including prescription painkillers, it’s essentially the body going into shock. The individual may have been taking the substance for such a long period of time that their body and brain became used to the substance’s presence. When someone with Fioricet use disorder suddenly stops taking the substance, their body feels like it’s lost a sense of normalcy and balance.

The medical definition of withdrawal symptoms include anything that’s psychological or physically abnormal that occurs after an individual stops taking a substance to which they had a  physical dependence on. Similar to opioid withdrawal, some of the common Fioricet withdrawal symptoms include sweating, vomiting, and insomnia.

The withdrawal symptoms of any substance can range from being mildly uncomfortable to nearly debilitating, but the key to stopping substance misuse is going through withdrawal without too many complications. One of the best ways to do this for Fioricet, or any substance, is in a medically supervised detoxification program.

During a medically supervised detox, medical professionals and addiction specialists can help clients remain comfortable and then give them the tools and resources they need to begin on the path to recovery.

Acetaminophen is used to relieve pain and reduce fever in patients. It does not become habit-forming when taken for a long time. But acetaminophen may cause other unwanted effects when taken in large doses, including liver damage.

When butalbital is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.

Caffeine is a CNS stimulant that is used with pain relievers to increase their effect. It has also been used for migraine headaches. However, caffeine can also cause physical dependence when it is used for a long time. This may lead to withdrawal (rebound) headaches when you stop taking it.

This medicine is available only with your doctor’s prescription.

Before taking this medicine

Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

You should not use Fioricet if you are allergic to acetaminophen, butalbital, or caffeine, if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.

To make sure Fioricet is safe for you, tell your doctor if you have:

  • liver disease, cirrhosis, a history of alcoholism or drug addiction, or if you drink more than 3 alcoholic beverages per day;
  • kidney disease;
  • asthma, sleep apnea, or other breathing disorder;
  • stomach ulcer or bleeding;
  • a history of skin rash caused by any medication;
  • a history of mental illness or suicidal thoughts; or
  • if you use medicine to prevent blood clots.

It is not known whether Fioricet will harm an unborn baby. If you use butalbital while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.

This medicine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

What other drugs will affect Fioricet?

Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before taking Fioricet with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Other drugs may interact with acetaminophen, butalbital, and caffeine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

What is Fioricet Used For?

If you have ever experienced a migraine, you know the level of misery it can bring. Migraines go well beyond the pain or pressure of a typical headache, and they’re often accompanied by symptoms that can range to uncomfortable to scary. When you have a migraine doctors believe it’s something different from just a bad headache. Instead of being related to blood vessels, doctors believe that a lot of what causes migraines has to do with neurological things like brain chemicals.

With that being said, people who suffer from migraines often search for treatments that will work for them, and they also tend to have to go through several different medications before they get to one that will work for them.

One medication people sometimes consider is Fioricet, but doctors warn this should be a last resort for migraines, and there’s some debate over whether or not it works at all for migraine sufferers.

Is Fioricet Used As A Migraine Treatment?

In some cases, Fioricet may be used as a migraine treatment, but it’s not a first or even second choice among physicians. There are a few reasons. First, as was touched on above, Fioricet is primarily used for the treatment of tension headaches, which are very different from migraines. A lot of doctors feel that Fioricet doesn’t even necessarily work on migraine pain. There are a lot of other treatment options that are more specifically for the treatment of migraines, and they work in ways that are different from Fioricet.According to the FDA, Fioricet isn’t approved for the treatment of migraines at all. It may have some benefits for migraine sufferers in that it can provide them with a sense of physiological calmness because of how it works on the central nervous system, but there again are better ways to treat migraines.

Another reason Fioricet isn’t necessarily an ideal migraine treatment is because of the risks that come with it.

Butalbital is a substance that can be habit-forming, and the use of Fioricet has actually led to addiction problems and physical dependence for some of the people who use it. It may be a prescription medicine, but that certainly doesn’t mean it’s risk-free.

Another risk associated with the use of Fioricet is the potential for liver toxicity from acetaminophen. Acetaminophen taken in large doses can result in liver injury and failure, and it has to be taken carefully and only as prescribed.

