My migraine headaches hurts so bad, the medications i took are not helping at all. Is there something i could do to relieve the migraine headaches.
Fioricet for Migraine
Fioricet is a combination medication composed of acetaminophen (Tylenol’s main ingredient), caffeine, and butalbital. It is used to relieve tension headaches and can also be prescribed to treat mild to moderate migraine.
Butalbital belongs to the barbiturate class of medication, which means it is a sedative, or relaxant.1 This makes Fioricet a barbiturate. Because it contains acetaminophen and caffeine, it is also a pain reliever and a stimulant.
Medications containing this combination of ingredients come in capsule and tablet forms, which can be taken by mouth. This combination of medications is also available in generics. Other brand names and formulations include:
Fioricet® with Codeine (containing Acetaminophen, Butalbital, Caffeine, Codeine)
Phrenilin® with Codeine (containing Acetaminophen, Butalbital, Caffeine, Codeine)
What are the ingredients in Fioricet?
The active ingredients in Fioricet are acetaminophen, caffeine, and butalbital.
How does Fioricet work?
The acetaminophen in Fioricet is a pain reliever, the caffeine works as a stimulant to increase the acetaminophen’s effectiveness, and the butalbital is a sedative that decreases anxiety while causing relaxation and sleepiness. These actions are believed to ease migraine symptoms, but there is limited evidence that barbituates ease migraine symptoms.1
What are the possible side effects of Fioricet?
The most common side effects from Fioricet include:
The following side effects could be signs of allergy or more serious complications and should be reported to health provider immediately:
This is not an exhaustive list of all potential side effects of Fioricet. For more information, consult your doctor or healthcare provider. Patients should talk to their doctor about what to expect with treatment with Fioricet. If you notice any new or worsening side effects, contact your doctor or healthcare provider immediately.
Things to note about Fioricet
Fioricet can be habit-forming, so you should use extreme caution if you decide to take it. Additionally, some people who take barbituates or opioids for extended periods can experience rebound headaches, which can increase in severity. These are also known as MOH, or medication overuse headaches.1
Barbituates can cause drowsiness, and their effect can be increased by alcohol use. It is important not to drive or use heavy machinery until you know how this drug affects you.2
Before taking Fioricet, tell your doctor if you:
Are allergic to any ingredients in the medication
Are taking blood thinners, antidepressants, antihistamines, or other sedatives like sleeping pills or tranquilizers.
Are taking pain medications. Many over-the-counter pain relievers contain acetaminophen, and too much of this drug can be harmful.
Have ever had liver disease, porphyria, or depression
Are pregnant, plan to become pregnant, or are breastfeeding
You should begin no medication or supplement without first checking with your health care provider and should let them know of any other prescriptions, OTCs, and herbals you are taking to ensure there are no interactions.
There are maybe a lot of answers for this query. But I think the best solution is:
Answer by stevepitt2
Avoid migraine activates –
Migraine attacks may be triggered by:
brilliant lights, loud noises, plus certain odors or perfumes
Physical or emotional stress
Changes in sleep patterns
Smoking or exposure to smoke
Menstrual cycle fluctuations, birth control pills, body hormone fluctuations during the menopause transition
Foods that contains tyramine (red wine, older cheese, smoked fish, poultry livers, figs, and some beans), monosodium glutamate (MSG) or even nitrates (like bacon, very hot dogs, and salami)
some other foods such as chocolate, nut products, peanut butter, avocado, clown, citrus, onions, dairy products, plus fermented or pickled food items.
– MedlinePlus medical encyclopedia
Fioricet is used to treat migraine and various forms of headache. Many doctors prescribe it to their patients because it is a sedative and a pain killer wrapped in one. When you have a prescription, you can buy Fioricet anywhere, but you should know that you should not exceed dosage prescribed by your doctor. However, if you have exceeded the dosage, you should call your doctor and tell him what side effects you are experiencing so he can help you out.
