Butalbital, acetaminophen, and caffeine

Fioricet® is a prescribed medicine that is used to treat severe tension headaches.

This medication is made up of butalbital, acetaminophen, and caffeine.

How do I take this medicine?

Take with a glass of water or other liquid. You can take this medicine with or without food. If you notice that this medicine causes you an upset stomach, take with food.

To take Fioricet, follow the instructions on your prescription bottle.

What are the side effects?

Fioricet often causes sleepiness, dizziness, and feeling drunk. Other less common side effects include abdominal pain, confusion, shakiness, and constipation. Fioricet can also be addictive.

While side effects can be tough, there are ways to manage them. Talk to your care team if any of these side effects are interfering with your life.

How can I be safe when taking this medicine?

Butalbital, acetaminophen, and caffeine Warning

One ingredient in this product is acetaminophen. Taking too much acetaminophen may cause serious (possibly fatal) liver disease. Adults should not take more than 4000 milligrams (4 grams) of acetaminophen a day. People with liver problems and children should take less acetaminophen. Ask your doctor or pharmacist how much acetaminophen is safe to take.

Do not use with any other drug containing acetaminophen without asking your doctor or pharmacist first. Acetaminophen is in many nonprescription and prescription medications (such as pain/fever drugs or cough-and-cold products). Check the labels on all your medicines to see if they contain acetaminophen, and ask your pharmacist if you are unsure.

Get medical help right away if you take too much acetaminophen (overdose), even if you feel well. Overdose symptoms may include nausea, vomiting, loss of appetite, sweating, stomach/abdominal pain, extreme tiredness, yellowing eyes/skin, and dark urine.

Daily alcohol use, especially when combined with acetaminophen, may damage your liver. Avoid alcohol.

How to Use ?

Take this medication by mouth with or without food as directed by your doctor, usually every 4 hours as needed.

If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

The dosage is based on your medical condition, age, and response to treatment. This medication works best if it is used as the first signs of a headache occur. If you wait until the headache has worsened, the medication may not work as well.

If you suddenly stop using this medication, you may have withdrawal symptoms (such as nausea/vomiting, mental/mood changes, seizures). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used this medication for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

Tell your doctor if you notice increased use of this medication, a worsening of headaches, an increase in the number of headaches, the medication not working as well, or use of this medication for more than 2 headache episodes a week. Do not take more than recommended. Your doctor may need to change your medication and/or add a separate medication to prevent the headaches.

Fioricet Side Effects

Nausea, vomiting, abdominal pain, constipation, dry mouth, shaking (tremor), shortness of breath, increased urination, lightheadedness, dizziness, drowsiness, or trouble sleeping may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

To reduce your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including:

  • mental/mood changes
  • fainting
  • seizures
  • fast/irregular heartbeat

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US –

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Fioricet Precaution

Before taking this medication, tell your doctor or pharmacist if you are allergic to acetaminophen, caffeine, or butalbital; or to other barbiturates (such as phenobarbital) or xanthine derivatives (such as theophylline); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

  • severe breathing problems (such as bronchopneumonia)
  • a certain enzyme disorder (porphyria)
  • liver disease
  • kidney disease
  • personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol)
  • mental/mood disorders
  • abdominal/stomach problems (such as stomach ulcer)

This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

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. Ask your doctor or pharmacist about using this product safely.

Before having surgery or certain medical procedures (such as a heart stress test or a procedure to restore a normal heart rhythm if you have an unusually fast heartbeat), tell your doctor or dentist that you use this medication and about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be more sensitive to the side effects of this drug, especially drowsiness and trouble falling asleep. These side effects can increase the risk of falling.

During pregnancy, this medication should be used only when clearly needed. Using it for long periods or in high doses near the expected delivery date is not recommended because of possible harm to the unborn baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have used this medication for an extended time may have withdrawal symptoms such as irritability, abnormal/nonstop crying, vomiting, seizures, or diarrhea. Tell your doctor right away if you notice any of these symptoms in your newborn.

This drug passes into breast milk and could have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Fioricet Interaction

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. 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.

