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Butalbital, acetaminophen, and caffeine combination is used to relieve symptoms of tension (or muscle contraction) headaches.

Buy  Blue and White Fioricet Online

Product Name Price Shipping Total Order
Butalbital/APAP/Caffeine (Generic Fioricet )- 50/325/40 mg- 90 Tabs $179 free $179 Order
Butalbital/APAP/Caffeine (Generic Fioricet )- 50/325/40 mg- 120 Tabs $219 free $219 Order
Butalbital/APAP/Caffeine (Generic Fioricet )- 50/325/40 mg- 180 Tabs $239 free $239 Order
Butalbital/APAP/Caffeine White (Generic Fioricet )- 50/325/40 mg- 180 Tabs $249 free $249 Order
Butalbital/APAP/Caffeine Blue (Generic Fioricet )- 50/325/40 mg- 180 Tabs $249 free $249 Order
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Fioricet is a combination medication containing butalbital, acetaminophen, and caffeine. It’s used to treat tension headaches but can become habit-forming. It can also worsen headaches if used too frequently, so it’s not a first-choice option for treating tension headaches.

What is Fioricet Generic?

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 blue and white
fioricet blue and white

Butalbital belongs to the group of medicines called barbiturates. Barbiturates act in the central nervous system (CNS) to produce their effects. Acetaminophen is used to relieve pain and reduce fever in patients. It does not become habit-forming when taken for a long time. But acetaminophen may cause other unwanted effects when taken in large doses, including liver damage.

When butalbital is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly.

However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely. Caffeine is a CNS stimulant that is used with pain relievers to increase their effect. It has also been used for migraine 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. This medicine is available only with your doctor’s prescription. This product is available in the following dosage forms:

      • Tablet
      • Capsule
      • Solution

How Does Fioricet Work?

Fioricet is a combination of three medications that help relieve pain caused by tension headaches (headaches that are generally related to stress and cause muscle tightness and pain around your forehead and neck).

  • Butalbital is a barbiturate that works in your brain to help you relax.
  • Acetaminophen is a pain reliever. It stops the production of certain chemicals in the brain that cause pain.
  • Caffeine is an adenosine antagonist. It blocks a natural chemical in your body called adenosine. It’s unclear exactly how caffeine works to treat headaches, but it’s thought to boost the pain-relieving activity of acetaminophen.

What makes Fioricet a controlled medication in some states?

Fioricet is a controlled medication in some states, because it contains butalbital. Because butalbital can make people feel relaxed, there’s a risk of misuse, meaning people might take the medication for a different reason or in a different way than it’s prescribed. Taking butalbital for a long time can also cause physical dependence, where more medication is needed to get the same relaxed feeling. Physical dependence can lead to serious withdrawal symptoms if you lower the dose too quickly or if you stop the medication suddenly.

These symptoms include seizures, delusions, restlessness, trouble sleeping, and shakiness. Because of these dangerous risks with butalbital use, some state governments place strict regulations on Fioricet to lower the risk of misuse, dependence, and related consequences.

What is Fioricet used for?

  • Tension headaches
  • Migraine Headache
  • Managing fever and pain in combination

Brand Names of Fioricet

The combination of butalbital, acetaminophen and caffeine is sold under other brand names, as well as Fioricet. These include Americet, Ezol and Alagesic among others.

Fioricet with Codeine

Fioricet with Codeine may be used in cases where stronger pain management of tension headaches is required. Fioricet with Codeine can be beneficial for people struggling to manage their pain, but comes with a higher risk of abuse and the potential for dangerous side effects.

Fioricet with Codeine is a controlled substance, and is prescribed carefully to avoid dependence or misuse. We do not sell Fioricet with Codeine

Fiorinal vs. Fioricet

Fiorinal and Fioricet are similar medications. However, the pain-killing medication included differs between the two.

While Fioricet contains acetaminophen, Fiorinal contains aspirin.

Both of these drugs are useful for managing pain and fever, but some people may respond better to one than the other.

Fiorinal is controlled substance and we do not sell Fiorinal Online

Why is Fioricet a controlled medication in some states and not others?

