Fioricet is a combination medication commonly used to treat tension headaches but doctors also recommend it for recurring migraines.
Document Detail: You’ve probably heard of Fioricet. It is a combination medication commonly used to treat tension headaches but doctors also recommend it for recurring migraines. Acetaminophen is used to decrease the pain associated with muscular tension and caffeine increases the efficiency of the pain-killing effect.
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The last constituent of Fioricet is butalbital, a powerful sedative having the property to reduce anxiety and induce relaxation. This barbiturate is also responsible for the sleepiness appearing after Fioricet intake. Fioricet is available as tablets for oral administration, to be taken whole, by mouth, with or without food.
Talking to the doctor about the nausea problem could lead to finding out essential information on how to reduce this unwanted effect. In fact, he/she can prescribe antihistamines for the nausea but there is also the possibility of lying down one hour after taking the medication.
The dosage for Fioricet is adapted according to each patient and the medical condition.
Throughout the entire period of the treatment, the doctor will monitor constantly the progress of the patient and the general response to the administration of the drug. One of the side-effects caused by Fioricet is drowsiness. There are a lot of patients who report to the doctor complaining of day-time somnolence and in many cases the dosage of Fioricet is lowered. By going to the doctor, you can find out all there is to be known about Fioricet. You will be instructed to take it as soon as the first symptoms of tension headaches appear.
Fioricet is prescribed with extreme caution and medical specialists advise against using this medication for prolonged periods of time and in high doses.
It may cause dependence and severe withdrawal symptoms if the treatment is stopped of all a sudden. These symptoms are extremely varied, including flu-like symptoms with running nose and watery eyes.
At the same time, there are patients who experience more serious symptoms with abnormal behavior, mental confusion and seizures. The best thing to prevent withdrawal syndromes is to ask your doctor to reduce the dosage gradually. You can also ask about the addiction potential presented by Fioricet and you will certainly be informed that this medication should not be taken in larger quantities or more frequently than indicated.
Regular checkups are a must when you follow a treatment with Fioricet.
Talk to your doctor if you have started to use more than the usual dosage, if you notice the headaches to have become worse or if they appear often. Only a healthcare professional can decide if you need dosage adjustment or special tests performed in order to determine the cause of your headaches. Never try to solve these problems by yourself and do not believe the higher doses of this medication will do the trick.
In high doses, acetaminophen can do permanent damage to the liver and an overdose can even lead to death. The important thing to remember is that acetaminophen overdose symptoms take usually two days to appear. The condition is extremely urgent and must be treated immediately. The first two signs one should look for is yellowing of the skin and extreme nausea.
Nevertheless, Fioricet overdosing is a combination of all the symptoms caused by acetaminophen, butalbital and caffeine.
Barbiturate overdosing is likely to cause mental confusion, comatose states, sever fatigue, hallucinations and dyspnea. The treatment must be applied urgently, as butalbital can affect the vital centers of the brain. As for caffeine, high doses can lead to seizures, excessive perspiration and severe diarrhea. You can certainly understand that Fioricet is not something you take without consulting your doctor.
Before taking the medication, it is for the best that you tell your doctor if you have a history of substance abuse, alcohol addiction or if you have ever suffered from respiratory disease. Depression, liver disease and porphyria should also be mentioned.
Porphyria is a severe metabolic disorder and butalbital is not recommended to be used in such cases.
Fioricet can also interact with certain types of medication, including blood thinners, benzodiazepines, narcotic pain medication and tricyclic antidepressants. Be sure to discuss all these aspects with your doctor.
Remember, butalbital has a powerful effect on the central nervous system and this effect might be enhanced if you take MAO inhibitors at the same time.
IMPORTANT NOTE: The information contained here is only a supplement. It is not a substitute for the expertise and judgment of your doctor, other healthcare professional or pharmacist. Do not construe that the use of the drug is safe, effective, or appropriate for you. Before using this drug consult your healthcare professional.
FIORICET – ORAL (PAIN RELIEF) (fear´ah-set)
COMMON BRAND NAME(S): Fioricet
Drug Uses: This medication is a pain reliever and sedative. It is used to relieve mild to moderate pain and tension headaches.
Nevertheless, Fioricet overdosing is a combination of all the symptoms caused by acetaminophen, butalbital and caffeine. Barbiturate overdosing is likely to cause mental confusion, comatose states, sever fatigue, hallucinations and dyspnea. The treatment must be applied urgently, as butalbital can affect the vital centers of the brain. As for caffeine, high doses can lead to seizures, excessive perspiration and severe diarrhea. You can certainly understand that Fioricet is not something you take without consulting your doctor.
Before taking the medication, it is for the best that you tell your doctor if you have a history of substance abuse, alcohol addiction or if you have ever suffered from respiratory disease. Depression, liver disease and porphyria should also be mentioned. Porphyria is a severe metabolic disorder and butalbital is not recommended to be used in such cases. Fioricet can also interact with certain types of medication, including blood thinners, benzodiazepines, narcotic pain medication and tricyclic antidepressants. Be sure to discuss all these aspects with your doctor. Remember, butalbital has a powerful effect on the central nervous system and this effect might be enhanced if you take MAO inhibitors at the same time.