So, to sum up, what is Fioricet used for? The FDA approves the use of this prescription medication for the treatment of tension headaches primarily, as well as something called a post-dural puncture headache, which can occur following something like anesthesia administered in the spine.

The FDA doesn’t approve Fioricet for the treatment of migraine headaches, both because it’s not the most effective available treatment option, and also because there are risks that come with the use of Fioricet including addiction, dependence and side effects like potential liver toxicity.

Will Fioricet Help with Opiate Withdrawal?

The terms opiate, opioid and narcotic are often used in what would seem the same way. With prescription pain medications reaching their highest point in years, it’s wise to know the difference between each of these terms and how they work.

Opioids are a powerful and very addictive class of drugs that are impacting millions of people in the U.S. right now. Opioids work by attaching to certain receptors in the central nervous system, and when this happens, they can create a euphoric high for the user, but they also trigger a flood of dopamine. When your brain is unnaturally flooded with dopamine, and a reward response is triggered, it can lead you to an addiction.

Opiate

Classically, the term opiate refers to natural substances that come from opium. Opium itself can be extracted from the opium poppy and contains chemical compounds, including morphine and codeine. Thus, examples of opiates are morphine and codeine.

Opioids

There are also products that work by binding to the same receptors as opiates, but do not occur naturally, known as semi-synthetic or synthetic opioids. While synthetic opioids are manufactured chemically, semi-synthetic opioids are a hybrid resulting from chemical modifications to natural opiates.

Examples of synthetic opioids include fentanyl and methadone, while oxycodone and hydrocodone are examples of semi-synthetic opioids.

Opioid vs Opiate

Most people have now moved away from differentiating between opiate and opioid and use the term opioid for both natural or synthetic (or semi-synthetic) substances that act at one of the three main opioid receptor systems (mu, kappa, delta). If the term opiate is used it is thought of as the naturally occurring substances within the opioid class.

Though opioids are prescribed mainly to relieve pain symptoms, they can have negative effects including drowsiness and physical dependence. Because opioids have the potential for abuse and addiction, prescription opioid use is regulated by the Controlled Substances Act in the United States. However, not all opioids are available to be prescribed for pain treatment. Non-prescription opioids include heroin, which is a derivative of morphine, and is an illegal opioid commonly abused by injection.

There are a couple of different reasons people might wonder will Fioricet help with opiate withdrawal.

The first is because this drug as mentioned can help treat headaches, which is commonly a side effect of opiate withdrawal.

Another reason people might wonder whether or not Fioricet will help with opiate withdrawal is because the butalbital is a barbiturate, which can help relieve muscle tension and calm anxiety. Muscle aches, tension, and anxiety, are all symptoms of withdrawal from opioids.

Despite the reasons people might think Fioricet would be helpful for the treatment of opiate withdrawal, it’s probably not something a doctor would recommend.

First, Fioricet itself has the potential to become habit forming. The butalbital in this drug can create a type of high when people use it, and it is also addictive.

It may be that someone turns to Fioricet for opiate withdrawal and then ultimately finds themselves trading out one addiction for another. Also, it’s unlikely that Fioricet would really do much to help with the symptoms of opiate withdrawal.

There are other drugs that would do a better job. Fioricet may be part of someone trying to treat themselves at home for opioid addiction, and it’s not a wise move. The best thing to do if you’re wondering will Foriciet help with opiate withdrawal or what you can do to make withdrawal more bearable is to speak with your physician and find a medically supervised program that can give you the interventions you need without putting your life at risk.

 

Can Fioricet Get You High?

NO. I do not think Fioricet can get you high.

One of the key active ingredients responsible for the so-called Fioricet high is butalbital.