State laws can differ when categorizing Fioricet as a controlled medication. In some states, whether Fioricet is controlled or not depends on how much butalbital it contains compared to other ingredients and how likely the medication can cause the dangerous risk of misuse and dependence. In other states, Fioricet is categorized as a controlled medication solely based on the fact that butalbital alone is a controlled medication.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

  • drug abuse or addiction
  • heart or circulation problems
  • if you often drink alcohol
  • kidney disease or problems going to the bathroom
  • liver disease
  • lung disease, asthma, or breathing problems
  • porphyria
  • an unusual or allergic reaction to acetaminophen, butalbital or other barbiturates, caffeine, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

What should I avoid while taking Fioricet?

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.

Is it safe to use Fioricet during pregnancy?

There isn’t enough information available to know if Fioricet is safe to take during pregnancy. It’s also unknown if this medication can cause harm to your unborn baby or affect your chances of becoming pregnant. If you’re pregnant or planning on becoming pregnant, discuss the risks and benefits of using Fioricet with your healthcare provider.

Typical dosing for Fioricet

Oral tablets: Each tablet contains 50 mg of butalbital, 325 mg of acetaminophen, and 40 mg of caffeine.

  • Adults and children 12 years and older: The typical dose is 1 to 2 tablets by mouth every 4 hours as needed for pain. Don’t take more than 6 tablets in a 24-hour period.

Oral capsules: Each capsule contains 50 mg of butalbital, 300 mg of acetaminophen, and 40 mg of caffeine.

  • Adults and children 12 years and older: The typical dose is 1 to 2 capsules by mouth every 4 hours as needed for pain. Don’t take more than 6 capsules in a 24-hour period.

Oral solution: Each tablespoonful (15 mL) contains 50 mg of butalbital, 325 mg of acetaminophen, and 40 mg of caffeine.

  • Adults and children 12 years and older: The typical dose is 15 mL (1 tablespoon) to 30 mL (2 tablespoons) by mouth every 4 hours. Don’t take more than 90 mL (6 tablespoons) in a 24-hour period.

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.

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

Get emergency medical help if you have signs of an allergic reaction to Fioricet: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In rare cases, acetaminophen may cause a severe skin reaction that can be fatal. This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. If you have this type of reaction, you should never again take any medicine that contains acetaminophen.

Stop using this medicine and call your doctor at once if you have:

      • confusion, seizure (convulsions).
      • shortness of breath.
      • a light-headed feeling, like you might pass out; or
      • nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Common Fioricet side effects may include:

      • drowsiness, dizziness.
      • feeling anxious or restless.
      • drunk feeling; or
      • sleep problems (insomnia).

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

This medicine may cause accidental overdose and death if it taken by other adults, children, or pets. Mix any unused medicine with a substance like cat litter or coffee grounds. Then throw the medicine away in a sealed container like a sealed bag or a coffee can with a lid. Do not use the medicine after the expiration date.

Store at room temperature between 15 and 30 degrees C (59- and 86-degrees F).

Patient Experiences with Fioricet

1. After years of just dealing with my tension and migraine headaches and being told by various primary care doctors that that I was making this more than it was and that an aspirin or Excedrin would do the trick, I finally decided to go to a neurologist. She’s been wonderful. I’ve finally been diagnosed correctly and am on the right medication regimen. I’m also no longer ‘missing out on life’ because I’m curled up in a ball on the couch or the bed trying to wish my headache away. This medication is a lifesaver and with my insurance dirt cheap. I don’t leave home without it and always stay on top of my refills. No sides effects, other than no headaches!!!

2.Works wonderfully!!  This is the first I’ve heard of this medicine and have been taking it for 3 days and was finally prescribed by my neurologist. It was a great choice and I’m grateful he took the time to listen to me and rub brain cells together to help me.

Popular Fioricet FAQs

Is Fioricet a controlled substance?

According to the Drug Enforcement Administration (DEA), Fioricet is not a controlled substance. However, butalbital belongs to a class of drugs known as barbiturates. These drugs are habit-forming and can be abused. For this reason, it’s not recommended to take Fioricet long-term.

Is Fioricet the same as Excedrin?

