Category: Fioricet

How to Treat Fioricet overdose

The treatment of Fioricet overdose is complicated by the presence of two substances which are highly toxic when taken in excessive amounts. Fioricet overdoses generally result in toxic amounts of both acetaminophen and butalbital being consumed at once, requiring both overdoses to be treated at once.

Fioricet overdose by anyone and/or any consumption by persons to whom it is not prescribed (particularly children) is always a medical emergency and medical attention must be sought immediately if an overdose or consumption by other persons is suspected.fioricet

Fioricet overdose is often fatal and symptoms may not present for hours following consumption, once initial overdose symptoms present they can progress rapidly and there may not be time to reach appropriate medical care after this point.

Acetaminophen over-exerts its toxicity through the production of a toxic metabolite which produces liver damage in doses of 3,000mg or more per day and acute liver failure in doses above that. The specific antidote to acetaminophen overdose is N-acetyl-cysteine. Kidney failure and stomach bleeding may also occur.

Butalbital overdoses exerts its toxicity through excessive sedation resulting in respiratory depression and ultimately death via hypoxia. Nonlethal overdoses may also result in coma and death. There is no specific antidote to butalbital overdose and treatment is supportive, common treatment regimens generally include the administration of intravenous administration of saline, naloxone, thiamine, glucose, NaHCO3 to alkalize the urine to increase rate of excretion, and activated charcoal via nasogastric tube. It is not uncommon for doctor to recommend observation of the patient in the Emergency Department for a number of hours or admission to the hospital for several days of observation if symptoms are severe and to counsel the patient on drug abuse and/or refer them for psychiatric evaluation.

Recommended dosages for this drug are based on someone’s age and weight and also the scheduled frequency of taking it.

Acetaminophen overdoses happen when someone:

  • Takes too much of the pain medication at one time
  • Re-doses too soon
  • Takes multiple medications at the same time that also contain acetaminophen

For a healthy adult weighing at least 150 pounds, the maximum daily dose of acetaminophen is 4,000 milligrams (mg). However, you can experience liver damage even if you stay at or below 4,000mg if you take this maximum dose for an extended period.

As such, doctors often recommend a maximum daily dose closer to 3,000 mg. Read the drug label carefully and know exactly how much acetaminophen is in each tablet, capsule or liquid dose.

The following table further details acetaminophen dosage recommendations:

325mg 500mg 650mg (extended-release)
Take how many pills at a time? 1 or 2 1 or 2 1 or 2
Take how often? Every 4 to 6 hours Every 4 to 6 hours Every 8 hours
Safest maximum daily dose for most adults 8 pills 6 pills 4 pills
Never take more than this in a 24-hour period 12 pills (3,900mg) 8 pills (4000mg) 6 pills (3,900mg)

For children, acetaminophen doses usually come in 80mg and 160mg, although many of the medications are delivered in liquids (syrups), not pills or chewable tablets.

Body weight plays more of a factor in dosing for kids than it does for adults. The smaller and younger a child is the more careful adults must be when giving the correct dosage. Get an updated weight on your child before administering acetaminophen or any medications that have acetaminophen in them.

Here are basic guidelines for children taking acetaminophen:

Child’s Weight Syrup/Liquid (160mg) Pills (80mg)
24 to 35 lbs 1 tsp 2 tablets
26 to 47 lbs 1.5 tsp 3 tablets
48 to 59 lbs 2 tsp 4 tablets
60 to 71 lbs 2.5 tsp 5 tablets
72 to 95 lbs 3 tsp 6 tablets
96 or more lbs 4 tsp 8 tablets

An important note: Children under the age of 6 should not take more than one medication at a time that has acetaminophen as an active ingredient.

If your child is younger than 2 years old, check with your pediatrician, an urgent-care physician or pharmacist before giving any medication that contains acetaminophen.

For adults and children, if the recommended dosages don’t relieve symptoms, consult with a doctor before making the decision to increase any dosages. Acetaminophen toxicity can lead to life-threatening acute liver failure.

How Often Can You Take Acetaminophen?

Dosing frequency is a crucial part of how much acetaminophen you can take at one time or during a one-day period. How long it takes acetaminophen to work, duration of its effects, and how long the medication stays in your body determine how often you should re-dose.

The recommended frequency is every four to six hours. After ingestion, it takes acetaminophen between 30 and 90 minutes to start working. Several factors, including formulation, other drug and alcohol intake influence the effects of acetaminophen.

If you have questions about acetaminophen and the right dose for you, speak with your doctor. Discuss other medications you may be taking and your overall health to determine the best plan for your needs.