Some products that may interact with this drug include:

  • darunavir
  • sodium oxybate
  • isoniazid
  • ketoconazole
  • levoketoconazole
  • lithium
  • phenothiazines (such as chlorpromazine)

This drug can speed up the removal of other drugs from your body by affecting certain liver enzymes. These affected drugs include doxycycline, estrogen, felodipine, lonafarnib, quinidine, rilpivirine, tamoxifen, theophylline, voriconazole, “blood thinners” (such as warfarin), certain beta blockers (such as metoprolol), corticosteroids (such as prednisone), among others.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana (cannabis), other drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain caffeine or ingredients that cause drowsiness. Also keep in mind that certain beverages (such as coffee, colas, tea, energy drinks) contain caffeine. Ask your pharmacist about using those products safely.

This medication may decrease the effectiveness of hormonal birth control such as pills, patch, or ring. This could cause pregnancy. Discuss with your doctor or pharmacist if you should use additional reliable birth control methods while using this medication. Also tell your doctor if you have any new spotting or breakthrough bleeding, because these may be signs that your birth control is not working well.

This medication may interfere with certain medical/laboratory tests, possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

Fioricet Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness, slow/shallow breathing, severe dizziness, nausea, vomiting, loss of appetite, sweating, stomach/abdominal pain, extreme tiredness, yellowing eyes/skin, dark urine.


Fioricet Addiction Signs, Symptoms and Treatment

Understanding Fioricet Addiction 

Fioricet is a brand name combination medication prescribed for treating tension headaches. One of its main ingredients is butalbital, and as a result is considered a barbiturate medication. This is a class of sedative-hypnotic drugs that function like benzodiazepines by influencing gamma-aminobutyric acid (GABA) in the brain. They may also be used to help patients that suffer from seizures, although this is less common today as better alternatives are available.

Taken incorrectly, Fioricet is habit-forming and can easily lead to a person developing an addiction. The primary reason that this happens is related to the butalbital, which can produce a pleasurable high when taken in larger quantities. These effects make desirable for recreational use, increasing the risk for addiction and overdose.

If left untreated, a Fioricet addiction can be devastating for a person’s life. If the signs of one begin to develop, it is crucial to seek help from a qualified rehab center immediately, to break free from the cycle of substance abuse and begin living a drug-free life.

What is Fioricet?

Fioricet is a brand name medication that is composed of acetaminophen, butalbital and caffeine, serving mainly as a pain reliever and fever reducer. It was commonly abused in the 1960s and 1970s but has become less popular as stronger alternatives are now available. Despite this, the risk of addiction still remains if used improperly.

Of its main ingredients, butalbital is considered the most dangerous, but all three can cause problems if the drug is misused. Taken correctly though, the drug combination works together to amplify the drug’s intended effects.

When this happens, the acetaminophen works by blocking pain signals before they can reach the brain and the butalbital acts like a benzodiazepine by increasing the amount of GABA in the body, causing it to operate more efficiently. Doing this slows down how quickly pain signals fire in the brain, in turn effectively relieving pain for the individual. Lastly, the caffeine in Fioricet helps decrease pain for headaches by relaxing muscle contractions in blood vessels to increase blood flow through the body.

The medication is available in pill and capsule forms and will be marked with its name. When taken for recreational use, it is commonly crushed into a powder to be snorted or injected (when mixed with water). Doing this decreases the time the drug needs to take effect but comes with additional risks such as a higher chance of overdosing.

Nicknames for Fioricet

When used recreationally, drug dealers and users rely on nicknames for Fioricet so they can discuss and trade the drug without drawing unwanted attention from police or family members. Hearing one of these nicknames is a valuable tell for spotting an addiction, because those with a legitimate prescription have no reason to hide.

Some of the most common nicknames for Fioricet are actually nicknames for butalbital, these include:

  • Barbs

  • Blockbusters

  • Christmas trees

  • Downers

  • Pinks

  • Red Devils

  • Yellow Jackets

It is important to keep in mind that no list of drug nicknames can be all inclusive, as new ones are constantly being developed to avoid suspicion. For this reason, while knowing the nicknames can help to identify a user, it is important to be familiar with other traits of the drug, particularly its side effects.

How Addictive is Fioricet?

Interestingly, the butalbital in Fioricet is classified as a Schedule III controlled substance by the United States Drug Enforcement Agency (DEA) but Fioricet itself has no classification. This is unusual because it has been shown to be addictive and Fiorinal, another brand name option, is considered Schedule III. The two are similar in their modern forms, with the only difference being that Fiorinal uses aspirin in place of acetaminophen. Despite one being labeled a controlled substance and the other not, both should still be treated with caution. Furthermore, even though the national government does not classify Fioricet as a controlled substance, several state governments do.