When you order Fioricet , you will get it in form of pills for oral usage of various shapes and colors. Usually it’s made in white or blue color, and the shape might be round or oval. Dosage is same for any of mentioned, 40mg, only shapes and colors are different.
Q: How do you ship orders?
A: We ship all orders by USPS.
Q: Do you offer delivery on Saturdays?
A: Yes, The Express Mail option allows for delivery on Saturdays. Priority Mail does not. If it is Friday, and you want to see your order the next day, please select the Express Mail option.
Q: What is the difference between Priority Mail and Express Mail?
A: Express Mail is our fastest option; your order will normally be delivered within a day and will deliver on Saturday if needed. Priority Mail takes 2-3 days to deliver and does not deliver on Saturdays. Priority Mail and Express Mail for all orders within the 48 continental U.S. states.
Q: Do you ship Internationally?
A: Sorry we ship only within the U.S, we cannot ship Internationally at this time.
What you should know before you order fioricet online
Tell your doctor your medical history, especially of: serious liver disease, alcohol or narcotic dependence, emotional/mental conditions, heart disease (arrhythmias, recent MI), stomach/intestinal ulcers, any allergies. 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 prevent oversedation, avoid using alcohol and other sedative type medications while taking this. This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages.
This medication contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking this medication as excessive nervousness and irritability can occur. This medication should be used during pregnancy only if clearly needed. Small amounts of this medication appear in breast milk. Consult your doctor before breast-feeding.
Doctors usually prescribe one pill of Fioricet to be taken on every four hours. You should not exceed six pills per day. You should not take Fioricet if you are using beta-blockers, because it can reduce or even negate their effect. At the start of treatment, you might feel drowsy, but the effects will disappear as time passes. You might encounter some side effects while on Fioricet treatment, including shaking / tremors, abdominal pain, vomiting, anxiousness and nausea. If you do encounter any of mentioned, you should contact your doctor so you can receive suitable replacement. If Fioricet is prescribed by doctor who knows your full medical history, side effects can be lowered to minimum or may never appear. Consequences of overdosing can be very serious, even fatal. You should not buy Fioricet if you are abusing alcohol or drugs.
There are many stores that offer Fioricet, but as we all know, you can get cheap Fioricet online very easily. Web stores usually have big discounts, and deliver the drug to your house, office or any other place you want it delivered to discreetly and quickly, which are the main reasons this drug has gotten so popular in such a short amount of time. Web stores tend to deliver your order as soon as possible, but it never takes more than one day. If you order Fioricet online today, it will be delivered either during the day or in the morning. When we think of advantages, it is fast, reliable, discreet, and you don’t even have to leave your house. All you have to do is place the order online and web store delivery will get your order sorted out. It is also important to mention that in some web stores you can buy fioricet overnight, so if you are using it for long time, there is no need to visit your doctor and ask him to prescribe it again.
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.
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.
Fioricet DRUG INTERACTIONS:
Tell your doctor of all prescription and nonprescription drugs you may use, especially of: “blood thinners” Tell your doctor or pharmacist of all prescription and nonprescription drugs you may use that cause drowsiness such as: medicine for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine). Because this medication contains acetaminophen, check with your doctor or pharmacist before taking other medications containing acetaminophen which is commonly found in nonprescription pain relievers and cough-and-cold products. Read labels carefully to check ingredients. 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.
There are pharmacies that also participate in the affiliate programs. When you get Fioricet delivered overnight, you have the option of signing up for the affiliate program if you have your own website. The pharmacy will place banners and/or advertisements to their pharmacy. When someone clicks on your link to receive overnight fioricet no rx, you are credited on your account for the next time you want cheap fioricet next day delivery of your order. If you do your research, you will find the pharmacy that is just right for you.
If your choice in online pharmacies that offer those discounts to their customers does not have a secure and safe site, it will be of no use to you. Although most sites are safe that offer all of these different discounts, recheck them yourself. Make sure they have a secure encryption system in place so that when you send your credit card number and personal information across the Internet, no one receives it except the intended pharmacy. If that pharmacy has this type of security, they will display it very prominently on their site.
