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Buy Fioricet Online

What is Fioricet and How to Buy Fioricet Online

Fioricet contains a combination of acetaminophen, butalbital, and caffeine Acetaminophen is a pain reliever and fever reducer. Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache. Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

Fioricet is used to treat tension headaches that are caused by muscle contractions.

Fioricet may also be used for purposes not listed in this medication guide.

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Warnings Before You Take Fioricet

You should not use Fioricet if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.

Do not use Fioricet if you have taken a MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Do not take more Fioricet than is recommended. An overdose of acetaminophen can damage your liver or cause death. Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes).

In rare cases, acetaminophen may cause a severe skin reaction. Stop taking Fioricet and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

Before taking this medicine

Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

You should not use Fioricet if you are allergic to acetaminophen, butalbital, or caffeine, if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.

To make sure Fioricet is safe for you, tell your doctor if you have:

  • liver disease, cirrhosis, a history of alcoholism or drug addiction, or if you drink more than 3 alcoholic beverages per day;
  • kidney disease;
  • asthma, sleep apnea, or other breathing disorder;
  • stomach ulcer or bleeding;
  • a history of skin rash caused by any medication;
  • a history of mental illness or suicidal thoughts; or
  • if you use medicine to prevent blood clots.

It is not known whether Fioricet will harm an unborn baby. If you use butalbital while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.

This medicine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I take Fioricet?

Take Fioricet exactly as prescribed. Follow all directions on your prescription label. Do not take more of this medication than recommended. An overdose can damage your liver or cause death. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Butalbital may be habit-forming. Never share Fioricet with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away Fioricet is against the law.

Take Fioricet with food or milk if it upsets your stomach.

Store Fioricet at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Butalbital is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

Detailed Fioricet dosage information

What happens if I miss a dose?

Since this medicine is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Fioricet can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.

Overdose symptoms may also include insomnia, restlessness, tremor, diarrhea, increased shallow breathing, uneven heartbeats, seizure (convulsions), or fainting.

What to avoid

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP.

While you are taking this medication, avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor’s advice.

Fioricet side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

  1. Confusion (mild)
  2. mental depression
  3. unusual excitement (mild)

Rare

  1. Bleeding or crusting sores on the lips
  2. chest pain or tightness
  3. fever with or without chills
  4. hive-like swellings on the eyelids, face, lips, or tongue
  5. hives, itching, or skin rash
  6. muscle cramps or pain
  7. red, thickened, or scaly skin
  8. seeing, hearing, or feeling things that are not there
  9. seizures
  10. sore throat
  11. sores, ulcers, or white spots in the mouth
  12. swollen or painful glands
  13. trouble breathing

Incidence not known

  1. Agitation
  2. cough
  3. darkening of the skin
  4. diarrhea
  5. difficulty with swallowing
  6. dizziness
  7. fainting
  8. fever
  9. loss of appetite
  10. nausea
  11. overactive reflexes
  12. poor coordination
  13. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  14. restlessness
  15. shivering
  16. talking or acting with excitement you cannot control
  17. trembling or shaking
  18. twitching
  19. unusual tiredness or weakness
  20. vomiting

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

  1. Anxiety (severe)
  2. cold and clammy skin
  3. confusion (severe)
  4. dizziness, lightheadedness, drowsiness, or weakness (severe)
  5. excitement (severe)
  6. increased sleepiness in babies (more than usual)
  7. increased sweating
  8. irritability (severe)
  9. limpness (in babies)
  10. nausea
  11. restlessness (severe)
  12. slow, fast, or irregular heartbeat
  13. slurred speech
  14. stomach cramps or pain
  15. swelling, pain, or tenderness in the upper abdomen or stomach area
  16. trembling or shaking of the hands or feet
  17. trouble sleeping (severe)
  18. unusually slow breathing
  19. vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  1. Bloated or “gassy” feeling
  2. drowsiness (mild)

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

What other drugs will affect Fioricet?

