Aspirin, butalbital, caffeine, and codeine

Generic name: Aspirin, Butalbital, Caffeine, And Codeine
Dosage form: oral capsule (325 mg-50 mg-40 mg-30 mg)
Drug class: Narcotic analgesic combinations

Usage of Aspirin, butalbital, caffeine, and codeine

Aspirin, butalbital, caffeine, and codeine is a combination medicine used to treat tension headaches after other treatments have failed. aspirin, butalbital, caffeine, and codeine is not for treating headaches that come and go.

This medicine contains codeine, an opioid (narcotic) medicine, and may be habit-forming.

This medication may also be used for purposes not listed in this medication guide.

Aspirin, butalbital, caffeine, and codeine side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.

Aspirin, butalbital, caffeine, and codeine may cause serious side effects. Call your doctor at once if you have:

noisy breathing, sighing, shallow breathing, breathing that stops during sleep;

a slow heart rate or weak pulse;

a light-headed feeling, like you might pass out;

confusion, unusual thoughts or behavior;

easy bruising or bleeding (nosebleeds, bleeding gums);

severe constipation;

symptoms of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds; or

low cortisol levels--nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.

Long-term use of opioid medication may affect fertility (ability to have children) in men or women.

Common side effects include:

nausea, vomiting, stomach pain, constipation;

headache, dizziness, drowsiness; or

feeling tired.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Before taking Aspirin, butalbital, caffeine, and codeine

You should not use this medicine if you are allergic to aspirin, butalbital, caffeine, or codeine, or if you have:

severe asthma, asthma with runny nose and nasal polyps, or other breathing problems;

a stomach or bowel obstruction (including paralytic ileus);

an allergy to NSAIDs (nonsteroidal anti-inflammatory drugs);

hemophilia; or

if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine).

This medicine is not approved for use by anyone younger than 12 years old.

Do not give this medicine to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Tell your doctor if you have ever had:

sleep apnea or other breathing disorders;

a stomach ulcer or bowel obstruction;

a vitamin K deficiency;

seizures, head injury, or brain tumor;

liver or kidney disease;

alcoholism or a drug addiction;

problems with your pancreas, thyroid, or gallbladder.

urination problems; or

if you take medicine to treat or prevent blood clots (such as warfarin, enoxaparin, clopidogrel, rivaroxaban, Coumadin, Effient, or Xarelto).

Do not give this medicine to a teenager with a fever, flu symptoms, or chickenpox. Aspirin can cause Reye's syndrome, a serious and sometimes fatal condition in adolescents.

If you use opioid medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on opioids may need medical treatment for several weeks.

Taking aspirin during late pregnancy may cause bleeding in the mother or the baby during delivery.

Do not breast-feed. Codeine can pass into breast milk and may cause drowsiness, breathing problems, or death in a nursing baby.

Relate drugs

How to use Aspirin, butalbital, caffeine, and codeine

Usual Adult Dose for Headache:

1 or 2 capsules orally every 4 hours as needed not to exceed 6 capsules per day Comments: -Because of the risks of addiction, abuse, and misuse, prescribing should be reserved to patients for whom alternative options have not been tolerated or are not expected to be tolerated; and for patients for whom alternative options have not provided adequate analgesia or are not expected to provide adequate analgesia. -The safety and efficacy of treating multiple recurrent headaches with this product is not known. Uses: For the relief of the symptom complex of tension (or muscle contraction) headache when nonopioid analgesic and alternative treatments are inadequate.

Warnings

MISUSE OF OPIOID MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.

Do not give this medicine to anyone younger than 12 years old, or anyone under 18 who recently had surgery to remove the tonsils or adenoids.

Taking this medicine during pregnancy may cause life-threatening withdrawal symptoms in the newborn.

Fatal side effects can occur if you use opioid medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing.

What other drugs will affect Aspirin, butalbital, caffeine, and codeine

You may have breathing problems or withdrawal symptoms if you start or stop taking certain other medicines. Tell your doctor if you also use an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine to treat HIV or hepatitis C.

Opioid medication can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use:

cold or allergy medicines, bronchodilator asthma/COPD medication, or a diuretic ("water pill");

medicines for motion sickness, irritable bowel syndrome, or overactive bladder;

other narcotic medications--opioid pain medicine or prescription cough medicine;

a sedative like Valium--diazepam, alprazolam, lorazepam, Xanax, Klonopin, Versed, and others;

drugs that make you sleepy or slow your breathing--a sleeping pill, muscle relaxer, medicine to treat mood disorders or mental illness; or

drugs that affect serotonin levels in your body--a stimulant, or medicine for depression, Parkinson's disease, migraine headaches, serious infections, or nausea and vomiting.

This list is not complete. Other drugs may affect aspirin, butalbital, caffeine, and codeine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.

Disclaimer

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The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.