Strength Qty   Butalbital /APAP / Caffeine 60 Tablets

Aspirin / butalbital / caffeine
Brand Name:
The following product information is not intended to replace the physician's or manufacturer's instructions.

Most Common Medical Uses
Aspirin is a pain reliever, as well as an anti-inflammatory and a fever reducer. Butalbital is in a class of drugs called barbiturates that slow down your central nervous system and cause relaxation. Caffeine is believed to constrict dilated blood vessels that may contribute to tension headaches. Aspirin / butalbital / caffeine are most commonly used to relieve complex tension headaches. Aspirin / butalbital / caffeine may also be used for purposes other than those listed here.

How to Take This Medication
Take aspirin / butalbital / caffeine exactly as directed by your doctor. Take each dose with a full glass of water. Take aspirin / butalbital / caffeine with food or milk if it upsets your stomach. Never take more of this medication than is prescribed for you. Too much aspirin / butalbital / caffeine could be very harmful. Never take more than six tablets or capsules per day.

Possible Side Effects
Stop taking aspirin / butalbital / caffeine and seek emergency medical attention if you experience any of the following: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); slow, weak breathing; severe weakness or dizziness; or black, bloody, or tarry stools or blood in your urine or vomit. Other, less serious side effects may be more likely to occur. Continue to take aspirin / butalbital / caffeine and talk to your doctor if you experience dry mouth, nausea, vomiting, or decreased appetite; dizziness, tiredness, or lightheadedness; or ringing in your ears. Butalbital may be habit forming. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Precautions
Do not take aspirin / butalbital / caffeine without first talking to your doctor if you drink more than three alcoholic beverages per day, if you have a stomach ulcer, if you have a bleeding or platelet disorder, or if you have recently had surgery. Before taking this medication, tell your doctor if you have kidney disease; liver disease; asthma or another respiratory disease; congestive heart disease or another type of heart disease; or high blood pressure. Do not take this medication without first talking to your doctor if you are pregnant or breast-feeding a baby. If you are older than 60 years of age, you may be more likely to experience side effects from this medication. Use extra caution. Do not use aspirin / butalbital / caffeine to treat a child or teenager who has a fever, flu symptoms, or chicken pox without first talking to a doctor. In children younger than 18 years of age, aspirin may increase the risk of Reye's syndrome, a rare but often fatal condition.

Drug Interactions
Do not take aspirin / butalbital / caffeine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous sedation could result. Aspirin / butalbital / caffeine may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves. Dangerous side effects may occur if aspirin is taken with any of the following medicines: oral anticoagulants probenecid or sulfinpyrazone , nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil, Nuprin, others), ketoprofen (Orudis, Orudis KT, Oruvail), and naproxen (Naprosyn, Anaprox, Aleve); other salicylates (forms of aspirin) such as choline salicylate and magnesium salicylate; steroids such as prednisone (Deltasone), prednisolone (Prelone, Pediapred, others), methylprednisolone (Medrol, others), dexamethasone (Decadron), and others; or insulin and oral antidiabetic drugs such as glipizide (Glucotrol) and glyburide (Micronase, Diabeta, Glynase). Many other medicines contain aspirin, especially over-the-counter pain, fever, cold, and allergy medications. Too much aspirin can be very dangerous. Drugs other than those listed here may also interact with aspirin / butalbital / caffeine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Missed Dose
Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking your next dose.

Storage
Store at room temperature away from moisture and heat. Keep this and all medications out of the reach of children.

Notes
Use caution when driving, operating machinery, or performing other hazardous activities. Butalbital may cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities. Avoid alcohol. Alcohol taken during therapy with aspirin / butalbital / caffeine can increase the risk of stomach bleeding and can increase drowsiness and dizziness. Never take more aspirin / butalbital / caffeine than is prescribed for you. If your pain is not being adequately treated, talk to your doctor. Avoid other over-the-counter and prescription products that contain aspirin. Too much aspirin could be dangerous. Talk to your doctor or pharmacist before taking any over-the-counter preparations.