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Fioricet with Codeine

Generic names: Acetaminophen, butalbital, caffeine, and codeine [a-SEET-a-MIN-o-fen, bue-TAL-bi-tal, KAF-een, and Koe-deen]
Drug class: Narcotic analgesic combinations

What is Fioricet with Codeine?

Codeine is an opioid painkiller. Acetaminophen can be described as an effective pain reliever that is less potent. Butalbital can be described as a barbiturate. Caffeine is a stimulant. Fioricet, along with codeine, can be described as a mix of drugs for treating tension headaches. Fioricet and codeine could also be used to treat conditions that are not mentioned in this guide.

Side effects of Fioricet with Codeine

Contact a medical provider immediately if you experience symptoms indicative of an allergic reaction, including difficulty breathing, hives or swelling to lips, face or tongue. In some cases, the acetaminophen drug can trigger a severe skin reaction, which could cause death. Take this medicine off your list and consult your doctor immediately if you notice the appearance of a skin rash or redness that spreads and leads to blistering or flaking. If you suffer from this kind of reaction, it is best not to take any medication that contains acetaminophen. Opioid medication can cause a slowing or stopping of breathing, and even death could occur. The person who is caring for you should administer Naloxone or seek medical attention if you experience breath that is slow, with pauses for a long time or blue-colored lips, or if you find it difficult to get up.

Fioricet combined with codeine can result in serious side effects. Contact your doctor immediately. If you suffer from:

  • Sighing, noisy breathing, and shallow breathing
  • A low heart rate or a weak pulse
  • Extreme drowsiness, feeling like you might pass out;
  • Chest pain, rapid or pounding heart rate, feeling sluggish;
  • The mind, or unusual thoughts or behaviors;
  • Serotonin levels that are high within the body include hallucinations, anxiety, and sweating. Shaking, fast heart rate, muscle stiffness shaking, loss of coordination nausea, vomiting, diarrhea;
  • Low levels of cortisol nausea, vomiting, lack of appetite, dizziness, or a worsening tiredness or weakness
  • Liver problems: nausea, abdominal pain, itching fatigue, lack of appetite, dark urine, clay-colored stool, and jaundice (yellowing of the eyes or skin).

The presence of serious breathing issues is more prevalent in older people as well as in those who suffer from debilitation or the syndrome of wasting and chronic breathing conditions.

Common adverse reactions include:

  • Drowsiness, dizziness, feeling "drunk";
  • Headache, tiredness;
  • Nausea, vomiting, stomach pain, and constipation.

This list does not represent all possible side effects and others may occur; please consult your physician regarding medically adverse reactions before reporting symptoms to FDA at 1-800-FDA-1088.

Similar or related drugs

Acetaminophen, ibuprofen, naproxen, Tylenol, Advil, and Motrin


A careless use of opioid medication could lead to addiction, overdosing, or even death. Keep the medication at a distance from where others can't access it.Please do not administer this medicine to anyone under 12 years old or to anyone who is less than 18 and has had surgery to remove tonsils or adenoids.The use of opioids during pregnancy could trigger withdrawal symptoms that could be life-threatening for the infant.Side effects that are fatal can be experienced if you take opioid medication in combination with alcohol or other substances that cause drowsiness or slow breathing.

Before you take this drug

This medication if you are allergic to acetaminophen and butalbital, caffeine and codeine, or if you suffer from

  • Serious asthma or breathing issues;
  • A blockage in the stomach or intestines of your body;
  • porphyria;
  • If you've taken an MAO inhibitor in the last 14 days, like isocarboxazid or linezolid, Methylene blue injection, phenelzine rasagiline and selegiline, and tranylcypromine,

This medication is not a prescription drug for use by any person who is younger than 12 years old.Please do not administer this medication to anyone under 18 years old who has recently undergone surgery to remove tonsils or adenoids.

Inform your doctor if you have ever suffered from:

  • Breathing issues; sleep apnea (breathing stops while sleeping);
  • A head injury, or seizures;
  • Kidney disease or liver failure;
  • Urination issues;
  • Issues with your gallbladder, thyroid gland, or adrenal glands;
  • Alcoholism or addiction to drugs.