butalbital
Butalbital is a barbiturate that’s considered short-to-intermediate acting, and it can relieve symptoms of anxiety, reduce pain, relax muscles and act as a sedative. There are many neuropsychological effects of butalbital, some of which aren’t clearly understood to this day.
The belief is that the Fioricet high is caused by the fact that butalbital can increase the inhibition neurotransmitters in the brain called GABA.
But by rxlist,  the barbiturate butalbital addict per day is usually about 1,500 mg. One pill of fioricet contains 40mg butalbital. if you are taking 1,500mg per day, you will take more than 30 tablet of fioricet which contain 9000mg acetaminophen. If you have taken more than 9000mg acetaminophen, you will die. The max dosage of acetaminophen per day is 3000mg.
Besides,  As tolerance to barbiturates develops, the amount needed to maintain the same level of intoxication increases; tolerance to a fatal dosage, however, does not increase more than twofold. As this occurs, the margin between an intoxication dosage and fatal dosage becomes smaller.
The lethal dose of a barbiturate is far less if alcohol is also ingested. Major withdrawal symptoms (convulsions and delirium) may occur within 16 hours and last up to 5 days after abrupt cessation of these drugs. Intensity of withdrawal symptoms gradually declines over a period of approximately 15 days. Treatment of barbiturate dependence consists of cautious and gradual withdrawal of the drug.
Barbiturate-dependent patients can be withdrawn by using a number of different withdrawal regimens. One method involves initiating treatment at the patient’s regular dosage level and gradually decreasing the daily dosage as tolerated by the patient.
Fioricet can reduce anxiety and some people with anxiety disorders may take it for this reason, although this is not what it’s approved for. There is the potential for Fioricet to decrease feelings of anxiety even when it’s taken at a normal dose, and this is because of the impact of butalbital on GABA. For some people, a Fioricet high is actually just equated with a reduction in anxiety.
Not everyone will associate the use of this drug with the Fioricet high. Some of the factors that determine whether or not a person will experience a Fioricet high can include the dosage they take and their tolerance. Newer users may be more likely to experience what they would describe as the Fioricet high. Other factors that could influence this include the specific formulation of the drug and whether or not other substances are taken with it. Some people may try to extract the butalbital from Fioricet and remove it from the caffeine and acetaminophen for a greater high.
This is not only drug abuse, but might not even achieve the effects the person is looking for. It’s important to realize that there can be serious and deadly consequences associated with trying to achieve a Fioricet high.
This can include addiction, adverse reactions, brain damage, emotional crashes, and overdose. Since Fioricet has acetaminophen, if people abuse it to get high they may also sustain liver damage or failure.

Is Fioricet Considered a Narcotic?

What is a Narcotic?

Before exploring if Fioricet is a narcotic, what is a narcotic? The term narcotic was at one point in history used to refer to any psychoactive substance that tended to induce sleep, but currently, in the U.S., it’s primarily associated with opioids including heroin, as well as prescription painkillers. When you’re looking at the term narcotic in the legal sense, people often associate it with illegal drugs like heroin, but a narcotic can also be used to describe controlled substances such as painkillers that are regulated but available by prescription.

Opioids are technically categorized under the term narcotic.  However, due to the negative association the term narcotic has with illegal drugs, it has fallen out of use in medical settings. The narcotic definition pertains to an agent that produces insensibility or narcosis.  When thinking about these terms broadly, you can think of opiates as being a subclass of opioids, and opioids as a subclass of narcotics.

No matter what the medication is classified as or how it was created, it’s important to speak with your healthcare provider before taking any drug, prescription or not. Your pharmacist can also be a valuable resource when trying to identify what class the medication is considered and whether the medication has any potential drug-on-drug interactions.

In the U.S. there are classifications for various narcotics that define the penalties for possessing the illegally, including without a prescription. So, is Fioricet a narcotic?

Fioricet Ingredients

In regular Fioricet there are three primary, active ingredients These are butalbital, which is a barbiturate, acetaminophen which is a painkiller available over-the-counter, and caffeine.
Acetaminophen
Butalbital
Caffenine
These three ingredients Butalbital APAP Caffeine are meant to work together to relieve headache pain and similar symptoms. When considering whether Fioricet is a narcotic, the primary ingredient to look at is the butalbital, because the other two ingredients would never be considered narcotics.
Butalbital is a barbiturate with an intermediate duration of action, and it’s FDA approved for the use as a treatment for tension headaches. Despite its effectiveness in treating headaches, particularly of the tension variety, it’s not the first option.
Butalbital can cause problems with alertness, and there’s the risk for dependence and addiction. Some people describe the effects of Fioricet as making them feel drunk.

