All the drugs in Esgic pass into breast milk, and breastfeeding while taking Esgic is not recommended. Withdrawal symptoms may occur if you suddenly stop taking Esgic. Massage, hot baths, and other relaxation methods can help with tension headaches. This may not be a complete list of medicines that can interact with butalbital/aspirin/caffeine. If you take butalbital/aspirin/caffeine on a regular basis, do not stop taking the medicine without talking to your health care provider. Stopping too quickly can cause serious side effects.

However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely. Butalbital is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function. Liquid products may contain alcohol, sugar and/or aspartame. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet.

A tension headache is the most common type of headache. Chances are that you’ve experienced its characteristic pain in your neck, head, or behind your eyes. It can also feel like someone put a band around your head and is pulling it tight. Headaches are common sources of pain that affect nearly every person on the planet at some point. There are several types of headaches, and they have different causes and treatments.

If you develop a rash, stop butalbital/aspirin/caffeine and call your health care provider right away. 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. Get medical help right away if you take too much acetaminophen (overdose), even if you feel well.

• Elimination of butalbital is primarily via the kidney (59% to 88% of the dose) as unchanged drug or metabolites.
• Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain or inflammation …
• Nasal Polyps, Angioedema, and Wheezing or Trouble Breathing After Aspirin or Medicines Like Ibuprofen or Naproxen (Nonsteroidal Anti-inflammatory Drugs).
• Taking too much acetaminophen may cause serious (possibly fatal) liver disease.
• If you develop a rash, stop butalbital/acetaminophen/caffeine and call your health care provider right away.

Other Medical Problems

• Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet.
• People who are allergic to any of the following should not take butalbital/aspirin/caffeine.
• Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist.
• Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases.
• Do not take more of this medication than is recommended.

If your dose is different, do not change it unless your doctor tells you to do so. Appropriate studies have not been performed on the relationship of age to the effects of butalbital, acetaminophen, and caffeine combination in children younger than 12 years of age. Like most xanthines, caffeine is rapidly absorbed and distributed in all body tissues and fluids, including the CNS, fetal tissues, and breast milk.

Medical Professionals

Taking Fioricet or any BAC product with Tylenol can have serious side effects. In April 2022, the DEA proposed removing the exemption for BAC. The proposed rule change would add all products that contain butalbital to its list of Schedule III controlled substances. BAC on its own is not a federally controlled substance.

Advertising revenue supports our non-profit mission. Before you have any medical tests, tell the medical doctor in charge that you or your child are taking this medicine. The results of some tests may be affected by this medicine. It is very important that your doctor check your progress while you or your child are taking this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. This medicine is available only with your doctor’s prescription.

Do not drive or do other activities that require alertness or coordination until you know how butalbital/acetaminophen/caffeine affects you. People who are allergic to any of the following should not take butalbital/acetaminophen/caffeine. Do not take other medicines unless they have been discussed with your esgic dosage doctor. This includes prescription or nonprescription (over-the-counter OTC) medicines and herbal or vitamin supplements. You are encouraged to report negative side effects of prescription drugs to the FDA.

What should I tell my health care provider before using butalbital/acetaminophen/caffeine?

People who are 65 years and older can be at greater risk of some side effects from butalbital/acetaminophen/caffeine. Talk to your health care provider about your risks if you are in this age group. Butalbital, acetaminophen, and caffeine work in different ways to relieve a tension headache.

Signs and Symptoms

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. Do not drink alcohol or use prescription or over-the-counter medicines that contain alcohol while taking butalbital/aspirin/caffeine. Drinking alcohol while taking butalbital/aspirin/caffeine can increase your risk of overdose and death.

This may not be a complete list of medicines that can interact with butalbital/acetaminophen/caffeine. Always tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. Talk to your health care provider if you use or used to use street drugs, have or had a problem using alcohol or prescription medicines, or live with someone with this problem. If you take butalbital/acetaminophen/caffeine on a regular basis, do not stop taking the medicine without talking to your health care provider. Stopping too quickly may cause serious side effects.

Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval. Butalbital/acetaminophen/caffeine is a combination medication prescribed to treat headaches.

Please be advised that this content is no longer actively maintained and may now contain outdated information. If you have any questions regarding previously published content, please contact Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Lab and/or medical tests (such as liver/kidney function) may be done while you are taking this medication.

People with all of these things should not take butalbital/aspirin/caffeine. Butalbital/aspirin/caffeine should be stored at room temperature, between 68 F to 77 F (20 C to 25 C). It can be exposed to temperatures between 59 F to 86 F (15 C to 30 C) for shorter periods of time, such as when transporting it. This product is contraindicated in patients who have hypersensitivity to any of its compounds and in patients with porphyria.

It can be exposed to temperatures between 59 F and 86 F (15 C and 30 C) for shorter periods of time, such as when transporting it. If you or your child feel that the medicine is not working as well, do not use more than your prescribed dose. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. No adequate studies have been conducted in animals to determine whether acetaminophen or butalbital have a potential for carcinogenesis, mutagenesis or impairment of fertility.

Substance use disorder is a condition in which you keep using a substance despite adverse consequences and your desire to stop. It can result in failure to meet family, social, or work obligations. It can have financial, legal, and health consequences.