How Long Does Acetaminophen Work For?

Acetaminophen typically lasts four hours for both pain relief and fever reduction. This is why the recommended dosing frequency is no more than every four to six hours.

The biological half-life of a drug plays an essential role in its effectiveness and safety. It is also an important factor for determining dosage recommendations.

How Long Does Acetaminophen Stay in Your System?

Scientists gauge the time it takes for your body to eliminate acetaminophen from the system by using the medication’s estimated half-life. A drug’s half-life is the time it takes for half a dose to be metabolized and eliminated from your bloodstream. Acetaminophen half-life elimination for therapeutic doses is between one and two-and-a-half (2.5) hours.

However, the expected half-life of acetaminophen can vary from person to person. Factors that affect its half-life include age, genetics, weight and overall health. Generally, a therapeutic dose of acetaminophen flushes fully from your system within 24 hours.

An acetaminophen overdose can extend the half-life of the drug to four and eight, meaning it may take up to three times longer for you to get the drug out of your body. If you re-dose too soon following even a small overdose period, it can lead to an acute case of severe acetaminophen toxicity.

How Much Acetaminophen Is Too Much?

Aside from determining how long acetaminophen works and how long it stays in your system, the drug’s half-life also determines how much is too much to take. The goal of medication is to achieve a steady state, at which point the amount of the drug you ingest and the amount that’s eliminated are equal.

Regardless of a drug’s half-life, it takes approximately four times longer for its concentration to reach a steady state in your body. Acetaminophen side effects often occur when you’re not in a steady state. A small amount of acetaminophen is metabolized into the compound NAPQI, which can cause liver toxicity in large amounts.

Taking too much acetaminophen can cause acute liver damage, which can be fatal. As such, you should not exceed the 4,000 mg maximum daily dose recommendation (you should ideally stay closer to 3,000 mg). Acetaminophen may also effect blood pressure. One 2022 clinical research study found that regular daily intake of 4 g acetaminophen increased systolic blood pressure in individuals with hypertension by about 5 mm Hg compared with a placebo.

Primary symptoms of acetaminophen overdose are:

  • Abdominal pain
  • Nausea
  • Vomiting
  • Diarrhea
  • Excessive sweating
  • Jaundice
  • Irritability
  • Seizures
  • Coma

In case you suspect someone took an overdose of acetaminophen or if you see someone exhibit the above symptoms, you should immediately call 911, emergency medical services, a poison control center or a doctor.

Emergency room treatment will depend on the presenting condition and other drugs that may have been taken. If you make it to the hospital just after taking an overdose, the doctor will attempt to empty your stomach.

Doctors like to prescribe a dose of activated charcoal within four hours of an overdose to bind drugs remaining in your gastro-intestinal tract. They also give N-Acetylcysteine, an antidote for acetaminophen toxicity, orally or intravenously within eight hours.

Emergency doctors recommend that anyone suspected to have taken an acetaminophen overdose get treatment as soon as possible, even before the symptoms occur. Early treatment of acetaminophen overdose can improve the outcome significantly.

 

Acetaminophen Mechanism of Action

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.

Acetaminophen, butalbital, and caffeine is a combination medicine used to treat tension headaches that are caused by muscle contractions.

Paracetamol (acetaminophen) is generally considered to be a weak inhibitor of the synthesis of prostaglandins (PGs). However, the in vivo effects of paracetamol are similar to those of the selective cyclooxygenase-2 (COX-2) inhibitors. Paracetamol also decreases PG concentrations in vivo, but, unlike the selective COX-2 inhibitors, paracetamol does not suppress the inflammation of rheumatoid arthritis.

It does, however, decrease swelling after oral surgery in humans and suppresses inflammation in rats and mice. Paracetamol is a weak inhibitor of PG synthesis of COX-1 and COX-2 in broken cell systems, but, by contrast, therapeutic concentrations of paracetamol inhibit PG synthesis in intact cells in vitro when the levels of the substrate arachidonic acid are low (less than about 5 mumol/L).

When the levels of arachidonic acid are low, PGs are synthesized largely by COX-2 in cells that contain both COX-1 and COX-2. Thus, the apparent selectivity of paracetamol may be due to inhibition of COX-2-dependent pathways that are proceeding at low rates.

This hypothesis is consistent with the similar pharmacological effects of paracetamol and the selective COX-2 inhibitors. COX-3, a splice variant of COX-1, has been suggested to be the site of action of paracetamol, but genomic and kinetic analysis indicates that this selective interaction is unlikely to be clinically relevant.

There is considerable evidence that the analgesic effect of paracetamol is central and is due to activation of descending serotonergic pathways, but its primary site of action may still be inhibition of PG synthesis.