Legally in the U.S., barbiturates of all kinds are Schedule IV. Features of Schedule IV drugs according to the United States Controlled Substance Act include:

  • There is a relatively low potential for abuse compared to substances that are classified as Schedule III
  • The substance has a currently accepted medical use in the U.S.
  • With abuse of a Schedule IV drug, there is a limited potential that physical or psychological dependence could occur

Is It Safe to Take Fioricet While Pregnant?

If you’re pregnant, it may be difficult to keep track of the different drugs you should avoid.

Trying to understand the complexities of these substances and what they can do to your body or unborn child can induce stress.Luckily, the Food and Drug Administration made this process easier by categorizing drugs based on their risk to pregnancies. These categories are labeled A, B, C, D, and X. Category A includes drugs that are safe to take during pregnancy, while Category X contains substances that should never be taken while pregnant.

  • Category A
    • Research indicates that these drugs show no evidence of risk to the fetus throughout a pregnancy. Many multivitamins taken during pregnancy fit into this category.
  • Category B
    • If a clinical need must be met, substances in this category are considered safe to take during pregnancy. These drugs include acetaminophen, found in Tylenol, and amoxicillin.
  • Category C
    • These substances can be risky to take during pregnancy. If these drugs are given to pregnant women, the potential benefits should outweigh the potential risks. Category C drugs include aspirin, saccharine and gentamicin.
  • Category D
    • Studies show that these substances could harm the fetus. Despite these health risks, some pregnant women still take these drugs, which include tetracyclines and ACE inhibitors, for the potential benefits.
  • Category X
    • Because these drugs demonstrate clear risks to the fetus, they are contraindicated in women who are or could become pregnant. Category X substances include Lipitor and oral contraceptives.

Fioricet US FDA pregnancy category: C

Comment: Monitor for barbiturate withdrawal in neonates

Animal reproduction studies have not been conducted on this combination product. Epidemiologic data for acetaminophen, including a population based case-control study from the National Birth Defects Prevention Study (n= 11,610) and data from 26,424 live singleton births have shown no increased risk of major birth defects in children with first trimester prenatal exposure.

In 2015, the US Food and Drug Administration released results of their evaluation on published research studies looking at mothers who took acetaminophen (either over the counter or as a prescription product) at any time during their pregnancy and the risk of attention deficit hyperactivity (ADHD) in their babies.

They found all studies reviewed had potential limitations in their designs that prevented drawing reliable conclusions. Barbiturates have been reported to readily cross the placental barrier. A 2-day old infant whose mother had taken a butalbital-containing product during the last two months of pregnancy experienced withdrawal seizures; butalbital was found in the infant’s serum. There are no controlled data in human pregnancy.

US FDA pregnancy category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

What is Fioricet side effects ?

Commonly reported side effects for Fioricet include:

  • Euphoria
  • Dizziness
  • Drowsiness
  • Intoxicated feeling
  • Light-headedness
  • Nausea
  • Vomiting
  • Sedation
  • Substance dependence
  • Shortness of breath
  • Abdominal pain

Fioricet is implicated as causing repeat headaches with over-use.

Fioricet Effects of Addiction

Abusing Fioricet or being addicted to it can be incredibly dangerous for multiple reasons. The first is because of the acetaminophen. Acetaminophen in amounts of more than 4000 mg a day can lead to liver damage and acute liver failure, particularly if it’s also combined with alcohol. Then, there’s the dangers of overdose and respiratory depression that can come with the butalbital in Fioricet.
It’s important only to use Fioricet as instructed by your physician to avoid these risks and also to lower your risk of becoming addicted to it. Some of the signs of Fioricet addiction include:
  • Being preoccupied with the use of Fioricet or always trying to find more of it.
  • Doctor shopping to get multiple prescriptions.
  • Taking it any way other than how your doctor instructs you or regularly taking it for recurring headaches.
  • Developing a tolerance to Fioricet is one of the first side effects of Firocet abuse. With tolerance, you have to take higher doses to get an effect. This can not only indicate a Fioricet abuse problem, but it also puts you at a higher risk of an overdose or liver failure.

If you are experiencing Fioricet effects that could indicate you have a problem, it’s important to speak with your doctor. It is possible to develop a tolerance for this drug, as was touched on above, so if you suddenly stop taking it you may experience withdrawal. Your physician or an addiction specialist can help you determine the best actions to take if you have an addiction to barbiturates like Fioricet.

