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aspirin, butalbital, caffeine, and codeine (cont.)

What should I discuss with my healthcare provider before taking aspirin, butalbital, caffeine, and codeine (Fiorinal with Codeine)?

Aspirin should not be given to a child or teenager who has a fever, especially if the child also has flu symptoms or chicken pox. Aspirin can cause a serious and sometimes fatal condition called Reye's syndrome in children.

Do not use this medication if you are allergic to aspirin, butalbital, caffeine, or codeine, or if you have:

  • porphyria;
  • stomach ulcer;
  • a bleeding or blood clotting disorder; or
  • an allergy to an NSAID (non-steroidal anti-inflammatory drug) such as Advil, Motrin, Aleve, Orudis, Indocin, Lodine, Voltaren, Toradol, Mobic, Relafen, Feldene, and others.

Codeine and butalbital may be habit-forming and should be used only by the person this medicine was prescribed for. This medication should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you take aspirin, butalbital, caffeine, and codeine, tell your doctor if you have:

FDA pregnancy category C. Codeine and butalbital may be harmful to an unborn baby, and could cause a birth defect, breathing problem, or addiction/withdrawal symptoms in a newborn. Taking aspirin during late pregnancy may cause bleeding in the mother or the baby during delivery. Do not take aspirin during pregnancy unless your doctor has told you to.

Codeine can pass into breast milk and may harm a nursing baby. The use of codeine by some nursing mothers may lead to life-threatening side effects in the baby. Do not use this medication if you are breast-feeding a baby.

How should I take aspirin, butalbital, caffeine, and codeine (Fiorinal with Codeine)?

Take this medication exactly as it was prescribed for you. Do not take it in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

You may have withdrawal symptoms when you stop using aspirin, butalbital, caffeine, and codeine after using it over a long period of time. Do not stop using this medication suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

If you need to have any type of surgery, tell the surgeon ahead of time that you are using aspirin, butalbital, caffeine, and codeine. You may need to stop using the medicine for a short time.

Store aspirin, butalbital, caffeine, and codeine at room temperature away from moisture and heat.

Keep track of how many tablets have been used from each new bottle of this medicine. Codeine is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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