The site you choose should also have a very easy to navigate site. Many people looking to receive cheap Fioricet overnight are older and suffer from arthritis, diabetic neuropathy, fibromyalgia and chronic pain syndromes. They do not know how to use the computer like the younger generation. There is nothing worse than to get so aggravated with a site because they cannot navigate it that they move to another site.
Look for pharmacies that have 24/7 customer service representatives available, either by online chat, email that is answered within 24 hours or have telephone support. This is very important for that older generation when all they want to do is get Fioricet overnight cheap. A few kind words can alleviate any concerns that the customer may have.
Pharmacies that have overnight service use FedEx which delivers your discreet plain package that no one know what is in it except you. They do require that someone over the age of 18 must be present to sign for the order. This is for your benefit and the pharmacy to make sure you received your order.
Cheap Fioricet overnight is one of the best medications you can use for many painful conditions. It does not carry most of the side effects of narcotic pain relievers like Oxycontin, Hydrocodone and Vicodin. It is proving to rival those drugs because it mimics their effect on pain relieving signals that reach the brain.
People who suffer from tension-type headaches that do not respond to over-the-counter (OTC) medications may find relief with combination drugs that include butalbital.
Commonly prescribed as Fioricet (butalbital/acetaminophen/caffeine) or Fiorinal (butalbital/aspirin/caffeine), butalbital is a sedative in the barbiturate class of medicines. Although the drug causes intense relaxation and eases the pain of a tension headache, it is not without risks.
The most common type of headache disorder, a tension headache occurs when neck and scalp muscles become tense, or contract, meaning they squeeze down. This causes pain, often described as a rubber-band-around-the-head feeling or a pressure sensation, on both sides of the head.
Tension headaches can be triggered by a number of factors including stress, hunger, lack of sleep, anxiety, and temperature changes. They may occur at any age but are most common in adults and older teens. Some people are more prone or vulnerable to developing tension headaches than others, although the reason behind this is not very clear.
Most tension headaches are mild in pain and can be easily alleviated with rest, fluids, removal of the trigger, and/or an over-the-counter medication like Motrin (ibuprofen) or Tylenol (acetaminophen). Behavioral therapies too can be effective like physical therapy or cognitive-behavioral therapy.1
When recurring tension headaches do not respond to other treatments, your doctor may prescribe Fiorinal or Fioricet. Codeine may also be added to this combination of medicine. While this medication is very effective in the short-term, there are some things to watch out for.
Butalbital is a barbiturate, which means that it helps to slow down the central nervous system and relax the muscle tension believed to be associated with tension headaches.
Before taking medication containing butalbital, tell your doctor if you:
Are allergic to any ingredients in the medication, such as acetaminophen or aspirin.
Are currently taking blood thinners, antidepressants, antihistamines, or other sedatives such as sleeping pills or tranquilizers
Have or previously had liver disease, porphyria, or depression
Are pregnant, plan to become pregnant, or are currently breastfeeding
Always take these medications as prescribed by your doctor. According to the manufacturer, the typical dose for Fioricet or Fiorinal is one to two tablets, every four to six hours as needed, not to exceed six tablets per day. These drugs should not be taken more than twice a week, as extended and repeated use of butalbital can lead to physical dependence.
If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include:
Dizziness, drowsiness, lightheadedness, sedation, shortness of breath, nausea, vomiting, abdominal pain, or an intoxicated feeling are the most commonly reported side effects.
Other side effects, such as constipation, excessive sweating, itch, serious skin reactions, and mental confusion are less common.
Butalbital is habit-forming and there is a high risk of dependence with extended and repeated use of Fioricet. Therefore it is not considered a first-choice medicine for headaches.
May cause medication-overuse headache with repeated use and a withdrawal syndrome upon discontinuation.
The potential for liver damage with the acetaminophen component exists, even at recommended dosages. The risk is increased with higher dosages, with chronic alcohol use, with some medications, and in patients with significant liver disease.