The action of paracetamol at a molecular level is unclear but could be related to the production of reactive metabolites by the peroxidase function of COX-2, which could deplete glutathione, a cofactor of enzymes such as PGE synthase.

Important Acetaminophen Warning from FDA

Fioricet capsules contain 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.

Taking too much acetaminophen can cause liver damage, sometimes serious enough to require liver transplantation or cause death. You might accidentally take too much acetaminophen if you do not follow the directions on the prescription or package label carefully, or if you take more than one product that contains acetaminophen.

To be sure that you take acetaminophen safely, you should

  • not take more than one product that contains acetaminophen at a time. Read the labels of all the prescription and nonprescription medications you are taking to see if they contain acetaminophen. Be aware that abbreviations such as APAP, AC, Acetaminophen, Acetaminoph, Acetaminop, Acetamin, or Acetam. may be written on the label in place of the word acetaminophen. Ask your doctor or pharmacist if you don’t know if a medication that you are taking contains acetaminophen.
  • take acetaminophen exactly as directed on the prescription or package label. Do not take more acetaminophen or take it more often than directed, even if you still have fever or pain. Ask your doctor or pharmacist if you do not know how much medication to take or how often to take your medication. Call your doctor if you still have pain or fever after taking your medication as directed.
  • be aware that you should not take more than 4000 mg of acetaminophen per day. If you need to take more than one product that contains acetaminophen, it may be difficult for you to calculate the total amount of acetaminophen you are taking. Ask your doctor or pharmacist to help you.
  • tell your doctor if you have or have ever had liver disease.
  • not take acetaminophen if you drink three or more alcoholic drinks every day. Talk to your doctor about the safe use of alcohol while you are taking acetaminophen.
  • stop taking your medication and call your doctor right away if you think you have taken too much acetaminophen, even if you feel well.

Talk to your pharmacist or doctor if you have questions about the safe use of acetaminophen or acetaminophen-containing products.

Fioricet Dosing Information and Fioricet Overdose Treatment

Usual Adult Dose of Fioricet for Headache:

Acetaminophen 300 mg, butalbital 50 mg, and caffeine 40 mg:
1 or 2 capsule(s) orally every 4 hours as needed. Maximum daily dose: 6 doses.

Acetaminophen 325 mg, butalbital 50 mg, and caffeine 40 mg:
1 or 2 tablet(s), capsule(s), or tablespoonful(s) orally every 4 hours.
Maximum daily dose: 6 doses

Acetaminophen 500 mg, butalbital 50 mg, and caffeine 40 mg:
1 tablet or capsule orally every 4 hours.
Maximum daily dose: 6 doses

Acetaminophen 750 mg, butalbital 50 mg, and caffeine 40 mg:
1 tablet orally every 4 hours.
Maximum daily dose: 5 tablets

Usual Pediatric Dose of Fioricet for Headache:

12 years and older:
Acetaminophen 300 mg, butalbital 50 mg, and caffeine 40 mg:
1 or 2 capsule(s) orally every 4 hours as needed. Maximum daily dose: 6 doses.

Fioricet Overdose Treatment

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

Overdose symptoms may also include insomnia, restlessness, tremor, diarrhea, increased shallow breathing, uneven heartbeats, seizure (convulsions), or fainting.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Fioricet can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

Overdose symptoms may also include insomnia, restlessness, tremor, diarrhea, increased shallow breathing, uneven heartbeats, seizure (convulsions), or fainting.

A single or multiple drug overdose with this combination product is a potentially lethal polydrug overdose, and consultation with a regional poison control center is recommended. Immediate treatment includes support of cardiorespiratory function and measures to reduce drug absorption.

Oxygen, intravenous fluids, vasopressors, and other supportive measures should be employed as indicated. Assisted or controlled ventilation should also be considered.

Gastric decontamination with activated charcoal should be administered just prior to N-acetylcysteine (NAC) to decrease systemic absorption if acetaminophen ingestion is known or suspected to have occurred within a few hours of presentation.

Serum acetaminophen levels should be obtained immediately if the patient presents 4 hours or more after ingestion to assess potential risk of hepatotoxicity; acetaminophen levels drawn less than 4 hours post-ingestion may be misleading.

To obtain the best possible outcome, NAC should be administered as soon as possible where impending or evolving liver injury is suspected. Intravenous NAC may be administered when circumstances preclude oral administration.

Vigorous supportive therapy is required in severe intoxication. Procedures to limit the continuing absorption of the drug must be readily performed since the hepatic injury is dose dependent and occurs early in the course of intoxication.