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Furazolidone
  • Iproniazid
  • Isocarboxazid
  • Linezolid
  • Methylene Blue
  • Moclobemide
  • Nalmefene
  • Naltrexone
  • Nialamide
  • Phenelzine
  • Procarbazine
  • Rasagiline
  • Riociguat
  • Safinamide
  • Samidorphan
  • Selegiline
  • Toloxatone
  • Tranylcypromine
  • Viloxazine

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abametapir
  • Acepromazine
  • Alfentanil
  • Almotriptan
  • Alprazolam
  • Amifampridine
  • Amineptine
  • Amiodarone
  • Amitriptyline
  • Amitriptylinoxide
  • Amobarbital
  • Amoxapine
  • Amphetamine
  • Amprenavir
  • Anileridine
  • Anisindione
  • Aprepitant
  • Aprobarbital
  • Aripiprazole
  • Armodafinil
  • Asenapine
  • Atazanavir
  • Baclofen
  • Benperidol
  • Benzhydrocodone
  • Benzphetamine
  • Boceprevir
  • Bosentan
  • Bromazepam
  • Bromopride
  • Brompheniramine
  • Buprenorphine
  • Bupropion
  • Buspirone
  • Butabarbital
  • Butorphanol
  • Calcium Oxybate
  • Cannabidiol
  • Capmatinib
  • Carbamazepine
  • Carbinoxamine
  • Carisoprodol
  • Carphenazine
  • Cetirizine
  • Chloral Hydrate
  • Chlordiazepoxide
  • Chlorpheniramine
  • Chlorpromazine
  • Chlorzoxazone
  • Cimetidine
  • Cinacalcet
  • Ciprofloxacin
  • Citalopram
  • Clarithromycin
  • Clobazam
  • Clomipramine
  • Clonazepam
  • Clopidogrel
  • Clorazepate
  • Clozapine
  • Cobicistat
  • Cocaine
  • Conivaptan
  • Crizotinib
  • Cyclobenzaprine
  • Cyclosporine
  • Dantrolene
  • Darunavir
  • Delavirdine
  • Desipramine
  • Desmopressin
  • Desvenlafaxine
  • Dexamethasone
  • Dexmedetomidine
  • Dextroamphetamine
  • Dextromethorphan
  • Dezocine
  • Diazepam
  • Dibenzepin
  • Dichloralphenazone
  • Dicumarol
  • Difenoxin
  • Dihydrocodeine
  • Diltiazem
  • Diphenhydramine
  • Diphenoxylate
  • Dolasetron
  • Donepezil
  • Doxepin
  • Doxorubicin
  • Doxorubicin Hydrochloride Liposome
  • Doxylamine
  • Dronedarone
  • Droperidol
  • Duloxetine
  • Efavirenz
  • Eletriptan
  • Enflurane
  • Enzalutamide
  • Erythromycin
  • Escitalopram
  • Esketamine
  • Eslicarbazepine Acetate
  • Estazolam
  • Eszopiclone
  • Ethchlorvynol
  • Ethopropazine
  • Ethylmorphine
  • Etonogestrel
  • Etravirine
  • Fenfluramine
  • Fentanyl
  • Flibanserin
  • Fluconazole
  • Flunitrazepam
  • Fluoxetine
  • Fluphenazine
  • Flurazepam
  • Fluspirilene
  • Fluvoxamine
  • Fosamprenavir
  • Fosaprepitant
  • Fosnetupitant
  • Fosphenytoin
  • Fospropofol
  • Frovatriptan
  • Gabapentin
  • Gabapentin Enacarbil
  • Givosiran
  • Granisetron
  • Halazepam
  • Haloperidol
  • Halothane
  • Hexobarbital
  • Hydrocodone
  • Hydromorphone
  • Hydroxytryptophan
  • Hydroxyzine
  • Idelalisib
  • Imatinib
  • Imipramine
  • Indinavir
  • Iobenguane I 131
  • Isoflurane
  • Isoniazid
  • Itraconazole
  • Ivacaftor
  • Ketamine
  • Ketazolam
  • Ketobemidone
  • Ketoconazole
  • Lasmiditan
  • Lemborexant
  • Levocetirizine
  • Levomilnacipran
  • Levorphanol
  • Lisdexamfetamine
  • Lithium
  • Lofepramine
  • Lofexidine
  • Lomitapide
  • Lopinavir
  • Lorazepam
  • Lorcaserin
  • Lormetazepam
  • Loxapine
  • Lumacaftor
  • Magnesium Oxybate
  • Meclizine
  • Medazepam
  • Melitracen
  • Melperone
  • Meperidine
  • Mephenesin
  • Mephobarbital
  • Meprobamate
  • Meptazinol
  • Mesoridazine
  • Metaxalone
  • Methadone
  • Methamphetamine
  • Methdilazine
  • Methocarbamol
  • Methohexital
  • Methotrimeprazine
  • Metoclopramide
  • Mibefradil
  • Midazolam
  • Mifepristone
  • Milnacipran
  • Mirabegron
  • Mirtazapine
  • Mitotane
  • Modafinil
  • Molindone
  • Moricizine
  • Morphine
  • Morphine Sulfate Liposome
  • Nafcillin
  • Nalbuphine
  • Naratriptan
  • Nefazodone
  • Nelfinavir
  • Netupitant
  • Nevirapine
  • Nicomorphine
  • Nifedipine
  • Nilotinib
  • Nitrazepam
  • Nitrous Oxide
  • Nortriptyline
  • Olanzapine
  • Ondansetron
  • Opipramol
  • Opium
  • Opium Alkaloids
  • Orphenadrine
  • Oxazepam
  • Oxcarbazepine
  • Oxycodone
  • Oxymorphone
  • Ozanimod
  • Palbociclib
  • Palonosetron
  • Papaveretum
  • Paregoric
  • Paroxetine
  • Peginterferon Alfa-2b
  • Pentazocine
  • Pentobarbital
  • Perampanel
  • Perazine
  • Periciazine
  • Perphenazine
  • Phenindione
  • Phenobarbital
  • Phenprocoumon
  • Phenytoin
  • Piperacetazine
  • Piperaquine
  • Pipotiazine
  • Piritramide
  • Pixantrone
  • Pneumococcal 13-Valent Vaccine, Diphtheria Conjugate
  • Posaconazole
  • Potassium Oxybate
  • Prazepam
  • Prednisone
  • Pregabalin
  • Primidone
  • Prochlorperazine
  • Promazine
  • Promethazine
  • Propofol
  • Protriptyline
  • Quazepam
  • Quetiapine
  • Quinidine
  • Quinine
  • Ramelteon
  • Ranitidine
  • Ranolazine
  • Remifentanil
  • Remimazolam
  • Remoxipride
  • Rifabutin
  • Rifampin
  • Rifapentine
  • Ritonavir
  • Rizatriptan
  • Rolapitant
  • Saquinavir
  • Scopolamine
  • Secobarbital
  • Sertindole
  • Sertraline
  • Sibutramine
  • Sodium Oxybate
  • St John’s Wort
  • Sufentanil
  • Sulpiride
  • Sumatriptan
  • Suvorexant
  • Tapentadol
  • Telaprevir
  • Telithromycin
  • Temazepam
  • Terbinafine
  • Thiethylperazine
  • Thiopental
  • Thiopropazate
  • Thioridazine
  • Tianeptine
  • Tilidine
  • Tizanidine
  • Tolonium Chloride
  • Topiramate
  • Tramadol
  • Trazodone
  • Triazolam
  • Trifluoperazine
  • Trifluperidol
  • Triflupromazine
  • Trimeprazine
  • Trimipramine
  • Tryptophan
  • Ulipristal
  • Venlafaxine
  • Verapamil
  • Vilazodone
  • Voriconazole
  • Vortioxetine
  • Zaleplon
  • Ziprasidone
  • Zolmitriptan
  • Zolpidem
  • Zopiclone
  • Zotepine