The reason for Fioricet’s strange position comes from the acetaminophen in it. When in a ratio of at least 70 mg for every 15 mg of butalbital, the acetaminophen reduces the drug’s abuse potential to a level that allows it to avoid classification. This was not always the case with Fioricet in the past, but with modern regulations, it is required for all production of the drug.

When Fioricet does cause addiction, the culprit is the butalbital that is used to make it. In these situations, an individual usually becomes hooked on the pleasurable high that it can create, and through taking it regularly, their body responds to the high by adapting and forming a tolerance. Once this occurs, that person will require more of the drug to feel the same effects that they had grown used to, in turn speeding up the rate that their body continues to change. Eventually, this reaches a stage where the body has changed so much that it can no longer function without the drug and is left dependent on it. If the individual does stop using at this point, they will experience uncomfortable withdrawal symptoms that persuade most prospective quitters to continue using.

Signs & Symptoms of Fioricet Addiction

There are many situations where a person may become addicted to Fioricet. Typically, they either do not recognize that they have a problem, or they choose to hide their addiction due to feelings of fear and shame. When this happens, it is imperative to be able to recognize the side effects that come from misusing Fioricet to more effectively spot when it is being abused, and in turn help that person.

In the beginning, these side effects are usually minor and can be hard to recognize, but as use continues, they will grow more pronounced and more severe symptoms will start to appear. In most cases, the user will recover after they have stopped using Fioricet, but in some instances the symptoms may cause permanent damage.

Beyond the pleasurable high, some of the most common side effects to watch out for include:

  • Dizziness

  • Drowsiness

  • Nausea and vomiting

  • Anxiety

  • Chills

  • Excessive sweating

  • Loss of appetite

  • Blurred vision

  • Seizures

  • Difficulty breathing

  • Insomnia

Fioricet Research

To better understand the prominence of Fioricet, it is useful to know some of the demographics and statistics related to the drug. These can help to reveal who is most at risk for abusing it, as well as where it stands in relation to other drug options.


A few statistics related to Fioricet and barbiturates to note include:


  • Barbiturate use peaked in the 1960s and 1970s and has steadily declined as benzodiazepines grew in popularity

  • For Fioricet to not classify as a federal controlled substance it must have a 97:15 mg ratio of acetaminophen to butalbital

  • Women are more likely to receive barbiturate prescriptions

  • Seniors are the largest demographic using barbiturates

Fioricet Addiction Treatment

When a person develops an addiction to Fioricet, quitting can seem like an impossible task once they are locked in the cycle of dependence and withdrawal. Thankfully though, with the help of experienced, licensed professionals, the user can find the support they need to quit using. Working with a rehab center is also the safer, more effective option than attempting to stop using on their own, or “cold turkey.” In severe cases, withdrawal symptoms can present as especially dangerous, thus it is imperative to always seek the help of qualified medical and clinical professionals.

The process for helping someone break free from their Fioricet addiction can involve several levels of care, varying for each person. Most often, treatment begins with a process known as detoxification, otherwise known as detox. While in detox, all addictive substances are slowly removed from the body under medical and clinical supervision. It is essential to undergo this step in a medical setting, as licensed physicians can properly mitigate potential withdrawal symptoms with the use of interventions, such as medication and therapy. Additionally, detoxification offers the patient a chance to undergo the uncomfortable process of withdrawal in a safe space, removed from outside triggers and circumstances that may influence continued substance abuse.

After a patient has successfully completed detox, they can begin the transition into residential treatment, where the bulk of clinical therapy takes place. This level of care is vital to ongoing recovery success because it gives the patient an opportunity to address underlying causes of their addiction, as well as negative thinking and behavioral patterns that may contribute to their disorder. Additionally, clinicians will work with the patient to develop healthy coping mechanisms to help confront cravings and potential obstacles in recovery. Before leaving rehab, they will have a customized aftercare plan tailored to fit their specific needs. This can include additional therapy, extended care options, family therapy, vocational support and integration into local recovery support groups.

Help for Fioricet Addiction

If you or a loved one is currently suffering from alcoholism or drug addiction, you should know that you are not alone. While it may seem impossible now, there is hope for a better tomorrow, and it begins with one simple phone call.