Fioricet is not the same as Excedrin. Fioricet contains butalbital, which is available by prescription only. Excedrin products are available over the counter and contain different combinations of aspirin, acetaminophen, caffeine and diphenhydramine:

Excedrin Extra Strength Excedrin Migraine Excedrin Tension Headache Excedrin PM Headache
Acetaminophen 250 mg 250 mg 500 mg 250 mg
Aspirin 250 mg 250 mg 250 mg
Caffeine 65 mg 65 mg 65 mg
Diphenhydramine 38 mg

Because butalbital is habit-forming, it is not recommended to take Fioricet every day. It’s possible to build up a tolerance to butalbital. Over time, higher doses may be needed to have the same effect, leading to drug dependence. Taking higher doses of Fioricet can also increase the chance of an overdose.

Fioricet is intended for occasional use every 4 hours when symptoms occur.

Does Fioricet make you sleepy?

Butalbital affects the central nervous system and can make you sleepy. It can also cause lightheadedness, dizziness and mental confusion. Drowsiness is also one of the first signs of an overdose from barbiturates.

How long does Fioricet stay in your system?

Fioricet contains three different drugs. Each drug is estimated to stay in your body for a different amount of time.

  • Acetaminophen is eliminated after about 6 to 15 hours
  • Caffeine is eliminated after about 15 hours
  • Butalbital is eliminated after about 7 days

How much caffeine is in Fioricet?

Fioricet contains 40 mg of caffeine, similar to a cup of tea. The following shows the average amount of caffeine in some common beverages:

  • 8 oz of coffee: 80 to 100 mg of caffeine
  • 8 oz green or black tea: 30 to 50 mg of caffeine
  • 12 oz caffeinated soda: 30 to 40 mg of caffeine

Does Fioricet cause weight loss?

In clinical studies, weight loss was not a reported side effect from Fioricet. However, it can cause nausea, vomiting and stomach pain. Having those side effects may lead to a decreased appetite and lead to weight loss.

What are Analgesic combinations?

Analgesic combination products contain at least one analgesic in combination with another medicine or medicines. An analgesic is the name given to a medicine that relieves pain without putting you to sleep or making you lose consciousness. Analgesics may also be known as painkillers or pain relievers.

If an analgesic combination product contains two analgesics, these generally have different ways of working to relieve pain.

Analgesic combination products tend to either have acetaminophen, an NSAID (such as ibuprofen or naproxen), codeine (or another opioid) as one of their ingredients.

What are analgesic combinations used for?

Analgesic combinations may be taken to relieve pain that arises from a wide range of conditions, such as:

  • appendicitis
  • cancer
  • congenital conditions such as curvature of the spine
  • fibromyalgia
  • gallbladder disease
  • gastrointestinal disorders
  • headaches
  • heart disease
  • improper lifting techniques or poor posture
  • infection
  • menstruation
  • migraines
  • multiple sclerosis
  • nerve damage
  • osteoarthritis
  • pain syndromes
  • poor posture
  • rheumatoid arthritis
  • sprains
  • strains
  • surgery
  • trauma
  • toothache
  • wound cleansing and debridement.

It is important to note that not all analgesic combinations are appropriate for all these conditions.

Is Fioricet Considered a Narcotic?

Most people will say yes although maybe not in the strictest terms, but if it contains codeine, it is absolutely a narcotic.

Is Fioricet considered a narcotic? This is a common question people have about this prescription headache medicine. Below is an overview of what a narcotic is and information about Fioricet including whether or not it’s considered a narcotic.

What is a Narcotic?

Before exploring if Fioricet is a narcotic, what is a narcotic? The term narcotic was at one point in history used to refer to any psychoactive substance that tended to induce sleep, but currently, in the U.S., it’s primarily associated with opioids including heroin, as well as prescription painkillers.

When you’re looking at the term narcotic in the legal sense, people often associate it with illegal drugs like heroin, but a narcotic can also be used to describe controlled substances such as painkillers that are regulated but available by prescription.

In the U.S. there are classifications for various narcotics that define the penalties for possessing the illegally, including without a prescription.

So, is Fioricet a narcotic?

Fioricet Ingredients

In regular Fioricet there are three primary, active ingredients These are butalbital, which is a barbiturate, acetaminophen which is a painkiller available over-the-counter, and caffeine. These three ingredients are meant to work together to relieve headache pain and similar symptoms.

When considering whether Fioricet is a narcotic, the primary ingredient to look at is the butalbital, because the other two ingredients would never be considered narcotics.