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If you are our new customer, you must understand and agree following terms before you place order with us:

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Thank you very much for ordering from us.

    1. Since this is the first time you’ve ordered from us, we want to confirm you’re able to pick up this COD order.  You must be familiar with this prescription and have used this before to be eligible. All our Pharmacies and Doctors are all US licensed.
    2. The Postman will directly deliver to your specified address. So please double check if your address is valid in the USPS system by checking: https://tools.usps.com/go/ZipLookupAction_input
    3. We will send you your tracking ID within two business days after your confirmation. You can also go to USPS postal office to pick it up if you are not home at the time of delivery.

***Orders must be picked up and the postman must be paid USPS Money Order, not Personnel Check.***

New customers need additional time for verification. So it needs more time than returned customers.

Returned customers have returned customer only websites so we can send returned customer tracking ID next business days.

If you’re unsuccessful in picking up your first order, we will not be able to fill any subsequent orders for you. If you have paid checks  to postman,  we will put you into blacklist.

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You can also check our FAQs page if you have any concerns.

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If you have paid us bounced check or fraud check once, we will place you into customer blacklist, almost all online pharms share the same blacklist. You will not be possible to order prescription online any more.  You also should know your own health condition before you buy Fioricet online.

Your first Fioricet or Gabapentin prescription must be approved by your local doctor. Our online doctors can approve your prescription too but our doctors’ decisions are based on your health conditions your provided to us. You must complete the health conditions very honestly. Some patients are not allowed to buy fioricet online in our network.

      1. You have porphyria;
      2. You have recently used alcohol;
      3. You have recently used sedatives, tranquilizers, or other narcotic medications;
      4. You have taken a MAO inhibitor in the past 14 days because A dangerous drug interaction could occur;
      5. You have liver , heart disease, kidney disease;
      6. You have  a history of alcoholism or drug addiction;
      7. You have asthma, sleep apnea, or other breathing disorder;
      8. You have stomach ulcer or bleeding;
      9. You have a history of skin rash caused by any medication;
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When you are not allowed to buy fioricet online does not mean you can not take fioricet, you must go to your local doctors and local pharmacies to get your prescription. You need your doctors and pharmacists to check you face to face.

Fioricet Side Effects

fioricetblueFioricet Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible.

Only your doctor can determine if it is safe for you to continue taking this drug.

Fioricet Side effects may include: fatal skin reactions, seizure, confusion, depression, excitement, stomach pain, dizziness, drowsiness, intoxicated feeling, lightheadedness, nausea, sedation, shortness of breath, vomiting, excessive sweating.

Commonly reported side effects for Fioricet include:

  • Euphoria
  • Dizziness
  • Drowsiness
  • Intoxicated feeling
  • Light-headedness
  • Nausea
  • Vomiting
  • Sedation
  • Substance dependence
  • Shortness of breath
  • Abdominal pain

Fioricet is implicated as causing repeat headaches with over-use.

Commonly reported side effects for Fioricet include:

  • Euphoria
  • Dizziness
  • Drowsiness
  • Intoxicated feeling
  • Light-headedness
  • Nausea
  • Vomiting
  • Sedation
  • Substance dependence
  • Shortness of breath
  • Abdominal pain

Fioricet is implicated as causing repeat headaches with over-use

What Are The Possible Side Effects Of Fioricet?

Like any medication, Fioricet can cause side effects. People who misuse Fioricet or use it compulsively are at greater risk for experiencing the worst side effects of the medication.

The possible side effects of Fioricet include:

  • Anxiety
  • Dizziness
  • Drowsiness
  • Feelings of being intoxicated
  • Lightheadedness
  • Nausea and vomiting
  • Shaking and tremors
  • Shortness of breath
  • Stomach pain
  • Trouble sleeping

In some cases, a person who takes Fioricet may develop an allergic reaction to the drug. The symptoms of an allergic reaction are trouble breathing, itching, rashes, intense dizziness, and swelling in the face, throat, and tongue.

 

Fioricet Overdose

The treatment of Fioricet overdose is complicated by the presence of two substances which are highly toxic when taken in excessive amounts. Fioricet overdoses generally result in toxic amounts of both acetaminophen and butalbital being consumed at once, requiring both overdoses to be treated at once. Fioricet overdose by anyone and/or any consumption by persons to whom it is not prescribed (particularly children) is always a medical emergency and medical attention must be sought immediately if an overdose or consumption by other persons is suspected.

Fioricet overdose is often fatal and symptoms may not present for hours following consumption; once initial overdose symptoms present they can progress rapidly and there may not be time to reach appropriate medical care after this point.