As a facility that specializes in addiction treatment, Brookdale can provide you and your family with the necessary tools to begin your life…recovered.

Should You Take Fioricet For Migraine?

If you suffer from migraine, then episodes can be completely incapacitating and last several days. This can impact work, school, personal relationships, and recreation activities.

Mikart Fioricet
Mikart Fioricet

Most people with migraine take medication to manage these symptoms, along with making lifestyle changes to avoid migraine triggers (which often include certain foods, stress, flashing lights, etc.). Even with proper care, however, migraine can remain disruptive in a person’s life, resulting in time away from work and difficulty scheduling and attending planned events.

Some people treat their migraine with a medication called Fioricet, which is typically prescribed for tension headaches caused by muscle contractions. However, Fioricet is sometimes given as an off-label treatment for migraine or obtained directly over the internet.

What is Fioricet?

Fioricet is known as a combination medicine in that it contains more than one medication. Specifically, Fioricet contains acetaminophen, butalbital, and caffeine.

Caffeine and acetaminophen work for pain relief, while butalbital induces relaxation, thus relaxing the muscle contractions that cause tension headaches. The drug is quite effective for occasional use to treat severe tension headaches that might be disrupting a person’s life.

There are a number of other brands that have the same active ingredients, including:

  • Alagesic

  • Americet

  • Anolor

  • Anoquan

  • Arcet

  • Dolgic

  • Dolmar

  • Endolor

  • Esgic

  • Ezol

  • Femcet

  • Fiorpap

  • G-1

  • Ide-cet

  • Isocet

  • Margesic

  • Medigesic

  • Minotal

  • Mygracet

  • Nonbac

  • Pacaps

  • Pharmagesic

  • Quala Cet

  • Repan

  • Tenake

  • Tencet

  • Triad

  • Two-Dyne

  • Zebutal

These other brands may contain different inactive ingredients, however, which can potentially help avoid allergies or migraine triggers that might be included in the medication.

Why is Fioricet used to treat migraines?

Fioricet is prescribed to treat both migraine and tension-type headaches, although it has not been approved to treat migraines specifically. Fioricet is not often used as an initial medication, but it can be prescribed off-label for migraine in some cases.

Only a  subset of people¹ report benefits, and those people are typically non-responders to more mainstream medication. Butalbital can also reduce anxiety and thus help with migraines that are caused by stress. However, it can also present other issues, including physical addiction.

Because of this, some doctors prescribe Fioricet or similar medication only to people who do not respond to triptans, although it can have a solid benefit for those who need it. However, doctors have to be careful to avoid dependency. The approved use for tension headaches is typically far more occasional and thus less likely to lead to overuse of the medication.

How do you take Fioricet?

Fioricet is taken orally, as a capsule or tablet, as a treatment for acute migraine. It plays no role in preventing migraine. You should take it only if you feel an attack or episode coming on. Typically, you take one tablet or capsule as needed every four hours, and no more than six tablets in a 24-hour period.

Never take more Fioricet than your doctor recommends, and do not take it because you are afraid you might be exposed to a trigger. It is very easy to overdose on this medication, and the overdose risks are high, including potentially fatal reactions.

Side effects of taking Fioricet

Known side effects of Fioricet include:

  • Drowsiness

  • Nausea and vomiting

  • Lightheadedness

  • Depression

  • Stomach pain

  • Confusion

  • Fatigue

  • Dizziness

People can also be allergic to one or more ingredients in Fioricet. Needless to say, you should not take Fioricet if you know you are allergic to caffeine. It should be taken with food or milk, which can be challenging for those whose migraine is accompanied by nausea.

Can Fioricet interact with other medications?

Fioricet can interact with a number of medications.

It is contraindicated with doravirine, fostemsavir, isavuconazonium sulfate, isocarboxazid, linezolid, lonafarnib, lorlatinib, mavacamten, and phenelzine.

It interacts with several other medications, including ergotamine, fentanyl, heparin, statins, clonazepam, cortisone, conjugated estrogens, birth control, hydrocortisone, etc. You should not drink caffeine-containing beverages or alcohol when taking Fioricet.

The list of interactions is extremely long, which is another reason why Fioricet is not a first-line medication for migraine treatment.

Risks from taking fioricet for migraine

In addition to hundreds of potential drug interactions, taking Fioricet does carry some other risks that you need to discuss with your doctor.