May not be suitable for some people, including the elderly and people with kidney or liver disease.
Although Fioricet may be prescribed for migraine headaches, it is not FDA approved for this and evidence does not support its use for migraine.
Should not be used during pregnancy or breastfeeding.
May interact with a number of other medications including those that also cause sedation such as opioids, benzodiazepines, and sedating antihistamines. Alcohol should be avoided.
Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. View complete list of side effects
Side Effects of Taking Fioricet
Fioricet and Fiorinal should be taken with food or milk to prevent gastric problems. The following side effects have been reported in people taking medications containing butalbital:
More serious side effects may occur and could be signs of an allergy or serious complications. See your doctor immediately if you experience any of the following:4
Risks of Taking Fioricet
Butalbital-containing medications can be habit-forming and may lead to addiction and other problems. Risks of taking Fioricet and Fiorinal include:
Butalbital slows the central nervous system, leading to lack of coordination, problems with thinking and memory, slowness of speech, disinhibition, and emotional disturbances. Do not drive or operate heavy machinery while taking medicines containing butalbital.
Medication Overuse Headache
A medication-overuse headache (MOH), once known as a rebound headache, drug-induced headache, or medication-misuse headache, is a chronic headache that develops as a result of prolonged and frequent use of certain medications for acute headaches. Such headaches are a common side effect of a number of classes of medications used to treat headaches.
According to the International Classification of Headache Disorders, MOH is diagnosed when a person has a headache 15 or more times a day and, in the case of combination pain relievers like Fioricet and Fiorinal, has been taking the drug for 10 days a month for more than three months.
In addition, medication overuse headaches are often not responsive to preventive headache medications. This lack of response to other medications is often a clue to doctors that a medication overuse headache has developed.
Medications containing butalbital should be limited to two days per week to avoid this rebound effect.
When taking butalbital, you may experience withdrawal symptoms within eight to 36 hours after the last dose. Withdrawal symptoms may include anxiety, muscle twitching, tremor, weakness, dizziness, nausea and vomiting, insomnia, weight loss, and even seizures when the medication is discontinued.
Due to the risk of seizures with a withdrawal from butalbital, medical treatment in a monitored setting under the care of a physician is indicated.
Tolerance and Addiction
Tolerance and addiction may also occur with butalbital. Tolerance means that a person needs more of the medication to achieve headache relief. Addiction to butalbital is characterized by persistent behaviors, like compulsions, to take a butalbital-containing medication.
These behaviors impair their life in some way, negatively impacting relationships and/or everyday functioning.
Do not take Fioricet along with other medications that contain acetaminophen as it can be toxic to the liver.
Doctors don’t fully understand what causes most headaches. They do know that the brain tissue and the skull are never responsible since they don’t have nerves that register pain. But the blood vessels in the head and neck can signal pain, as can the tissues that surround the brain and some major nerves that originate in the brain. The scalp, sinuses, teeth, and muscles and joints of the neck can also cause head pain.
Experts aren’t sure exactly how acetaminophen works, but suspect it blocks a specific type of cyclo-oxygenase (COX) enzyme, located mainly in the brain.
Butalbital belongs to the class of medicines called barbiturates. When used for pain due to tension headaches experts believe it works by relaxing muscle contractions and causing sedation via an enhancement of the inhibitory effects of GABA (a neurotransmitter that regulates communication between brain cells).
Caffeine is thought to enhance the pain-relieving effects of acetaminophen by up to 40%. In addition, it has vasoconstrictive properties, narrowing blood vessels in the brain thereby decreasing blood flow and oxygen tension (before a headache or a migraine, blood vessels tend to enlarge). This also helps to relieve pain.
Fioricet belongs to the class of medicines known as barbiturates because it contains butalbital. It may also be called a combination analgesic.