How Taken: Fioricet comes as a capsule and tablet to take by mouth. One or 2 tablets every 4 hours as needed. Total daily dosage should not exceed 6 tablets. Extended and repeated use of this product is not recommended because of the potential for physical dependence.
Warnings/Precautions: Fioricet may cause you to become drowsy or less alert; therefore, driving or operating dangerous machinery or participating in any hazardous activity that requires full mental alertness is not recommended until you know your response to this drug. If you are being treated for severe depression or have a history of severe depression or drug abuse, consult with your doctor before taking Fioricet. Use this drug with caution if you are elderly or in a weakened condition, if you have liver or kidney problems, or if you have severe abdominal trouble. If you are pregnant or plan to become pregnant, inform your doctor immediately. Fioricet can affect a developing baby. It also appears in breast milk. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding your baby until your treatment is finished.
Missed Dose: Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
Possible Side Effects: Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Fioricet. More common side effects may include: Abdominal pain, dizziness, drowsiness, intoxicated feeling, light-headedness, nausea, sedation, shortness of breath, vomiting. Less common or rare side effects may include: Agitation, allergic reactions, constipation, depression, difficulty swallowing, dry mouth, earache, exaggerated feeling of well-being, excessive sweating, excessive urination, excitement, fainting, fatigue, fever, flatulence, headache, heartburn, heavy eyelids, high energy, hot spells, itching, leg pain, mental confusion, muscle fatigue, numbness, rapid heartbeat, ringing in the ears, seizure, shaky feeling, skin redness and/or peeling, sluggishness, stuffy nose, tingling.
Regular checkups are a must when you follow a treatment with Fioricet. Talk to your doctor if you have started to use more than the usual dosage, if you notice the headaches to have become worse or if they appear often. Only a healthcare professional can decide if you need dosage adjustment or special tests performed in order to determine the cause of your headaches. Never try to solve these problems by yourself and do not believe the higher doses of this medication will do the trick. In high doses, acetaminophen can do permanent damage to the liver and an overdose can even lead to death. The important thing to remember is that acetaminophen overdose symptoms take usually two days to appear. The condition is extremely urgent and must be treated immediately. The first two signs one should look for is yellowing of the skin and extreme nausea.
Storage: Store below 86? F (30? C); dispense in a tight container and out of reach of children.
Overdose: An overdose of Fioricet, or combining this medication with alcohol or other central nervous system depressant, may lead to unconsciousness or perhaps death. Fioricet overdose is indicated by severe drowsiness, confusion, extreme weakness, hallucination, shortness of breath, too slow or troubled breathing, slurred speech, lack of coordination, vomiting with blood, unusually slow heartbeat.
More Information: Do not take Fioricet if you have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days. Dangerous side effects could result. Fioricet may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), other pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves.
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Fioricet is a prescription drug which is used in treatment of headaches. It is actually a combination drug which combines three ingredients that work together and provide a relief of headache pain in tensions headaches, muscle contraction headaches and headaches that occur after post-dural puncture.
The first ingredient in Fioricet is butalbital. This is a barbiturate drug which is very rarely used alone but which has found its way into a number of combination drugs, including Fioricet. Since it is a barbiturate drug, it is a relatively potent analgesic, meaning that it provides relief from pain. It can also be dependency-forming, but in Fioricet it is not present in such large doses so as to cause dependency unless it is used improperly or for too long.
The second ingredient in Fioricet is acetaminophen, also known as paracetamol. It is one of the most basic and most common drugs in the world. It is also a painkiller which can be used to treat mild to moderate pain. On its own, it can be used in treatment of headaches and it is only logical that it was included in Fioricet. It can cause liver damage if it is used improperly and it is often included in medications to discourage overuse.
The third ingredient in Fioricet is a formulation of caffeine which is a common stimulant present in coffee and tea. It is used in Fioricet for two reasons. The first is that it can enhance the effects of the other two ingredients that provide the majority of analgesic effects and the second one is that it has been found to constrict blood vessels, especially in the brain. This can also provide substantial relief from pain that is associated with tension headaches.
Fioricet was developed specifically with headaches in mind. It has found other uses, however, although these uses are still considered off-label and investigational. For example, Fioricet is sometimes used in treatment of migraines and there are a lot of people for whom it has done wonders when their migraines are in question. Some people take Fioricet for back pain and other painful conditions. These are not common uses for this drug but we felt that we should mention them as well.
Fioricet is a relatively potent medication and it should be taken with utmost care. It is usually not the first line treatment for headaches due to its potency and the fact that it contains a barbiturate drug. It is used when less potent drugs have failed and/or when the pain is extremely severe.