What should I do if I overdose?

It is relatively easy to overdose on Fioricet. An overdose can cause caffeine toxicity, which seldom happens due to the normal consumption of food and caffeinated beverages. Overdosing can cause seizures, weakness, confusion, trouble breathing, and severe liver damage.

Other symptoms might include ringing in the ears, unusual heartbeat, trouble walking or sleeping, and slurred speech.

If you have taken too much of this medicine, call the poison control center at 800-222-1222. You may need to go to the emergency room. Fioricet overdose can be serious, and there have been instances of people intentionally overdosing.

Fioricet should be stored out of the reach of children and pets.

What if I have an allergic reaction?

Allergy symptoms include itching, skin rash, and difficulty breathing. You should call your doctor immediately if you experience these symptoms. Rarely, acetaminophen can cause Stevens-Johnson Syndrome,² a serious allergic reaction that causes inflammation of the skin and detachment of the upper surface.

Because of this, any skin reaction to Fioricet needs to be taken seriously. Do not take any more of the medication and call your doctor right away. This reaction can happen even if you have taken acetaminophen before.

Barbiturates can also cause potentially fatal skin reactions so, again, make sure that you get any kind of skin reaction checked by a healthcare professional immediately. Conditions such as Stevens-Johnson Syndrome and similar toxic epidermal necrolysis are associated with significant morbidity and mortality.

These conditions require early detection and care, so check your skin regularly if you are taking this medication and pay attention to any rash or lesions.

Other allergic symptoms should also warrant a call to your doctor. Most likely, you will have to discontinue the medication and switch to an alternative. You should not take Fioricet if you have previously had any reaction to acetaminophen or to caffeine.

Is Fioricet safe for pregnant women?

You should not take Fioricet if you are pregnant. Butalbital is potentially associated with certain congenital heart defects, namely:

  1. Tetralogy of Fallot: This is a complex of four cardiac and pulmonary defects. Many infants with this condition require surgery soon after birth as it increases the risk of arrhythmia and endocarditis and causes developmental delays.

  2. Pulmonary valve stenosis: This is a narrowing of the valve that controls blood flow to the lungs, causing the right ventricle to have to pump harder, which can cause damage to the heart over time.

  3. Secundum-type atrial septal defect (ASD): This is a hole in the wall between the two atriums of the heart, allowing blood to flow between the two atriums, which can affect blood oxygen levels. Small defects generally go untreated and often close on their own, but larger ones may need a procedure to lower the risk of abnormal heart rhythms, heart failure, heart infection, stroke, and pulmonary hypertension.

The connection has not been formally proven due to the small sample sizes in available studies. However, given it is statistically significant, Fioricet should be avoided while pregnant and breastfeeding, as it does pass into breast milk.

If you get migraines and become pregnant, you should talk to your doctor. Other migraine medications can also carry risks during pregnancy and you may need your medications adjusted.

Is Fioricet addictive?

Both butalbital and caffeine can be physically addictive. It is very possible to become addicted to Fioricet, which is another reason it is not a front-line treatment. Because people with migraine get headaches fairly regularly, they have a higher risk of becoming addicted to Fioricet and/or its ingredients.

Barbiturates, in particular, can be a drug of abuse. This is important to note as Fioricet is sometimes taken to help people sleep, reduce stress, or self-medicate anxiety or depression.

People with mental health issues or a history of substance use disorder are more likely to abuse Fioricet. In fact, these factors are considered potential contraindications for prescribing Fioricet. This includes alcoholism, especially as mixing alcohol and Fioricet can cause extreme drowsiness and impaired judgment.

Withdrawal Symptoms

Regular use can cause rebound headaches, which are highly unpleasant and may not always respond to normal treatments. You should not use Fioricet on a daily basis in order to avoid this. Rebound headaches are caused by physical dependence on the drug to control pain and/or by physical addiction to caffeine, which results in headaches as a withdrawal symptom.

Caffeine withdrawal can also cause fatigue, low energy, depression, drowsiness, concentration issues, brain fog, and irritability. If you are prone to caffeine addiction, you need to be aware that Fioricet can cause or aggravate it due to a large amount of caffeine in the drug.