Acetaminophen exerts its toxicity through the production of a toxic metabolite which can sometimes produce liver damage with doses as low as 4,000 mg, although normally requiring doses that are much higher. Acute liver failure may result in doses greatly exceeding this, and death has been known to occur with ingestion of 10,000-15,000 mg (10-15 grams of pure acetaminophen).

The specific antidote to acetaminophen overdose is N-acetylcysteine. Acute renal failure and upper gastrointestinal bleeding may also occur.

Butalbital exerts its toxicity through excessive sedation resulting in respiratory depression and ultimately death via hypoxia. Nonlethal overdoses may also result in coma and death. There is no specific antidote to barbiturate overdose and treatment is supportive. Common treatment regimens generally include the administration of intravenous administration of saline, naloxone, thiamine, glucose, sodium bicarbonate to alkalize the urine to increase rate of excretion, and activated charcoal via nasogastric tube.

It is not uncommon for a doctor to recommend observation of the patient in the emergency department for a number of hours or admission to the hospital for several days of observation if symptoms are severe and to counsel the patient on drug abuse or refer them for psychiatric evaluation.

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Fioricet capsules contain 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.

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Fioricet, a strong, non-narcotic pain reliever and relaxant, is prescribed for the relief of tension headache symptoms caused by muscle contractions in the head, neck, and shoulder area. It combines a sedative barbiturate (butalbital), a non-aspirin pain reliever (acetaminophen) and caffeine.

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Mental and physical dependence can occur with the use of barbiturates such as butalbital when these drugs are taken in higher than recommended doses over long periods of time.

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Storage instructions: Store at room temperature in a tight, light-resistant container.

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Side effects cannot be anticipated. even though 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(Butalbital APAP Caffeine). Side effects may include: Abdominal pain, dizziness, drowsiness, intoxicated feeling, light-headedness, nausea, sedation, shortness of breath and vomiting

Why should Fioricet(Butalbital APAP Caffeine) not be prescribed?

If you are sensitive to or have ever had an allergic reaction to barbiturates, acetaminophen, or caffeine, you should not take this medication. Make sure that your doctor is aware of any drug reactions that you have experienced. Fioricet(Butalbital APAP Caffeine) 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.

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How to use Fioricet

Take this medication by mouth with or without food as directed by your doctor, usually every 4 hours as needed.

If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

The dosage is based on your medical condition, age, and response to treatment. 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). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

Tell 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. Do not take more than recommended. Your doctor may need to change your medication and/or add a separate medication to prevent the headaches.

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Fioricet is used to treat tension headaches that are caused by muscle contractions. It comes as a capsule and tablet form to take by mouth. One or 2 pills every 4 hours as needed. Total daily dosage should not exceed 6 pills. Extended and repeated use of this product is not recommended because of the potential for physical dependence.

Will fioricet help siatic nerve pain?

Fioricet is normally prescribed for tension and migraine headaches. It can be addicting due to the barbiturate component. It has been prescribed “off label” for other uses.

If it is the codeine type you may be better off with Tylenol with codeine for sciatic pain. I have had a patient who stated she had tried multiple pain relievers for her back pain and nothing worked.

Out of desperation one day (she had them, the plain fioricet, prescribed for headaches) she tried one for her back pain and discovered they worked better than anything for her. So, on that note, it may but it is not what it is usually indicated for.

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    • If you have liver, kidney, or heart diseases, please donot take fioricet. Because fioricet contains barbiturate butalbital, it can cross the placental barrier;
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For more detail fioricet prescription instruction, you can check Wiki Fioricet. The pharmacy will also send you a instruction on fioricet usage and introduction. Please be very careful to take the fioricet within the max dosage. Never exceed the max dosages. Or you will be seriously damaged.

What is Butalbital?

Butalbital is a medication within the drug classification known as barbiturates. It is taken orally to treat a variety of mild to moderate conditions.

Barbiturates act primarily on the central nervous system (CNS) and have an intermediate duration of action compared to common over-the-counter medications.

Butalbital is most commonly combined with acetaminophen and caffeine to achieve the most desirable effects.

If you miss a dose of Butalbital, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not double dose.

Butalbital is best stored at room temperature away from moisture and heat. For more drug information on Butalbital, check the packaging of the product.

What is Butalbital Used For?

Butalbital is used primarily in treating tension headaches, also known as stress headaches. These are classified as attacks that:

  • Last between 30 minutes and seven days
  • Have bilateral location, are non-pulsating, have mild or moderate intensity, and are not aggravated by activity
  • Do not cause nausea or vomiting, sensitivity to light, or sensitivity to sound

Butalbital should not be used for the treatment of migraine headaches. It is a prescription drug that should only be used on the professional medical advice of a licensed healthcare provider.

Though used mainly for treating headaches, butalbital can also be used as a sedative to treat anxiety, seizures, and, in some cases, insomnia.

Side Effects of Butalbital

There are several common and infrequent side effects of butalbital, including:

  • Decreases in reaction time
  • Loss of motor coordination or balance
  • Slowing of the speed and flow of thinking processes
  • Dizziness or lightheadedness
  • Lethargy
  • Drowsiness
  • Nausea
  • Vomiting
  • Stomach pain and cramps
  • Shallow breathing or shortness of breath due to respiratory depression

Rare side effects of butalbital include:

  • Allergic reaction and rash (skin reaction)
  • Difficulty breathing
  • Difficulty swallowing
  • Dry mouth
  • Indigestions and heartburn
  • Tinnitus
  • Leg pain or leg cramps

Butalbital in breastmilk can also cause poor feeding and vomiting in infants. If you are breast-feeding, it is best to avoid using Butalbital.

Is Butalbital Addictive?

Butalbital has a high potential for addiction and physical dependence on the drug. Tolerance to this medication, as well as other barbiturates, can occur in a relatively short time span, often leading to higher dosage and more potential for misuse. Barbiturate overdoses can occur easily due to how quickly a tolerance can develop.

Some signs of butalbital addiction include:

  • Obtaining butalbital without a prescription
  • Overuse or taking higher doses than specified in the prescription
  • Using butalbital in ways not typically prescribed, such as grinding it up into powder and snorting it, or mixing it with other drugs
  • Appearing tired, lethargic, or in a state of intoxication
  • Slurred speech, issues with coordination, and decreased mental and physical reaction times
  • Spending significant periods of time alone
  • Defensive or angry behavior when someone attempts to discuss medication usage or drug abuse
  • Problems with attention and with memory
  • Irritability, restlessness, sensitivity
  • Continuing to use butalbital despite experiencing obvious negative issues with work, school, or in their relationships with others
  • Porphyria, a buildup of natural chemicals that produce porphyrin (a compound essential for the function of hemoglobin) in the body
  • Withdrawal symptoms

Dangers Of Butalbital Addiction

A person with Butalbital addiction is likely to develop a tolerance to the drug. They may be more likely to take more Butalbital or mix it with other depressants to maintain the initial high. Combining Butalbital with alcohol, for example, can heighten the risk of respiratory depression and liver failure.

Some people experiencing opioid addiction will use Butalbital to enhance the effects of whatever drug they are taking while also conserving their supply. This is dangerous because taking Butalbital with narcotics can lead to overdose or accidental death.

Symptoms of a barbiturate overdose, such as Butalbital, include:

  • Drowsiness
  • Confusion
  • Coma
  • Respiratory depression
  • Trouble breathing
  • Persistent nausea and vomiting
  • Severe dizziness
  • Slow or slurred speech
  • Staggering
  • Ringing in the ears

If you suspect someone is overdosing, call 911 immediately. An untreated Butalbital addiction can be life-changing or fatal.

Complications that may occur from a Butalbital overdose include:

  • Head and spinal injuries from falls
  • Pneumonia from depressed gag reflex
  • Muscle damage from lying on a hard surface for an extended period of time

Misusing Butalbital can lead to long-lasting effects on your health.

Long-term and consistent use of barbiturates can lead to chronic symptoms including:

  • Irritability
  • Memory loss
  • Decreased function
  • Shifts in alertness

Butalbital Addiction Withdrawal And Detox

Butalbital addiction is likely to cause uncomfortable withdrawal symptoms when use is quickly stopped. Barbiturates like Butalbital can lead to psychological and physical dependence, meaning withdrawal symptoms will occur when the individual stops taking the drug.

These withdrawal symptoms generally occur within two to four days of stopping Butalbital use.

Withdrawal symptoms of Butalbital include:

  • Seizures
  • Psychosis
  • Tremors
  • Restlessness
  • Insomnia
  • Anxiety

If severe withdrawal symptoms go untreated or are not quickly recognized, then the following may occur:

  • Hypothermia
  • Failure of blood circulation
  • Death

Detoxification, or detox, is the procedure of clearing the body of harmful substances. Medically supervised detox can involve administering other drugs, like opioids, in small quantities to aid with the uncomfortable effects of withdrawal symptoms. Common opioids used for detoxification include methadone, buprenorphine, and naltrexone.

You must never try to detox alone. Detox is safe and effective in a medical environment where doctors and nurses can assess dosage and progress. Withdrawal symptoms can be painful, uncomfortable, and potentially life-threatening, so professional aid is necessary.

Treatment Options for Butalbital Abuse

Behavioral treatments are often necessary to change the patient’s mindset and avoid relapse for butalbital. Cognitive behavioral therapies can be done as both outpatient (from home) and inpatient (from a medical facility) treatments.

Inpatient treatment is generally more effective as the patient will have access to constant medical and professional care.

Outpatient treatment can also be problematic due to a lack of supervision and potential home factors (such as social environment) that may have contributed to butalbital abuse in the first place.

Butalbital: Common Questions and Answers

Common questions associated with Butalbital use and addiction:

What Kind of Drug is Butalbital?

Butalbital is a barbiturate drug, which is a class of CNS depressants. This class of medication acts on the central nervous system as a depressant. They are effective as anticonvulsants, but they also carry habit-forming potential. Benzodiazepines have replaced barbiturates in recent years for several types of treatment.

Is Butalbital the Same as Fioricet?

Fioricet is not the same as butalbital, but it does contain this barbiturate compound. Fioricet is a brand-name drug containing butalbital, acetaminophen, and caffeine in one oral tablet or capsule. This medication is very similar to esgic, fiorinal, orbivan, repan, margesic, phrenilin, and phenobarbital, all of which contain butalbital and some form of pain reliever.

Is Butalbital Used for Anxiety?

Though it is used primarily to treat tension headaches, butalbital can also be prescribed to treat anxiety. This was once used as a common medication to treat this condition, but it has become less prescribed in favor of benzodiazepines, which are more widely used today.

What are the Possible Side Effects of Acetaminophen, Butalbital, and Caffeine?

In addition to those listed above, possible adverse effects of the combination drug of acetaminophen, butalbital, and caffeine include:

  • Liver damage or liver disease
  • Kidney disease
  • Abdominal pain
  • Irritability
  • Constipation
  • Nervousness
  • Tremors
  • Increased urination
  • Dark urine
  • Fainting
  • Confusion
  • Rapid heart rate
  • Difficulty sleeping

Dangers Of Butalbital Addiction

A person with Butalbital addiction is likely to develop a tolerance to the drug. They may be more likely to take more Butalbital or mix it with other depressants to maintain the initial high. Combining Butalbital with alcohol, for example, can heighten the risk of respiratory depression and liver failure.

Some people experiencing opioid addiction will use Butalbital to enhance the effects of whatever drug they are taking while also conserving their supply. This is dangerous because taking Butalbital with narcotics can lead to overdose or accidental death.

Symptoms of a barbiturate overdose, such as Butalbital, include:

      • Drowsiness
      • Confusion
      • Coma
      • Respiratory depression
      • Trouble breathing
      • Persistent nausea and vomiting
      • Severe dizziness
      • Slow or slurred speech
      • Staggering
      • Ringing in the ears

If you suspect someone is overdosing, call 911 immediately. An untreated Butalbital addiction can be life-changing or fatal.

Complications that may occur from a Butalbital overdose include:

      • Head and spinal injuries from falls
      • Pneumonia from depressed gag reflex
      • Muscle damage from lying on a hard surface for an extended period of time

Misusing Butalbital can lead to long-lasting effects on your health.

Long-term and consistent use of barbiturates can lead to chronic symptoms including:

      • Irritability
      • Memory loss
      • Decreased function
      • Shifts in alertness

Butalbital Addiction Withdrawal And Detox

Butalbital addiction is likely to cause uncomfortable withdrawal symptoms when use is quickly stopped. Barbiturates like Butalbital can lead to psychological and physical dependence, meaning withdrawal symptoms will occur when the individual stops taking the drug.

These withdrawal symptoms generally occur within two to four days of stopping Butalbital use.

Withdrawal symptoms of Butalbital include:

      • Seizures
      • Psychosis
      • Tremors
      • Restlessness
      • Insomnia
      • Anxiety

If severe withdrawal symptoms go untreated or are not quickly recognized, then the following may occur:

      • Hypothermia
      • Failure of blood circulation
      • Death

Detoxification, or detox, is the procedure of clearing the body of harmful substances. Medically supervised detox can involve administering other drugs, like opioids, in small quantities to aid with the uncomfortable effects of withdrawal symptoms. Common opioids used for detoxification include methadone, buprenorphine, and naltrexone.

You must never try to detox alone. Detox is safe and effective in a medical environment where doctors and nurses can assess dosage and progress. Withdrawal symptoms can be painful, uncomfortable, and potentially life-threatening, so professional aid is necessary.

Treatment Options for Butalbital Abuse

Behavioral treatments are often necessary to change the patient’s mindset and avoid relapse for butalbital. Cognitive behavioral therapies can be done as both outpatient (from home) and inpatient (from a medical facility) treatments.

Inpatient treatment is generally more effective as the patient will have access to constant medical and professional care.

Outpatient treatment can also be problematic due to a lack of supervision and potential home factors (such as social environment) that may have contributed to butalbital abuse in the first place.

Butalbital: Common Questions and Answers

Common questions associated with Butalbital use and addiction:

What Kind of Drug is Butalbital?

Butalbital is a barbiturate drug, which is a class of CNS depressants. This class of medication acts on the central nervous system as a depressant. They are effective as anticonvulsants, but they also carry habit-forming potential. Benzodiazepines have replaced barbiturates in recent years for several types of treatment.

Is Butalbital the Same as Fioricet?

Fioricet is not the same as butalbital, but it does contain this barbiturate compound. Fioricet is a brand-name drug containing butalbital, acetaminophen, and caffeine in one oral tablet or capsule. This medication is very similar to esgic, fiorinal, orbivan, repan, margesic, phrenilin, and phenobarbital, all of which contain butalbital and some form of pain reliever.

Is Butalbital Used for Anxiety?

Though it is used primarily to treat tension headaches, butalbital can also be prescribed to treat anxiety. This was once used as a common medication to treat this condition, but it has become less prescribed in favor of benzodiazepines, which are more widely used today.

What are the Possible Side Effects of Acetaminophen, Butalbital, and Caffeine?

In addition to those listed above, possible adverse effects of the combination drug of acetaminophen, butalbital, and caffeine include:

      • Liver damage or liver disease
      • Kidney disease
      • Abdominal pain
      • Irritability
      • Constipation
      • Nervousness
      • Tremors
      • Increased urination
      • Dark urine
      • Fainting
      • Confusion
      • Rapid heart rate
      • Difficulty sleeping

 

Butalbital Abuse, Overdose and Dependence

Barbiturates may be habit-forming: Tolerance, psychological dependence, and physical dependence may occur especially following prolonged use of high doses of barbiturates. The average daily dose for the barbiturate addict is usually about 1500 mg.

As tolerance to barbiturates develops, the amount needed to maintain the same level of intoxication increases; tolerance to a fatal dosage, however, does not increase more than two-fold. As this occurs, the margin between an intoxication dosage and fatal dosage becomes smaller.

fioricetThe lethal dose of a barbiturate is far less if alcohol is also ingested. Major withdrawal symptoms (convulsions and delirium) may occur within 16 hours and last up to 5 days after abrupt cessation of these drugs. Intensity of withdrawal symptoms gradually declines over a period of approximately 15 days.

Treatment of barbiturate dependence consists of cautious and gradual withdrawal of the drug. Barbiturate-dependent patients can be withdrawn by using a number of different withdrawal regimens. One method involves initiating treatment at the patient’s regular dosage level and gradually decreasing the daily dosage as tolerated by the patient.

Butalbital is a short- to immediate-acting barbiturate that decreases anxiety, resulting in drowsiness and relaxation. Butalbital is mixed with other drugs to form a relief for tension headaches. Butalbital overdose symptoms may also involve the symptoms of the other compounds used in the medications.

Consuming butalbital over a long period may result in tolerance, making it necessary to take increasing amounts to produce the same effect. Tolerance to a fatal dosage does not increase more than twofold. This causes the margin between taking a dosage that results in intoxication and taking a fatal dosage to shrink. Taking large quantities of butalbital can result in dangerous consequences, including death. To avoid overdose symptoms, call 1-888-630-7086 to locate a butalbital detox center near you.

Overdose Signs and Symptoms

An overdose on butalbital may result from an accidental or intentional act of taking more than the normal or recommended dosage. Overdoses on butalbital may result in toxicity. Signs of an overdose on butalbital include:

  • Confusion
  • Faulty judgment
  • Slowness of speech
  • Slurred speech
  • Extreme sleepiness
  • Sluggishness or hyporeflexia
  • Lack of coordination
  • Respiratory depression
  • Staggering
  • High blood pressure
  • Bradycardia
  • Hypovolemic shock
  • Hypothermia
  • Limp muscles
  • Apnea
  • Coma

Butalbital overdose symptoms themselves are very serious. A single overdose can result in permanent brain damage or death, particularly if a large amount of butalbital is ingested and treatment is delayed. You need to seek immediate addiction treatment if you experience any signs of an overdose on butalbital. Show your body an act of kindness and become free from butalbital.