Be sure to read this information carefully each time. Do not take your medicine more often than directed.Ī special MedGuide will be given to you by the pharmacist with each prescription and refill. Follow the directions on the prescription label.
BUTALBITAL ACETAMINOPHEN CAFFEINE FULL
Take this medicine by mouth with a full glass of water. They need to know if you have any of these conditions: How should I use this medication? This medicine may be used for other purposes ask your health care provider or pharmacist if you have questions.ĬOMMON BRAND NAME(S): Fioricet with Codeine, Phrenilin with Caffeine and Codeine What should I tell my care team before I take this medication? Decrease in severity of pain without a significant alteration in level of consciousness.BUTALBITAL ACETAMINOPHEN CAFFEINE CODEINE (byoo TAL bi tal a set a MEE noe fen KAF een KOE deen) is a pain reliever.Advise patient to use an additional nonhormonal method of contraception while taking butalbital compound.Caution patient to avoid concurrent use of alcohol or other CNS depressants.Advise patient to avoid driving and other activities requiring alertness until response to medication is known. Medications taken for prophylaxis should be continued. Lying down in a quiet, dark room may also be helpful.
Instruct patient to take medication as directed.Medication should be discontinued gradually after long-term use to prevent withdrawal symptoms.Analgesic is more effective if given before pain becomes severe. Regularly administered doses may be more effective than prn administration.Explain therapeutic value of medication before administration to enhance the analgesic effect.Potential Nursing DiagnosesAcute pain (Indications) Most patients who receive butalbital compound for pain do not develop psychological dependence. This should not prevent patient from receiving adequate analgesia. Prolonged use may lead to physical and psychological dependence and tolerance.Assess type, location, and intensity of pain before and 60 min following administration.Route/DosageĬapsules: 50 mg butalbital/650 mg acetaminophen Nursing implications Nursing assessment John’s wort may ↓ barbiturate effect.Concurrent use of kava kava, valerian, skullcap, chamomile, or hops can ↑ CNS depression. MAO inhibitors, felbamate, primidone, and valproic acid may ↓ metabolism and ↑ the effecta of butalbital.St. Interactions Drug-Drug interactionAdditive CNS depression with other CNS depressants, including alcohol, antihistamines, antidepressants, opioid analgesics, and sedative/hypnotics.May ↑ the metabolism and ↓ the effectiveness of other drugs including amiodarone, benzodiazepines, bupropion, calcium channel blockers, carbamazepine, citalopram, clarithromycin, cyclosporine, erythromycin, fluoxetine, fluvoxamine, glipizide, hormonal contraceptives, losartan, methadone, mirtazapine, nateglinide, nefazodone, nevirapine, phenytoin, pioglitazone, promethazine, propranolol, protease inhibitors, proton pump inhibitors, rifampin, ropinirole, rosiglitazone, selegiline, sertraline, tacrolimus, theophylline, venlafaxine, voriconazole, warfarin, and zafirlukast. Adverse Reactions/Side Effects Central nervous system Geriatric patients are at ↑ risk for side effects (dose ↓ recommended) Pediatric: Children <12 yr (safety not established). Use Cautiously in: History of suicide attempt or drug addiction Chronic alcohol use Severe hepatic or renal disease Patients concomitantly receiving other CNS depressants Geriatric: Appears on Beers list.
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