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narcotic analgesic-apap-caffeine-butalbital-oral (cont.)

SIDE EFFECTS: Stomach upset, headache, blurred vision, constipation, drowsiness, dizziness or lightheadedness may occur. If any of these effects persist or worsen, inform your doctor. Notify your doctor immediately if you develop: rapid heart rate, fainting, breathing difficulties, mood changes, depression, irritability, nervousness. If you do not have liver problems, the adult maximum dose of acetaminophen is 4 grams per day (4000 milligrams). If you take more than the maximum daily amount, it may cause serious (possibly fatal) liver disease. Tell your doctor immediately if you have any of the following symptoms of liver damage: severe nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor if you have a history of: asthma or other breathing disorders, kidney disease, liver disease, drug dependency, allergies (especially drug allergies). Use caution performing tasks requiring alertness if this medication causes you to feel drowsy or dizzy. This product contains acetaminophen. Acetaminophen may cause liver damage. Daily use of alcohol, especially when combined with acetaminophen, may increase your risk for liver damage. Check with your doctor or pharmacist for more information. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. Also limit your intake of alcoholic beverages which will aggravate these effects. The elderly and children may be more susceptible to the effects of this medication. Use this with caution. This medication should be used during pregnancy only if clearly needed. Discuss the risks and benefits with your doctor. It is not known if this medication appears in breast milk. Consult your doctor before breast-feeding.



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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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