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Fioricet Precautions

It is very important that your doctor check your progress while you or your child are taking this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it.

This medicine may be habit-forming. If you or your child feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

Check with your doctor right away if you or your child have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, or yellow eyes or skin. These could be symptoms of a serious liver problem.

Serious skin reactions can occur with this medicine. Check with your doctor right away if you have blistering, peeling, or loose skin, red skin lesions, severe acne or skin rash, sores or ulcers on the skin, or fever or chills while you are using this medicine.

This medicine may cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you or your child have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

This medicine may make you dizzy or drowsy. 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 not alert.

This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Also, there may be a greater risk of liver damage if you drink three or more alcoholic beverages while you are taking acetaminophen. Do not drink alcoholic beverages, and check with your doctor before taking any of these medicines while you are using this medicine.

Before you have any medical tests, tell the medical doctor in charge that you or your child are taking this medicine. The results of some tests may be affected by this medicine.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

What should I avoid while taking Fioricet to relieve your pain and headache?

Fioricet 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.

Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines.

Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP.

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

IMPORTANT WARNING:

Taking too much acetaminophen can cause liver damage, sometimes serious enough to require liver transplantation or cause death. You might accidentally take too much acetaminophen if you do not follow the directions on the prescription or package label carefully, or if you take more than one product that contains acetaminophen.

To be sure that you take acetaminophen safely, you should

  • not take more than one product that contains acetaminophen at a time. Read the labels of all the prescription and nonprescription medications you are taking to see if they contain acetaminophen. Be aware that abbreviations such as APAP, AC, Acetaminophen, Acetaminoph, Acetaminop, Acetamin, or Acetam. may be written on the label in place of the word acetaminophen. Ask your doctor or pharmacist if you don’t know if a medication that you are taking contains acetaminophen.
  • take acetaminophen exactly as directed on the prescription or package label. Do not take more acetaminophen or take it more often than directed, even if you still have fever or pain. Ask your doctor or pharmacist if you do not know how much medication to take or how often to take your medication. Call your doctor if you still have pain or fever after taking your medication as directed.
  • be aware that you should not take more than 4000 mg of acetaminophen per day. If you need to take more than one product that contains acetaminophen, it may be difficult for you to calculate the total amount of acetaminophen you are taking. Ask your doctor or pharmacist to help you.
  • tell your doctor if you have or have ever had liver disease.
  • not take acetaminophen if you drink three or more alcoholic drinks every day. Talk to your doctor about the safe use of alcohol while you are taking acetaminophen.
  • stop taking your medication and call your doctor right away if you think you have taken too much acetaminophen, even if you feel well.

Talk to your pharmacist or doctor if you have questions about the safe use of acetaminophen or acetaminophen-containing products.

Fioricet dosing information

Usual Adult Dose of Fioricet for Headache:

Acetaminophen 300 mg, butalbital 50 mg, and caffeine 40 mg:
1 or 2 capsule(s) orally every 4 hours as needed. Maximum daily dose: 6 doses.

Acetaminophen 325 mg, butalbital 50 mg, and caffeine 40 mg:
1 or 2 tablet(s), capsule(s), or tablespoonful(s) orally every 4 hours.
Maximum daily dose: 6 doses

Acetaminophen 500 mg, butalbital 50 mg, and caffeine 40 mg:
1 tablet or capsule orally every 4 hours.
Maximum daily dose: 6 doses

Acetaminophen 750 mg, butalbital 50 mg, and caffeine 40 mg:
1 tablet orally every 4 hours.
Maximum daily dose: 5 tablets

Usual Pediatric Dose of Fioricet for Headache:

12 years and older:
Acetaminophen 300 mg, butalbital 50 mg, and caffeine 40 mg:
1 or 2 capsule(s) orally every 4 hours as needed. Maximum daily dose: 6 doses.

What should I know before I take Fioricet ?

Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

You should not use Fioricet if you are allergic to acetaminophen, butalbital, or caffeine, if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.

To make sure Fioricet is safe for you, tell your doctor if you have:

  • liver disease, cirrhosis, a history of alcoholism or drug addiction, or if you drink more than 3 alcoholic beverages per day;
  • kidney disease;
  • asthma, sleep apnea, or other breathing disorder;
  • stomach ulcer or bleeding;
  • a history of skin rash caused by any medication;
  • a history of mental illness or suicidal thoughts; or
  • if you use medicine to prevent blood clots.

