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What happens if I miss a dose (Fiorinal with Codeine)?

Since aspirin, butalbital, caffeine, and codeine is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose (Fiorinal with Codeine)?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of aspirin, butalbital, caffeine, and codeine can be fatal.

Overdose symptoms may include extreme drowsiness or insomnia, restless feeling, tremors, fast heart rate, pinpoint pupils, nausea, vomiting, dark urine, jaundice (yellowing of the skin or eyes), confusion, ringing in your ears, fainting, weak pulse, seizure (convulsions), blue lips, shallow breathing, or no breathing.

What should I avoid while taking aspirin, butalbital, caffeine, and codeine (Fiorinal with Codeine)?

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.

Do not use any other over-the-counter cough, cold, allergy, or pain medication without first asking your doctor or pharmacist. Aspirin and caffeine are contained in many medicines available over the counter. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains aspirin or caffeine.

Avoid drinking alcohol while taking this medication. Alcohol may increase your risk of stomach bleeding.

While you are taking this medication, avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor's advice.

What other drugs will affect aspirin, butalbital, caffeine, and codeine (Fiorinal with Codeine)?

Before taking this medicine, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by butalbital or codeine.

Before taking this medication, tell your doctor if you are using any of the following drugs:

• a blood thinner such as warfarin (Coumadin);
• an NSAID such as ibuprofen (Advil, Motrin), indomethacin (Indocin), ketoprofen (Orudis), naproxen (Aleve, Naprosyn), and others;
• another salicylate such as Backache Relief Extra Strength, Novasal, Nuprin Backache Caplet, Doan's Pills Extra Strength, Tricosal, and others;
• insulin or diabetes medications you take by mouth;
• steroids (such as prednisone);
• mercaptopurine (Purinethol);
• sulfinpyrazone (Anturane);
• ciprofloxacin (Cipro);
• atropine (Donnatal, and others), dimenhydrinate (Dramamine), glycopyrrolate (Robinul), or scopolamine (Transderm-Scop);
• bowel or bladder medications such as dicyclomine (Bentyl), solfenacin (Vesicare), tolterodine (Detrol) and others;
• a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva); or
• an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).

If you are using any of these drugs, you may not be able to use aspirin, butalbital, caffeine, and codeine, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect aspirin, butalbital, caffeine, and codeine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about this medication.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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