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Fioricet® (Butalbital, Acetaminophen, and Caffeine Tablets USP) is indicated for the relief of the symptom complex of tension (or muscle contraction) ence supporting the efficacy and safety of this combination product in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable. Do not use this medication if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take acetaminophen, dog medicine tranadol, butalbital, , and caffeine before the MAO inhibitor has cleared from your body. Do not take more of this medication than is recommended. An overdose of acetaminophen can cause damage to your liver. Do not use any other cold, allergy, pain, or sleep medication without first asking your doctor or pharmacist. Acetaminophen (sometimes abbreviated as "APAP") is contained in many combination medicines. If you use certain products together you may accidentally use too much acetaminophen, dog medicine tranadol. Read the label of any other medicine you are using to see if it contains acetaminophen or APAP. Avoid drinking alcohol. It can increase the risk of liver damage while you are taking acetaminophen. If you drink more than three alcoholic beverages per day, do not take acetaminophen without your doctor's advice, and never take more than 2 grams (2000 mg) per day. Butalbital may be habit-forming and should be used only by the person it was prescribed for, . This medication should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Do not take this medication without first talking to your doctor if you drink more than three alcoholic beverages per day or if you have had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen. You should not take this medication if you are allergic to acetaminophen, butalbital, or caffeine, , or if you have porphyria. Before using acetaminophen, butalbital, and caffeine, tell your doctor if you are allergic to any drugs, or if you have:
kidney disease,
liver disease; or
a history of mental illness or suicidal thoughts.
If you have any of these conditions, , you may need a dose adjustment or special tests to safely take this medication. FDA pregnancy category C. It is not known whether acetaminophen, butalbital, dog medicine tranadol, and caffeine is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. Acetaminophen, butalbital, and caffeine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, narcotic pain medicine, sleeping pills, , muscle relaxers, dog medicine tranadol, and medicine for seizures, depression, dog medicine tranadol, or anxiety), . They can add to sleepiness caused by butalbital. Avoid drinking alcohol. It can increase the risk of liver damage while you are taking acetaminophen, . If you drink more than three alcoholic beverages per day, do not take acetaminophen without your doctor's advice, and never take more than 2 grams (2000 mg) of acetaminophen per day. Do not use any other cold, allergy, pain, or sleep medication without first asking your doctor or pharmacist. Acetaminophen (sometimes abbreviated as "APAP") is contained in many combination medicines. If you use certain products together you may accidentally use too much acetaminophen. Read the label of any other medicine you are using to see if it contains acetaminophen or APAP. While you are taking this medication, avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice. The following drugs can interact with acetaminophen, butalbital, dog medicine tranadol, and caffeine. Tell your doctor if you are using any of these:
an antibiotic;
a blood thinner such as warfarin (Coumadin);
isoniazid;
zidovudine (Retrovir, AZT);
seizure medication such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton);
gout medications such as probenecid (Benemid) or sulfinpyrazone;
an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), , rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate);
steroids such as prednisone, fluticasone (Advair), mometasone (Asmanex, , Nasonex), dexamethasone (Decadron, Hexadrol) and others; dog medicine tranadol; or
an antidepressant such as amitriptyline (Elavil, Etrafon), clomipramine (Anafranil), desipramine (Norpramin), dog medicine tranadol, imipramine (Janimine, Tofranil), dog medicine tranadol, and others.
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