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November 24, 2009
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butalbital with aspirin and caffeine-oral (cont.)

PRECAUTIONS: Tell your doctor your medical history, especially of: kidney or liver disease, lung/breathing problems, nasal polyps, diabetes, stomach ulcers, blood disorders, a history of drug/alcohol dependence, high blood pressure. This combination medication contains aspirin. Children and teenagers should not take aspirin if they have chickenpox, influenza or any undiagnosed illness without first consulting a doctor about Reye's syndrome, a rare but serious illness. Use caution engaging in activities requiring alertness such as driving or operating machinery. Limit alcohol intake. This medicine may cause stomach bleeding. Daily use of alcohol, especially when combined with this medicine, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information. Elderly persons are usually more sensitive to the effects of this medication. Use cautiously. Aspirin is not recommended for use during pregnancy. Consult your doctor before using this medication. This drug is excreted into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before you breast-feed.

DRUG INTERACTIONS: Tell your doctor of all prescription and over- the-counter medication you may use including: blood thinners (e.g., warfarin, heparin, ticlopidine), NSAIDs (e.g., ibuprofen, naproxen), steroids (e.g., prednisone), metronidazole, doxycycline, theophylline, methotrexate, certain drugs for heart rhythm disturbances (e.g., quinidine), diabetes drugs, drugs used for gout, glaucoma medicine, estrogens, cyclosporine, certain beta-blockers (e.g., propranolol). Also, tell your doctor if you take medicines that make you drowsy such as: anti-seizure drugs, tranquilizers, other narcotic pain relievers, anti-anxiety drugs, psychiatric medicine, muscle relaxants, certain antihistamines (e.g., diphenhydramine). Aspirin/NSAIDs are ingredients in many over-the-counter products. To prevent an overdose of aspirin/NSAIDs, read the labels carefully before taking other pain relievers or cold products to be sure they do not contain these drugs. Consult your pharmacist if you are uncertain your over-the-counter products contain aspirin/NSAIDs. This medication contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking this medication as excessive nervousness and irritability can occur. This drug may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.




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