Butalbital is a barbiturate with an intermediate duration of action, and it’s FDA approved for the use as a treatment for tension headaches. Despite its effectiveness in treating headaches, particularly of the tension variety, it’s not the first option. Butalbital can cause problems with alertness, and there’s the risk for dependence and addiction. Some people describe the effects of Fioricet as making them feel drunk.

Legally in the U.S., barbiturates of all kinds are Schedule IV.

Features of Schedule IV drugs according to the United States Controlled Substance Act include:

  • There is a relatively low potential for abuse compared to substances that are classified as Schedule III
  • The substance has a currently accepted medical use in the U.S.
  • With abuse of a Schedule IV drug, there is a limited potential that physical or psychological dependence could occur

It could be considered by some to be a narcotic, but usually the term narcotic refers to opioids, which will be discussed below.

Fioricet with Codeine

There is a version of Fioricet that has all of the ingredients listed above but also includes codeine. Codeine is completely classified as a narcotic in the U.S, and it’s a controlled substance. Codeine is not only a narcotic pain reliever but also a cough suppressant, and it’s similar in many ways to morphine and hydrocodone.

When someone takes a drug with codeine, it binds to opioid receptors, changing how the person perceives pain. It increases pain tolerance, and it can also depress the central nervous system. Codeine is frequently paired with acetaminophen or aspirin to be even more effective as a painkiller.

To sum up, is Fioricet a narcotic? Most people will say yes although maybe not in the strictest terms, but if it contains codeine, it is absolutely a narcotic.

Fioricet Warnings

As with other narcotics and prescription pain medicines, Fioricet has many warnings that accompany its use.

First and foremost, this medicine can cause liver toxicity because of the acetaminophen. It’s important that people realize that they should never take an excessive amount of acetaminophen in one day because it can lead to liver damage or failure. Also, while it may be somewhat lower than with other narcotics, there is the potential for abuse, addiction, and dependence with the use of barbiturates including butalbital.

Is Fioricet Addictive?

While it seems like opioids get the bulk of the attention right now regarding prescription medication addiction, Fioricet is addictive. When people take Fioricet, they should be warned of the potential for Fioricet abuse and Fioricet addiction. It’s the butalbital that may be habit-forming in Fioricet, and if it contains codeine, that element may also be.

Butalbital is a central nervous system depressant, and it can sedate how a person feels pain. This is combined with the pain-relieving effects of acetaminophen, which works differently than the butalbital.

So how do Fioricet abuse and Fioricet addiction occur?

When someone is addictive to Fioricet, it usually begins as tolerance. With a drug tolerance someone takes the substance for a period of time, and then their body becomes used to it, so they need continuously higher doses to get the same effects.

A tolerance can be developed for butalbital as well as codeine if it’s contained in Fioricet. There is research that shows the average barbiturate addict may need to take 1500 mg of the drug to feel the effects they want. Unfortunately, people who are addicted to Fioricet also often take other opioids and narcotics either to amplify the effects of the Fioricet or when they run out of it to achieve the same effect.

What are the signs of Fioricet addiction?

  • One of the first outward signs of Fioricet addiction is often when people start doctor shopping, meaning they try to go to multiple doctors to get more of the drug.
  • People may be taking more doses of Fioricet for the treatment of recurring headaches.
  • You may have not only a physical dependence but also a Fioricet addiction if you start to experience symptoms of withdrawal when you stop taking it or take a lower dosage.
  • People who are addicted to Fioricet may feel like they can’t function normally without it.
  • When you’re addicted to Fioricet, you may be obsessed with finding it and taking it.

While all addictions to prescription drugs are worrisome, with Fioricet, there is not only the concern of being addicted to the butalbital, but there are the risks of the acetaminophen component of the drug. Acetaminophen can cause liver damage or failure when high amounts are taken, and it can be an acute situation where it happens very suddenly. It’s important for people who take Fioricet to be aware of this.

Acute liver failure can occur in doses of more than 4,000 mg in a day.

In addition to the dangers of acetaminophen, with Fioricet abuse, there is the risk of overdosing on butalbital as well. Butalbital can cause respiratory depression and excessive sedation, so Fioricet addiction is dangerous in multiple ways.