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acenocoumarol
  • Cannabis
  • Carbamazepine
  • Fosphenytoin
  • Lixisenatide
  • Ospemifene
  • Phenytoin
  • Prednisone
  • Warfarin
  • Zidovudine

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Ethanol
  • Tobacco

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Cabbage
  • Ethanol

Why Is Fioricet Addictive?

As with most other drugs, an addiction to Fioricet can develop if the person taking it develops a tolerance for it. When this happens, the individual will require more and more of the drug to achieve the same effects they originally experienced. As tolerance levels increase, the person needs higher doses, which can ultimately lead to addiction.

When patients feel the intense pain of migraines, they will often do whatever it takes to alleviate the pain, including taking more than the prescribed amount of Fioricet.

To make matters worse, some people who use Fioricet illicitly will combine it with other types of drugs to magnify the effects. Not only can this behavior solidify an addiction, but it can also be incredibly dangerous.

What Are the Symptoms of a Fioricet Addiction?

There are several symptoms and signs of an addiction to Fioricet, including the following:

  • Noticing limited effects with regular doses
  • Taking higher and higher doses to achieve the same effects
  • “Doctor shopping” to get several prescriptions
  • Feeling hopeless without access to the drug
  • Being obsessed with obtaining and taking Fioricet
  • Being unable to function without Fioricet
  • Physical symptoms, including nausea, vomiting and an upset stomach

People can also experience withdrawal symptoms after a few hours have elapsed since last taking the drug. Withdrawal from Fioricet can cause:

  • Slowed breathing
  • Confusion
  • High blood pressure
  • Anxiety
  • Anger
  • Depression

When the effects of regular doses of Fioricet are not achieved, patients may take higher doses, which can lead to addiction.