When to worry about a headache
You can take care of many types of headaches by yourself, and your doctor can give you medication to control most of the tougher headaches. But some headaches call for prompt medical care. Here are some warning signs for when you should worry about headaches:
Headaches that first develop after age 50
A major change in the pattern of your headaches
An unusually severe headache
Head pain that increases with coughing or movement
Headaches that get steadily worse
Changes in personality or mental function
Headaches that are accompanied by fever, stiff neck, confusion, decreased alertness or memory, or neurological symptoms such as visual disturbances, slurred speech, weakness, numbness, or seizures
Headaches that are accompanied by a painful red eye
Headaches that are accompanied by pain and tenderness near the temples
Headaches after a blow to the head
Headaches that prevent normal daily activities
Headaches that come on abruptly, especially if they wake you up
Headaches in patients with cancer or impaired immune systems
Types of headaches
There are more than 300 types of headaches, but only about 10% of headaches have a known cause. The others are called primary headaches. Here is a rundown on some major primary headaches.
Occurring in about three of every four adults, tension headaches are the most common of all headaches. In most cases, they are mild to moderate in severity and occur infrequently. But a few people get severe tension headaches, and some are troubled by them for three or four times a week.
The typical tension headache produces a dull, squeezing pain on both sides of the head. People with strong tension headaches may feel like their head is in a vise. The shoulders and neck can also ache. Some tension headaches are triggered by fatigue, emotional stress, or problems involving the muscles or joints of the neck or jaw. Most last for 20 minutes to two hours.
If you get occasional tension-type headaches, you can take care of them yourself. Over-the-counter pain relievers such as acetaminophen (Tylenol, other brands) and nonsteroidal anti-inflammatories (NSAIDs) such as aspirin, naproxen (Aleve, other brands), or ibuprofen (Motrin, Advil, other brands) often do the trick, but follow the directions on the label, and never take more than you should. A heating pad or warm shower may help; some people feel better with a short nap or light snack.
If you get frequent tension-type headaches, try to identify triggers so you can avoid them. Don’t get overtired or skip meals. Learn relaxation techniques; yoga is particularly helpful because it can relax both your mind and your neck muscles. If you clench your jaw or grind your teeth at night, a bite plate may help.
If you need more help, your doctor may prescribe a stronger pain medication or a muscle relaxant to control headache pain. Many people with recurrent tension-type headaches can prevent attacks by taking a tricyclic antidepressant such as amitriptyline (Elavil, generic). Fortunately, most people with tension-type headaches will do very well with simpler programs.
Migraines occur less often than tension headaches, but they are usually much more severe. They are two to three times more common in women than men, but that’s small consolation if you are among the 6% to 8% of all men who have migraines. And since a Harvard study of 20,084 men age 40 to 84 reported that having migraines boosts the risk of heart attacks by 42%, men with migraines should take their headaches to heart.
Neurologists believe that migraines are caused by changes in the brain’s blood flow and nerve cell activity. Genetics play a role since 70% of migraine victims have at least one close relative with the problem.
Migraine triggers. Although a migraine can come on without warning, it is often set off by a trigger. The things that set off a migraine vary from person to person, but a migraine sufferer usually remains sensitive to the same triggers. The table lists some of the most common ones.
Major migraine triggers
Changing weather: rising humidity, heat
Lack of sleep or oversleeping
Sensory triggers: bright or flickering lights, loud noises, strong smells
missing a meal
alcohol, especially red wine
nitrates in cured meats and fish
an increase or decrease in caffeine
MSG (often present in Asian and prepared foods)
Migraine symptoms. Migraines often begin in the evening or during sleep. In some people, the attacks are preceded by several hours of fatigue, depression, and sluggishness or by irritability and restlessness. Because migraine symptoms vary widely, at least half of all migraine sufferers think they have sinus or tension headaches, not migraines.
About 20% of migraines begin with one or more neurological symptoms called an aura. Visual complaints are most common. They may include halos, sparkles or flashing lights, wavy lines, and even temporary loss of vision. The aura may also produce numbness or tingling on one side of the body, especially the face or hand. Some patients develop aura symptoms without getting headaches; they often think they are having a stroke, not a migraine.
