Acetaminophen (a-seet-a-MIN-oh-fen), Butalbital (bue-TAL-bi-tal), Caffeine (KAF-een), Codeine Phosphate (KOE-deen FOS-fate)
A combination product that relieves tension headaches. Acetaminophen is a pain reliever. Butalbital is a barbiturate. Codeine is a narcotic pain reliever.
Fioricet w/Codeine, Fioricet with CodeineThere may be other brand names for this medicine.
When This Medicine Should Not Be Used
Do not use this medicine if you have had an allergic reaction to butalbital, acetaminophen, caffeine, or codeine. Do not use this medicine if you have a disorder called porphyria. This medicine is not meant for use in children. Serious breathing problems and deaths have occurred when children have been given codeine-containing medicines.
How to Use This Medicine
- Take your medicine as directed.
- This medicine is not for long-term use.
If a dose is missed:
- Missed dose information does not pertain to medicine you take on an as-needed basis.
How to Store and Dispose of This Medicine
- Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.
- Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- This combination medicine contains acetaminophen (Tylenol®). Carefully check the labels of all other medicines you are using because they may also contain acetaminophen. It is not safe to take more than 4 grams (4,000 milligrams) of acetaminophen in one day (24 hours). Many combination medicines contain acetaminophen, including Alka-Seltzer Plus®, Comtrex®, Drixoral®, Excedrin Migraine®, Midol®, Sinutab®, Sudafed®, Theraflu®, and Vanquish®.
- Make sure your doctor knows if you are also using an MAO inhibitor (such as Eldepryl®, Marplan®, Nardil®, Parnate®) or a tranquilizer (such as chlordiazepoxide, Librium®).
- Tell your doctor if you drink alcohol or if you are using any medicine that makes you sleepy, such as allergy medicine or narcotic pain medicine.
- Do not drink alcohol while you are using this medicine. Acetaminophen can damage your liver, and drinking alcohol can increase this risk.
Warnings While Using This Medicine
- Make sure your doctor knows if you are pregnant, or if you have kidney disease, liver disease, adrenal problems (such as Addison disease), breathing problems (such as respiratory depression, sleep apnea), enlarged prostate, painful urination or trouble urinating, underactive thyroid, or stomach problems. Tell your doctor if you have a history of head injury, or if you have been addicted to drugs or alcohol.
- Do not breastfeed unless you have your doctor's permission to do so.
- Check with your doctor right away if you have pain or tenderness in your upper stomach, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, or yellow eyes or skin. These could be symptoms of a serious liver problem.
- This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working.
- This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous until you know how this medicine affects you.
- This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.
- If you think you may have taken an overdose of this medicine, get emergency help at once. Signs of an overdose include dark urine, shallow breathing, nausea or vomiting, pain in your upper stomach, yellow eyes or skin, pinpoint pupils of the eyes, or pale or blue lips, fingernails, or skin.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Blistering, peeling, or red skin rash
- Change in how much or how often you urinate, painful urination
- Dark urine or pale stools, nausea, vomiting, loss of appetite, pain in your upper stomach, yellow eyes or skin
- Extreme sleepiness, confusion, or shallow breathing
- Fast, pounding, or uneven heartbeat
- Lightheadedness or fainting
- Seizures or tremors
- Trouble swallowing
- Unusual bleeding, bruising, or weakness
If you notice these less serious side effects, talk with your doctor:
- Constipation or stomach pain
- Dizziness or drowsiness