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Symptoms of overdose
Anxiety, confusion, excitement, irritability, nervousness, restlessness, or trouble in sleeping (severe, especially with products containing caffeine) ; convulsions (seizures) (for products containin
g caffeine); diarrhea, especially if occurring together with increased sweating, loss of appetite, and stomach cramps or pain; dizziness, lightheadedness, drowsiness, or weakness, (severe) ; freque
nt urination (for products containing caffeine) ; hallucinations (seeing, hearing, or feeling things that are not there); increased sensitivity to touch or pain (for products containing caffeine);
muscle trembling or twitching (for products containing caffeine); nausea or vomiting, sometimes with blood;
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Possible food and drug interactions when taking this medication
Do not take acetamino phenbutalbital caffeine - Esgic if you have taken monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the las
t 14 days. Dangerous side effects could result. Acetaminophen and butalbital may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedative
s (used to treat insomnia), other pain relievers, anxiety medicines, and muscle relaxants.
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Why is this medication prescribed?
Some butalbital and acetaminophen combinations also contain caffeine (KAF-een) . Caffeine may help to relieve headaches. However, caffeine can also cause physical dependence when it is used for a long
time. This may lead to withdrawal (rebound) headaches when you stop taking it.
Butalbital and acetaminophen combination may also be used for other kinds of headaches or other kinds of pain a
s determined by your doctor.
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What side effects may occur?
Although side effects from acetaminophen, butalbital, and caffeine are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:
- drowsiness
-
upset stomach
- vomiting
- stomach pain
- depression
- lightheadedness
- confusion
If you experience any of the following symptoms, call your doctor immediately:
- skin rash
- itching
- difficulty breathing
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How should you take this medication?
People who get a lot of headaches may need to take a different medicine to help prevent headaches. It is important that you follow your doctor's directions about taking the other medicine, even if you
r headaches continue to occur. Headache-preventing medicines may take several weeks to start working. Even after they do start working, your headaches may not go away completely. However, your headach
es should occur less often, and they should be less severe and easier to relieve than before. This will reduce the amount of headache relievers that you need. If you do not notice any improvement afte
r several weeks of headache-preventing treatment, check with your doctor.
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Other medical problems
Before taking acetaminophen, butalbital, and caffeine,
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially anticoagulants ('blood thin
ners') such as warfarin (Coumadin), antidepressants, antihistamines, pain medications, sedatives, sleeping pills, tranquilizers, and vitamins. Many nonprescription pain relievers contain acetaminophen
. Too much of this drug can be harmful.
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