The majority of migraines develop without an aura. In typical cases, the pain is on one side of the head, often beginning around the eye and temple before spreading to the back of the head. The pain is frequently severe and is described as throbbing or pulsating. Nausea is common, and many migraine patients have a watering eye, a running nose, or congestion. If these symptoms are prominent, they may lead to a misdiagnosis of sinus headaches.
Without effective treatment, migraine attacks usually last for four to 24 hours. When you’re suffering a migraine, even four hours is far too long — and that’s why early treatment for a migraine is so important.
Migraine treatment. If you spot a migraine in its very earliest stages, you may be able to control it with nonprescription pain relievers. Acetaminophen, aspirin, ibuprofen, naproxen, and a combination of pain medications and caffeine are all effective — if you take a full dose very early in the attack. The anti-nausea drug metoclopramide (Reglan) may enhance the activity of NSAIDs.
When prescription drugs are needed, most doctors turn to the triptans, which are available as tablets, nasal sprays, or as injections that patients can learn to give to themselves. Examples include sumatriptan (Imitrex), zolmitriptan (Zomig), and rizatriptan (Maxalt). Triptans provide complete relief within two hours for up to 70% of patients; the response is best if treatment is started early. Some patients require a second dose within 12 to 24 hours. Because the triptans can affect blood flow to the heart as well as the head, patients with cardiovascular disease should not use them. Patients who take antidepressants in the SSRI family should also avoid triptans.
Work with your doctor to find the migraine treatment that works best for you. Remember, though, that overuse can lead to rebound headaches and a vicious cycle of drugs and headaches. So, if you need treatment more than two or three times a week, consider preventive medications.
Migraine prevention. Some people can prevent migraines simply by avoiding triggers. Others do well with prompt therapy for occasional attacks. But patients who suffer frequent migraine attacks often benefit from preventive medications. Effective prescription drugs include beta blockers (such as propranolol, nadolol and atenolol), certain antidepressants (such as amitriptyline), and certain antiseizure medications (such topiramate and valproate). Difficult cases may benefit from referral to a headache specialist.
Fioricet is a medication that is being used more and more often for patients who are struggling with constant tension All kinds of Headache and migraines.
Since these types of All kinds of Headache have similar causes, they can easily be treated with the same type of medication. Before you start using this medication, though, you might be wondering exactly how and why it works on your body. Here’s some information on the main ingredients in Fioricet and what they do for your body.
Fioricet contains a combination of acetaminophen, butalbital, and caffeine. Acetaminophen is a pain reliever and fever reducer. Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache.
Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.
Fioricet is used to treat tension headaches that are caused by muscle contractions.
Butalbital has generalized depressant effect on central nervous system and, in very high doses, has peripheral effects.
Acetaminophen has analgesic and antipyretic effects mediated by a metabolite which acts at cannabinoid receptors, contrary to popular belief it is not an anti-inflammatory at safe levels (it becomes toxic at doses above 1,000mg per dose and/or 3,000mg per day).
Caffeine is thought to produce constriction of cerebral blood vessels and serves to counteract the sedative effect of butalbital.
Butalbital has a half-life of about 35 hours. Acetaminophen has a half-life of about 1.25 to 3 hours, but may be increased by liver damage and after an overdose. Caffeine has a half-life of about 5 to 7 hours
Acetaminophen is one of the main ingredients in this medication. It is a blood thinner that is often used as an over the counter pain reliever and fever reducer. Chances are likely that if you’ve struggled with All kinds of Headache for a while, you may have already tried taking acetaminophen under different brand names to reduce your pain. Chances are likely that it didn’t work for the worst of your All kinds of Headache. The reason that it works in Fioricet, though, is that it’s combined with two other ingredients: Butalbital and caffeine.