Why Is Treatment Necessary to Deal With Fioricet Addiction?

It may be possible for some people who are addicted to Fioricet to stop taking the drug for good without any outside intervention. However, the majority of individuals require medical treatment to achieve long-term sobriety. The chances of better managing the addiction are much higher when you enter a rehab center that is experienced in dealing with Fioricet addiction.

Going through medical detox under supervision is much safer than attempting to detox on your own. After detox, treatment can immediately begin to help you make the necessary changes and behavioral modifications to achieve and maintain sobriety. Having professionals supervise the addiction treatment can ensure that you are properly assessed and guided through the appropriate type of treatment.

Recovery From Fioricet Addiction Is Possible

If you are addicted to Fioricet or know someone who is, help is just a phone call away. While treatment and recovery may be challenging, sobriety is worth it. Contact The Recovery Village Columbus to learn more about which addiction treatment programs will work best for you.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Addison’s disease (an adrenal problem) or
  • Alcohol or drug abuse or dependence, or history of or
  • Brain problems (eg, tumor, increased intracranial pressure) or
  • Breathing or lung problems (eg, COPD, hypercapnia, hypoxia, sleep apnea) or
  • Cor pulmonale (serious heart condition) or
  • Depression, or history of or
  • Enlarged prostate or
  • Head injury, history of or
  • Hypothyroidism (underactive thyroid) or
  • Obesity (overweight) or
  • Trouble urinating or
  • Weakened physical condition—Use with caution. May increase risk for more serious side effects.
  • Gallbladder problems or
  • Hypotension (low blood pressure) or
  • Pancreatitis (swelling of the pancreas) or
  • Seizures, or history of—Use with caution. May make these conditions worse.
  • Kidney disease or
  • Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
  • Lung or breathing problems (eg, asthma, respiratory depression), severe or
  • Porphyria (enzyme problem) or
  • Stomach or bowel blockage (including paralytic ileus) or
  • Surgery (eg, nasopharyngeal tonsils, tonsils)—Should not be used in patients with these conditions.

Q. I have been on Fioricet for 2 years. I had been taking 6 tablets a day. My physician recommended that I cut back, due to rebound headache, every 4 days. I have now cut back to 3 tablets, and I’m experiencing extreme drowsiness and agitation.  I was told it’s not a side effect. Do you have any recommendations for alternative medication(s) that I can try? Also, I would like to know if you’ve ever heard of anyone else experiencing these types of side effects.

A. Butalbital-containing medications such as Fioricet (butalbital/acetaminophen/caffeine) and Fiorinal (butalbital/aspirin/caffeine) have long been implicated in the development of rebound (medication overuse) headaches. One of the problems with Fioricet is that it has a long half-life of about 36 hours, which means that it takes 1.5 days for the body to eliminate half of the dose of the drug. It takes between 5 to 6 half-lives for the drug to reach a steady state, and you can still see traces of the drug in the blood and urine for more than 10 days after taking Fioricet or Fiorinal. There is an increased risk of tolerance and habituation to the drug when taking multiple doses daily. Weaning off the drug is usually done slowly since there is a risk of seizures and/or delirium. The severity of withdrawal symptoms is directly related to the amount of the medication taken and can include anxiety, weakness, nausea, vomiting, weight loss, involuntary muscle twitching, fatigue, decreased blood pressure, and dizziness. Withdrawal symptoms can be seen within 8 to 36 hours after the last dose is taken. A recent recommendation from the American Academy of Neurology has stated, “Don’t use opioid or butalbital treatment for migraine except as a last resort.” (Langer -Gould AM, Anderson WE, Armstrong MJ, et al. The American Academy of Neurology’s TOP Five Choosing Wisely recommendations. Neurology. 2013;81:1004-1011.)

Regarding alternatives in the treatment of migraine, the most important is the use of daily preventive medication(s) for long-term migraine control. This can include a single daily preventive medication or a combination of medications. Commonly prescribed daily preventive medications include beta blockers, antiepileptic medications, or tricyclic antidepressants. OnabotulinumtoxinA (Botox) is FDA-approved for the prevention of chronic migraine and can be an effective option in some patients. Last year, the FDA approved a device, Cefaly, which delivers microimpulses in order to stimulate nerve endings in the trigeminal nerve and may help to decrease migraine frequency. Treatment of migraine with acute medications such as triptans, ergotamine, or anti-inflammatory agents should be limited to no more than 2 to 3 days per week in order to prevent the development of rebound headache.

George R. Nissan, D.O.

Baylor Comprehensive Headache Center

Dallas, Texas