Strength: 50-100-40-30 MG. or 50-326-40-30 MG

Form(s) Available: Oral Capsule

Supply Quantities Offered: 30 days only (Sch III)

Amazon Prime (Cash) Price: $174.80 About this medication

BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE (byoo TAL bi tal; a set a MEE noe fen; KAF een; KOE deen) treats tension headaches. It is prescribed when other pain medications have not worked or cannot be tolerated. It works by reducing pain. It also helps you relax. It is not used to prevent headaches or migraines. It is a combination of a barbiturate, acetaminophen, caffeine, and an opioid.

How should you use this medication?

Take this medication by mouth with a full glass of water. Follow the directions on the prescription label. Do not take your medication more often than directed. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your care team about the use of this medication in children. This medication is not for use in children less than 12 years of age. Do not give this medication to a child younger than 18 years of age after surgery to remove the tonsils and/or adenoids. People over the age of 65 years may have a stronger reaction and need a smaller dose. What are the possible side effects of this medicine?

Side effects that you should report to your care team as soon as possible: * Allergic reactions--skin rash, itching, hives, swelling of the face, lips, tongue, or throat * CNS depression--slow or shallow breathing, shortness of breath, feeling faint, dizziness, confusion, trouble staying awake * Liver injury--right upper belly pain, loss of appetite, nausea, light-colored stool, dark yellow or brown urine, yellowing skin or eyes, unusual weakness or fatigue * Low adrenal gland function--nausea, vomiting, loss of appetite, unusual weakness or fatigue, dizziness * Low blood pressure--dizziness, feeling faint or lightheaded, blurry vision * Redness, blistering, peeling, or loosening of the skin, including inside the mouth Side effects that usually to not require medical attention (report to your care team if they continue or are bothersome): * Constipation * Dizziness * Drowsiness * Dry mouth * Nausea * Stomach pain * Vomiting

What may interact with this medicine?

Our pharmacists will check to see if this medication will cause any interactions with the information in your profile. Do not take this medication with any of the following: * Elbasvir; grazoprevir * Lenacapavir * Linezolid * Lonafarnib * Lurasidone * Mavacamten * MAOIs, such as Marplan, Nardil, and Parnate * Methylene blue * Nirmatrelvir; ritonavir * Olanzapine; samidorphan * Ozanimod * Praziquantel * Ranolazine * Sodium oxybate * Tedizolid * Voriconazole This medication may also interact with the following: * Alcohol * Benzodiazepines, such as alprazolam, diazepam, lorazepam * Certain antihistamines * Certain medications for depression, such as amitriptyline or trazodone * Certain medications for seizures, such as phenobarbital or primidone * Grapefruit juice * Medications that cause drowsiness before a procedure, such as propofol * Medications that help you fall asleep * Medications that relax muscles * Opioids for pain or cough * Phenothiazines, such as chlorpromazine, prochlorperazine, thioridazine Other medications may affect the way this medication works. Talk with your care team about all of the medications you take. They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended