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Butalbital, Acetaminophen, Caffeine, Codeine Phosphate Oral capsule

What is this medicine?

ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE (a set a MEE noe fen; byoo TAL bi tal; KAF een; KOE deen) is a pain reliever. It is used to treat tension headaches.

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. Do not take your medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Patients over 65 years old may have a stronger reaction and need a smaller dose.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

  • anxiety, irritable, excited

  • difficulty passing urine

  • breathing problems

  • confusion

  • fast, irregular heartbeat

  • feeling faint or lightheaded

  • redness, blistering, peeling or loosening of the skin, including inside the mouth

  • seizures

  • yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • constipation

  • drowsiness, dizziness

  • dry mouth

  • headache

  • nausea, vomiting

  • passing urine more often

  • stomach pain

What may interact with this medicine?

Do not take this medicine with any of the following medications:

  • alcohol

  • linezolid

  • MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

  • narcotic pain relievers

  • procarbazine

  • voriconazole

This medicine may also interact with the following medications:

  • antihistamines for allergy, cough and cold

  • barbiturates like phenobarbital

  • naltrexone

  • medicines for depression, anxiety, or psychotic disturbances

  • medicines for sleep

  • medicines used for sleep during surgery

  • muscle relaxers

  • other medicines with acetaminophen

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • breathing problems

  • drink more than 3 alcohol containing drinks per day

  • drug abuse or addiction

  • liver disease

  • intestinal problem

  • porphyria

  • recent head injury

  • an unusual or allergic reaction to acetaminophen, butalbital or other barbiturates, caffeine, codeine, other medicines, foods, dyes, or preservatives

  • pregnant or trying to get pregnant

  • breast-feeding