Using Fioricet without your doctor recommending it is something that we would not advise and something that can be dangerous for some people. Also, using the drug improperly, for periods of time that are longer than recommended or in amounts larger than the recommended one can lead to adverse effects and serious dangerous effects on the health.
Gabapentin is used to help control partial seizures (convulsions) in the treatment of epilepsy. This medicine cannot cure epilepsy and will only work to control seizures for as long as you continue to take it.
Gabapentin is also used in adults to manage a condition called postherpetic neuralgia, which is pain that occurs after shingles.
Gabapentin works in the brain to prevent seizures and relieve pain for certain conditions in the nervous system. It is not used for routine pain caused by minor injuries or arthritis. Gabapentin is an anticonvulsant.
This medicine is available only with your doctor’s prescription.
This product is available in the following dosage forms:
The chemical structure of gabapentin is related that of gamma-aminobutyric acid (GABA) which is a neurotransmitter in the brain. The exact mechanism as to how gabapentin controls epilepsy and relieves pain is unknown, but it probably acts like the neurotransmitter GABA.
Animal studies show that gabapentin prevents the development of allodynia (a normally non painful stimulus which is perceived as painful) and hyperalgesia (an exaggerated response to a painful stimulus).
Gabapentin can be very helpful in controlling the pain of trigeminal neuralgia (tic doloreaux), post herpetic neuralgia (the lingering pain after a bout of shingles), the pain of diabetic neuropathy and other neuritic pains such as pain from nerve irritation due spinal arthritis or disc disease and occipital neuralgia. Occasionally it seems to be helpful in controlling migraine and other headaches. It has also been reported to be helpful in controlling the pain of fibromyalgia.
International and domestic studies that have evaluated Neurontin for migraine prevention suggest that it is effective. In a study of 63 patients with migraine (with or without aura), gabapentin significantly reduced migraine frequency and intensity among 30 patients who received it. In this study, adverse events were mild to moderate in severity.
Similarly, in a large study, 143 people with migraine received daily doses of Neurontin or placebo for 12 weeks. At the end of 12 weeks, the migraine rate had declined from 4.2 migraines before treatment to 2.7 migraines after treatment in those who received this drug.
This decrease was significantly greater than the decrease from 4.1 migraines to 3.5 migraines among those who received placebo. Of the 56 gabapentin recipients, 46% had at least a 50% reduction in the four-week migraine rate. Drug-related adverse events (sleepiness and dizziness) led to drug withdrawal in 13% of patients in the gabapentin group compared with 7% in the placebo group. The researchers concluded that this medication is an effective and well-tolerated preventive for migraine.
Gabapentin is an effective prophylactic agent for patients with migraine. In addition, gabapentin appears generally well tolerated with mild to moderate somnolence and dizziness.
It should also be pointed out that the Fioricet formulation has changed. The old formulation included 50 mg of butalbital, 325 mg of acetaminophen and 40 mg a caffeine in the tablet. The new formulation is in form of capsules and it contains 50 mg of butalbital, 300 mg of acetaminophen and 40 mg of caffeine. As you can see, the amount of acetaminophen has been reduced due to new FDA guidelines concerning the limitation of acetaminophen amounts in combination drugs.
Fioricet is available online at various online pharmacies where you can order it and have them deliver the drug to your address. For many parts of the world, it is possible to have overnight delivery while there are parts where you will have to wait. The prices are lower online and when you find a reputable online pharmacy, you can safely and cheaply order Fioricet.
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Pharmacist tips for Fioricet
- Fioricet can cause excessive sleepiness, dizziness, and lightheadedness. Don’t drive or use any heavy machinery until you know how the medication affects you.
- Since Fioricet contains some caffeine, be sure to limit how much caffeine you use per day. Too much caffeine can lead to nervousness, shakiness, restlessness, trouble sleeping, and a fast heart rate.
- Avoid drinking alcohol while taking Fioricet, since it can cause you to be more drowsy and less alert, and raise your risk of accidental injuries and liver damage.
- Many over-the-counter and prescription medications contain acetaminophen. Don’t take more than 3 to 4 grams of acetaminophen per day to avoid liver damage. Ask your provider what your maximum daily amount of acetaminophen is, since this depends on your provider’s instructions.
- Use caution if you currently take medications called monoamine oxidase inhibitors (MAOIs), such as phenelzine (Nardil), tranylcypromine (Parnate), or selegiline (Eldepryl). Taking a MAOI with Fioricet can lead to sleepiness, dizziness, and slowed breathing.
- If you’re using the oral syrup form of Fioricet, use the dosing cup or syringe provided by your pharmacist to measure out your dose. Don’t use kitchen spoons or cups since they might not give you the most accurate dose.
- Store Fioricet at room temperature in a place out of reach from children due to the life-threatening risk of accidental overdose, misuse, and abuse. If you or someone you know accidentally overdoses on Fioricet, get emergency medical help or call your local poison control center at 1-800-222-1222 right away.