Butalbital is a barbiturate, a powerful medication used to relax the muscles and ease tension. This medication can make some people sleepy, so you should be careful about using Fioricet when you’re driving or operating heavy machinery. Many times tension All kinds of Headache and migraines are caused by the tension in neck and shoulder muscles. Since Butalbital helps ease this tension, it can get rid of one of the underlying causes for such All kinds of Headache.
Many people are surprised to learn that caffeine is a major active ingredient in Fioricet. This substance, though, actually can increase blood flow and help the nervous system function more smoothly. For this reason, it helps the body loosen up and can also ensure that the other two active ingredients are delivered to the proper spots in the body more quickly through the fast-flowing blood stream.
Before you purchase Fioricet from a pharmacy, you might want to check out the different options for ordering this effective headache and tension medication.
You can actually get better prices by purchasing it online. Plus, ordering them online is excellent because you can conveniently get your medications delivered right to your door. The discretion and ease involved in purchasing your pain relieving medication this way is unparalleled by what any regular pharmacy can offer. Before you decide to purchase your Fioricet, make sure you research other purchasing options that might save you time and money.
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.
This product is available in the following dosage forms:
This combination medication is used to treat tension headaches. Aspirin helps to decrease the pain from the headache. Caffeine helps increase the effects of aspirin. Butalbital is a sedative that helps to decrease anxiety and cause sleepiness and relaxation.
Take this medication by mouth, usually every 4 hours as needed or as directed by your doctor. Do not take more than 6 capsules/tablets in a 24-hour period. Take with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 10 minutes after taking this medication. To help prevent stomach upset, take it with food or milk.
The dosage is based on your medical condition and response to therapy. This medication works best if it is used as the first signs of a headache occur. If you wait until the headache has worsened, the medication may not work as well.
If you suddenly stop using this medication, you may have withdrawal symptoms (such as nausea/vomiting, mental/mood changes, seizures). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used this medication for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.
Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Do not increase your dose, take it more often, or use it for a longer time than prescribed. Use the smallest effective dose. Properly stop the medication when so directed.
Inform your doctor if you notice increased use of this medication, a worsening of headaches, an increase in the number of headaches, the medication not working as well, or use of this medication for more than 2 headache episodes a week. Your doctor may need to change your medication and/or add a separate medication to prevent the headaches.
Side Effects of Butalbital APAP Caffeine
Nausea, vomiting, stomach upset, gas, shaking (tremor), lightheadedness, dizziness, or drowsiness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if any of these unlikely but serious side effects occur: mental/mood changes, fainting, fast/irregular heartbeat, increased thirst/urination, hearing changes (e.g., ringing in the ears), easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), heartburn, discomfort when swallowing, dark urine, yellowing eyes/skin, signs of kidney problems (such as change in the amount of urine), unusual tiredness.
Seek immediate medical attention if any of these rare but very serious side effects occur: black stools, severe stomach/abdominal pain, vomit that looks like coffee grounds, trouble speaking, weakness on one side of the body.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US –
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Precautions of Butalbital APAP Caffeine
Before taking this medication, tell your doctor or pharmacist if you are allergic to aspirin, caffeine, or butalbital; or to other barbiturates (e.g., phenobarbital), salicylates (e.g., salsalate), nonsteroidal anti-inflammatory drugs (e.g., ibuprofen), or xanthine derivatives (e.g., theophylline); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: severe breathing problems (e.g., bronchopneumonia), a certain enzyme disorder (porphyria), aspirin-sensitive asthma (a history of worsening breathing with runny/stuffy nose after taking aspirin or other NSAIDs), severe stomach/bowel problems (e.g., stomach/intestinal ulcers), bleeding/blood clotting disorders (e.g., hemophilia, von Willebrand’s disease, thrombocytopenia).
Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease, kidney disease, asthma, heartburn, gout, growths in the nose (nasal polyps), personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol), certain enzyme deficiencies (pyruvate kinase or G6-PD deficiency), mental/mood disorders, heart disease (e.g., irregular heartbeat, recent heart attack).
Before having surgery or certain medical procedures (such as a heart stress test or a procedure to restore a normal heart rhythm if you have an unusually fast heartbeat), tell your doctor or dentist that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).
