Fioricet Cautions and Warnings

Fioricet contains a combination of acetaminophen, butalbital, and caffeine. Butalbital is a short to intermediate-acting barbiturate and is habit-forming and potentially abusable.  Consequently, the extended use of this product is not recommended.

Acetaminophen is used to relieve mild to moderate pain from headaches, muscle aches, menstrual periods, colds and sore throats, toothaches, backaches, and reactions to vaccinations (shots), and to reduce fever. Caffeine is a methylxanthine similar to theophylline and theobromine. While caffeine is used for stimulant and mood-elevating effects in drinks such as coffee, it also has been used to treat neonatal apnea and headaches in combination with other analgesics.

Following image is the ingredient of fioricet.

 the ingredient of fioricet

The average daily dose for the barbiturate addict is usually about 1500 mg.  But the lethal dose of a barbiturate is far less if alcohol is also ingested. It is strictly required not taking alcohol while you are taking fioricet. One of the important ingredient is acetaminophen. A lot of drugs contains acetaminophen.

More than 600 medicines contain acetaminophen. These medicines include both prescription medicines and OTC medicines. On prescription labels, acetaminophen is sometimes listed as “APAP,” “acetam,” or other shorted versions of the word.  Please read very carefully when you are taking the medicines that contains APAP because overdose of acetaminophen will hurt your heart, liver,  and kidney seriously.  To know what is in your medicines, read the list of active ingredients on the label each and every time you take a medicine. Following picture is a list of some OTC or prescription drugs that contain acetaminophen.

drugs that contains acetaminophen

When you take drugs for pain relief. Please check whether the drug contains apap. You cannot take more than 4000mg acetaminophen per day.

Liver Damage While taking Acetaminophen

The safety dosage is 3000mg per day.  Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4000 milligrams per day, and often involve more than one acetaminophen-containing product.  According to the FDA, in the United States there were “56,000 emergency room visits, 26,000 hospitalizations, and 458 deaths per year related to acetaminophen-associated overdoses during the 1990s. Within these estimates, unintentional acetaminophen overdose accounted for nearly 25% of the emergency department visits, 10% of the hospitalizations, and 25% of the deaths.” [1]

Pregnancy and nursing mom warning while taking fioricet

Acetaminophen; butalbital; caffeine components may all be excreted to some extent into breast milk.  According to the manufacturer, because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug. Caffeine can accumulate in the neonate. Chronic barbiturate use while breast-feeding may cause dependence in the neonate. The chronic use of acetaminophen, butalbital, caffeine during breast-feeding is not recommended.

Serious Skin Reactions
Rarely, acetaminophen may cause serious skin reactions such as acute generalized exanthematous pustulosis (AGEP), Stevens-Johnson Syndrome, and toxic epidermal necrolysis (TEN), which can be fatal. Patients should be informed about the signs of serious skin reactions, and use of the drug should be discontinued at the first appearance of skin rash or any other sign of hypersensitivity.

Other warnings
other serious warning is listed in our first page. Following Patients can not buy Fioricet Online. [2]