butalbital/acetaminophen/caffeine (Alagesic LQ, Capacet, Dolgic Plus, Esgic, Fioricet, and Others)

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Jerry R. Balentine, DO, FACEP
    Jerry R. Balentine, DO, FACEP

    Jerry R. Balentine, DO, FACEP

    Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

A Guide to Migraine Headaches

Butalbital can increase the effects of narcotic pain killers, alcohol, sedative or hypnotic medications, and other medications that depress the central nervous system. Loss of consciousness, troubled breathing, lowered heart rate, coma, and in severe cases death can occur.

PREGNANCY: There are no adequate studies done on butalbital/acetaminophen/caffeine to determine its safe and effective use in pregnant women.

NURSING MOTHERS: Butalbital/acetaminophen/caffeine enters breast milk in small amounts; therefore, it is best to be cautious before using it in nursing mothers.

SIDE EFFECTS: Side effects of butalbital/acetaminophen/caffeine are lightheadedness, dizziness, shortness of breath, nausea, dry mouth, increase heart rate, and tremors.

Butalbital/acetaminophen/caffeine has a boxed warning of liver toxicity if used in excessive amounts for prolonged periods. Acetaminophen dosage should not exceed 4000 mg per day to avoid acute liver injury. Butalbital is habit forming and may be abused.

Tolerance, dependence, and physical dependence may occur after prolonged periods of use of barbiturates (butalbital).

This product is contraindicated in patients who have hypersensitivity to any of its compounds and in patients with porphyria.

REFERENCES:

MedlinePlus. Acetaminophen, Butalbital, and Caffeine.

Medscape. butalbital/acetaminophen/caffeine (Rx).

Quick GuideMigraine or Headache? Migraine Symptoms, Triggers, Treatment

Migraine or Headache? Migraine Symptoms, Triggers, Treatment
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