This medicine may cause stomach bleeding. Daily use of alcohol and tobacco, especially when combined with this medicine, may increase your risk for stomach bleeding. Limit alcohol and stop smoking. Consult your doctor or pharmacist for more information.
This medication contains aspirin. Children and teenagers less than 18 years old should not take aspirin if they have chickenpox, flu, or any undiagnosed illness, or if they have just been given a live virus vaccine, without first consulting a doctor about Reye’s syndrome, a rare but serious illness.
Older adults may be more sensitive to the side effects of this drug, especially drowsiness, stomach/intestinal bleeding and ulcers, and trouble falling asleep. Drowsiness and trouble falling asleep can increase the risk of falling.
Before using this medication, women of childbearing age should talk with their doctor(s) about the benefits and risks. Tell your doctor if you are pregnant or if you plan to become pregnant. This medication may harm an unborn baby and cause problems with normal labor/delivery. It is not recommended for use in pregnancy from 20 weeks until delivery. If your doctor decides that you need to use this medication between 20 and 30 weeks of pregnancy, you should use the lowest effective dose for the shortest possible time. You should not use this medication after 30 weeks of pregnancy.
This drug passes into breast milk and could have undesirable effects on a nursing infant. Therefore, breast-feeding is not recommended while using this drug. Consult your doctor before breast-feeding.
Interactions of Butalbital APAP Caffeine
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.
Some products that may interact with this drug include: darunavir, dichlorphenamide, ketorolac, mifepristone, sodium oxybate, acetazolamide, certain drugs used to treat gout (including uricosuric drugs such as probenecid, sulfinpyrazone), certain antibiotics (including penicillin, sulfonamides such as sulfamethoxazole), drugs affecting liver enzymes that remove this medication from your body (such as macrolide antibiotics including erythromycin, cimetidine, disulfiram, valproic acid, MAO inhibitors including isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine), lithium, 6-mercaptopurine, methotrexate, methoxyflurane, phenytoin.
This medication may increase the risk of bleeding when taken with other drugs that also may cause bleeding. Examples include anti-platelet drugs such as clopidogrel, “blood thinners” such as dabigatran/enoxaparin/warfarin, among others.
This drug can speed up the removal of other drugs from your body by affecting certain liver enzymes. These affected drugs include corticosteroids such as prednisone, estrogen, felodipine, quinidine, certain beta blockers such as metoprolol, theophylline, doxycycline.
Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), other drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).
Check the labels on all your medicines (allergy or cough-and-cold products, other headache medications) because they may contain aspirin, caffeine, or ingredients that cause drowsiness. Also keep in mind that certain beverages (e.g., coffee, colas, tea) contain caffeine. Ask your pharmacist about using those products safely.
Also, check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (NSAIDs such as ibuprofen, naproxen, aspirin) that may increase your risk for side effects if taken together with this medication. However, if your doctor has directed you to take low-dose aspirin to prevent heart attack or stroke (usually at dosages of 81-325 milligrams a day), you should continue taking the aspirin unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.
This medication may decrease the effectiveness of hormonal birth control such as pills, patch, or ring. This could cause pregnancy. Discuss with your doctor or pharmacist if you should use additional reliable birth control methods while using this medication. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well.
This medication may interfere with certain medical/laboratory tests (including fasting blood glucose, cholesterol levels, prothrombin time, urine 5-HIAA levels, urine VMA levels, certain urine glucose tests, dipyridamole-thallium imaging tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
Overdose of Butalbital APAP Caffeine
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness, slow breathing, severe dizziness, persistent nausea/vomiting, ringing in the ears.
Do not share this medication with others. Sharing it is against the law.
Massage, hot baths, and other relaxation methods can help with tension headaches. Consult your doctor or pharmacist for more details.
Laboratory and/or medical tests (e.g., liver and kidney function tests) may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
Storage Of Butalbital APAP Caffeine
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.