It is not known whether Fioricet will harm an unborn baby. If you use butalbital while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.

This medicine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

What is Fioricet?

Fioricet is a prescription medicine that’s used to relieve tension headaches primarily because it relaxes the muscle contractions that cause head pain, ranging in severity from mild to moderate in most cases.

Fioricet is a brand name consisting of a combination of butalbital (a barbiturate), acetaminophen and caffeine which is indicated for the treatment of tension headaches, muscle contraction headaches and post-dural puncture headaches. Although not indicated, they are commonly used to treat migraines and other pain related ailments.

A tension headache is different from a migraine because as was touched on above, it’s believed that migraines stem from neurological issues, whereas a tension headache is often the result of triggers like stress, bad posture, or tension in the muscles of the neck and shoulders. Tension headaches don’t necessarily affect your vision, strength or balance, but a true migraine can affect all of these things. Migraines can also cause nausea and vomiting.

Additionally, tension headaches don’t have a genetic component, whereas migraines often run in families.

All of these distinctions are important to recognize when considering what Fioricet is used for, and why it’s not necessarily the best treatment option for migraines.

Fioricet contains three primary ingredients which are butalbital, acetaminophen, and caffeine.

Butalbital is a barbiturate, and it can relieve muscular tension by acting as somewhat of a muscle relaxant, and it can also relieve pain because it acts on the central nervous system.

Along with releasing muscle contractions, butalbital can also create a sense of relaxation and relieve symptoms of anxiety. The acetaminophen acts as a pain reliever, and the caffeine can open up the flow of blood through blood vessels, which is thought to help with some headache pain.

So, with all that being said, people wonder if Fioricet is used for headaches, can it also be used for migraines?

Butalbital, acetaminophen, and caffeine combination is used to relieve symptoms of tension (or muscle contraction) headaches.

Butalbital belongs to the group of medicines called barbiturates. Barbiturates act in the central nervous system (CNS) to produce their effects.

Acetaminophen is used to relieve pain and reduce fever in patients. It does not become habit-forming when taken for a long time. But acetaminophen may cause other unwanted effects when taken in large doses, including liver damage.

When butalbital is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain.

Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.

Caffeine is a CNS stimulant that is used with pain relievers to increase their effect. It has also been used for migraine headaches. However, caffeine can also cause physical dependence when it is used for a long time. This may lead to withdrawal (rebound) headaches when you stop taking it.

This medicine is available only with your doctor’s prescription.

Fioricet Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur.

In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Riociguat

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Alfentanil
  • Alprazolam
  • Amobarbital
  • Anisindione
  • Aprobarbital
  • Butabarbital
  • Butalbital
  • Carisoprodol
  • Chloral Hydrate
  • Chlordiazepoxide
  • Chlorzoxazone
  • Clarithromycin
  • Clonazepam
  • Clorazepate
  • Dantrolene
  • Darunavir
  • Diazepam
  • Dicumarol
  • Doxorubicin
  • Doxorubicin Hydrochloride Liposome
  • Estazolam
  • Ethchlorvynol
  • Etonogestrel
  • Flunitrazepam
  • Flurazepam
  • Halazepam
  • Imatinib
  • Iobenguane I 131
  • Isoniazid
  • Ketazolam
  • Lorazepam
  • Lormetazepam
  • Medazepam
  • Mephenesin
  • Mephobarbital
  • Meprobamate
  • Metaxalone
  • Methocarbamol
  • Methohexital
  • Midazolam
  • Nifedipine
  • Nitrazepam
  • Oxazepam
  • Peginterferon Alfa-2b
  • Pentobarbital
  • Phenindione
  • Phenobarbital
  • Phenprocoumon
  • Piperaquine
  • Pixantrone
  • Pneumococcal 13-Valent Vaccine, Diphtheria Conjugate
  • Prazepam
  • Primidone
  • Quazepam
  • Secobarbital
  • Sodium Oxybate
  • Temazepam
  • Thiopental
  • Triazolam
  • Ulipristal

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.