If you take opioids when you are pregnant, your child could develop a dependence on the medication. This can cause severe withdrawal symptoms for the infant after it is born. Children who are dependent on opioids might require medical attention for a few weeks. Do not feed your baby breastmilk. Codeine can pass into breast milk and cause drowsiness, breathing issues, or even death for the nursing infant.

How to take Fioricet with Codeine?

Follow the instructions on your prescription label and review all medication guidelines. Don't take this medication in greater quantities or for a longer period than what is prescribed. Talk to your doctor if you notice an increase in your desire to take a larger dose of this medication.Don't share opioids with a person, particularly one who has a history of substance abuse or addiction. A misuse of the medicine can result in addiction or even death. Make sure the medication is kept in a safe place so that others are unable to access it. Offering or selling opioid medications is a violation of the law.Don't stop taking this medication suddenly following prolonged use, or you may suffer from uncomfortable withdrawal effects. Consult your physician about how to stop using the medication.Keep it at room temperature, free of heat and moisture. Be sure to keep track of your medicine. Be aware of the medicine you are taking. You must be aware if you are using the medicine improperly or without a prescription.

Do not store any empty bottles of opioids. One dose could cause death for someone who is taking the medication in error or incorrectly. Ask your pharmacist to find a disposal program for take-back. If there's no take-back facility, you can mix the remaining medicine with coffee grounds or cat litter in a plastic bag that is sealed and place the bag in the trash.

What happens if I miss the dose?

Because Fioricet with Codeine is a painkiller, it is unlikely to miss the dose. Do not miss any doses in the event that it is near time to take the next dose. Do not take two doses in one go.

What happens if I overdose?

For medical emergencies, seek immediate attention. You can also contact the Poison Helpline at 1-800-222-1222. An overdose of opioids could be fatal, particularly for children or anyone else who takes the drug without a prescription. Overdose symptoms may include extreme drowsiness, sharp pupils, slow breathing, or a lack of breathing. The doctor might suggest that you take Naloxone (a medication to treat any addiction to opioids) and keep it in your pocket always. Someone who cares for you may give you Naloxone if you cease breathing or don't wake. The caregiver should still seek medical assistance in an emergency and might need to administer CPR (cardiopulmonary resuscitation) to you as they wait for assistance to arrive. Naloxone can be purchased from pharmacies or your local health department. Be sure that anyone who cares for you is aware of the location where you store your naloxone and how to make use of it.

What should be avoided?

Avoid drinking the alcohol.At times, medication can produce serious side effects or death. You should refrain from driving and other potentially hazardous activities until it becomes clear what effects this medicine will have. Drowsiness or dizziness could result in accidents, falls, or more serious injuries that lead to accidents and subsequent treatments.medicine can do to you. Drowsiness or dizziness can lead to accidents, falls, or serious injuries. Consult a physician or pharmacist before taking any other medication that may contain acetaminophen (sometimes abbreviated APAP). Intoxication with acetaminophen could result in an overdose that can be fatal.

Interaction with other drug:

There is a possibility of breathing issues or withdrawal symptoms if you take or stop using certain other medications. Talk to your doctor if you are also taking an antibiotic or antifungal medication, as well as blood pressure or heart medicine, medication for seizures, or medication to treat HIV or hepatitis C.

Opioid medicine may interact with other medications and can cause serious side effects or even death. Make sure your doctor knows if you are taking allergy or cold medication, asthma/COPD drugs, diuretics ("water pills");

  • Medications to treat motion sickness and irritable bowel syndrome medications for motion sickness, irritable bowel syndrome, or the overactive bladder;
  • Other opioids, such as pain medication as well as prescription medicines for cough
  • A sedative such as valium, diazepam, alprazolam, lorazepam, xanax, klonopin, versed, and more
  • Medications that induce sleep or cause breathing to slow down—a sleeping pill and a muscle relaxer. Also, medicines to treat mental illness
  • Medications that alter the levels of serotonin in your body. They can be stimulants or medications in the treatment of depression. Parkinson's disease causes migraine headaches, serious infections, nausea, and vomiting.

This list is not comprehensive. Other medications may interact with Fioricet along with Codeine, which include medications that are prescribed and available over the counter as well as vitamins and herbal supplements. Not all interactions are included here.