Butalbital-Caff-Apap-Codeine Oral

In Depth

rash
itching/swelling (especially of the face/tongue/throat)
severe dizziness
trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

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

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Butalbital-Caff-Apap-Codeine Oral Precautions

Before taking this medication, tell your doctor or pharmacist if you are allergic to acetaminophen, caffeine, codeine, or butalbital; or to other barbiturates (e.g., phenobarbital), xanthine derivatives (e.g., theophylline) or narcotic pain medications (e.g., morphine); or if you have any other allergies.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

severe breathing problems (e.g., respiratory depression, hypercarbia, bronchopneumonia)
infectious diarrhea
a certain enzyme disorder (porphyria)
intoxication with medications that depress the nervous system or your breathing (CNS/respiratory depressants such as alcohol or tranquilizers/sedatives)

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

brain disorders (e.g., seizures, head injury, tumor, increased intracranial pressure)
lung diseases (e.g., chronic obstructive pulmonary disease-COPD, asthma, hypoxia, hypercapnia)
disease of the pancreas (e.g., pancreatitis)
heart disease (e.g., irregular heartbeat, recent heart attack)
liver disease
kidney disease
a certain spinal problem (kyphoscoliosis)
gallbladder disease
personal or family history of regular use/abuse of drugs/alcohol
mental/mood disorders
abdominal/stomach problems (e.g., stomach ulcer, colitis)
adrenal gland problem (e.g., Addison's disease)
difficulty urinating (e.g., due to enlarged prostate or urethral stricture)
underactive thyroid (hypothyroidism)
recent bowel/abdominal surgery