Barbiturates can cause a withdrawal state similar to alcohol, including seizures and delirium. Usually, people get addicted to Fioricet after ordering it online to self-medicate for chronic headaches, without realizing that it should not be taken daily. There are substantiated cases of people taking Fioricet for migraine and becoming addicted.

Additionally, much like alcohol, the more of the drug you take, the more you need to get the same effect, which can cause an overdose. You should talk to your doctor if Fioricet is no longer working as well as when you first started taking it. This can be a sign of physical dependence and may mean you need to stop taking the drug before you become tempted to take excessively large doses.

Common withdrawal symptoms of Fioricet include:

  • Depression

  • Anxiety

  • Insomnia

  • Hallucinations

  • Increased heart rate

  • Increased sweating

  • Nausea

  • Seizures

People who have become addicted to Fioricet may require detox and rehab to help them get through the withdrawal symptoms. It is very important not to take this medication other than when you truly need it. As you can get a little bit high from Fioricet, the temptation for recreational abuse is present.

Fioricet vs. other migraine medications

The prescription of Fioricet for migraine is off-label. That is, it is not approved for treating migraine in the United States, but doctors may still prescribe it in some circumstances. Most doctors consider there to be better options.

Because of all the issues listed above, Fioricet is most often used as a medication of last resort to treat people who have not responded to other migraine medications. There is an array of other migraine medications available, and almost all of them are better and safer than Fioricet, although many are more expensive.

Fioricet should not be taken daily, so it is a poor choice for chronic migraine.

Mainstream medications used to treat migraines include:

  • Regular over-the-counter painkillers taken as needed

  • Caffeine

  • Triptans, specific to migraine

  • Antiemetics used to treat migraine that comes with nausea

  • Botox, for chronic migraine

A non-drug treatment sometimes used for migraine is transcranial magnetic stimulation³ (TMS). Studies show that TMS is significantly effective for acute migraine but has little to no effect on chronic migraine. More research is needed. However, TMS is generally safe and may be worth discussing with your doctor.

Combination drugs are also commonly used. These are called migraine cocktails and are prescribed especially for severe acute migraine.

Even better is to try and identify and avoid your migraine triggers so you don’t have to take medication as often. This can be easier for some people than for others.

Precautions when taking Fioricet

Consider the issues already mentioned. Never take more Fioricet than required, don’t take it every day, and keep it away from children and pets.

Additionally, Fioricet is contraindicated during pregnancy and for:

  1. People with porphyria

  2. People with a history of depression and suicidal thoughts

  3. People with a history of substance use disorder or alcoholism

  4. People with asthma, emphysema, or other lung diseases

  5. People with kidney, liver, or stomach problems

  6. Older adults in general

  7. People with sleep apne

  8. People with a significant cardiovascular impairment such as congestive heart failure

  9. People with high blood pressure

  10. People with phenylketonuria

You should not drink alcohol when taking Fioricet as the combination can be extremely sedating and may potentially knock you out. It can also increase the risk of liver damage and toxicity.

Do not drive or operate heavy machinery after taking Fioricet as it can impact your ability to stay focused and alert for several hours after taking a dose. Avoid doing any tasks that require mental focus, and don’t sign any binding legal documents due to the risk of impaired judgment.

When to visit a doctor

Don’t attempt to obtain Fioricet online without a prescription. Due to the large numbers of interactions, some severe, with other drugs as well as the potential for addiction, self-medicating with Fioricet is highly dangerous.

If you are taking Fioricet, you should seek medical help if:

  1. Your headaches are worsening in frequency or intensity

  2. You have any kind of skin reaction to the medication

  3. The medication is no longer working as it once did

  4. You have any kind of allergic reaction

You should call your doctor right away if you discover that you are pregnant, due to the potential risk of cardiac birth defects, to discuss whether you should continue taking Fioricet or switch to an alternative.

In general, your doctor will only prescribe Fioricet when other medications have not worked.

The lowdown

Fioricet is a medication approved for tension headaches that is sometimes prescribed for migraines. However, it is not an initial treatment migraine drug due to lower efficacy (except in people who don’t respond to other medications), the risks of overdose and addiction, and the large number of drug interactions.

Typically, your doctor will only prescribe Fioricet if absolutely necessary, and you should not seek it out on your own. There are many better medication options for people with migraine that you and your doctor can explore.

Fioricet Overdose and Fioricet Overdose Treatment

Fioricet is FDA-approved to treat tension headaches and is prescribed off-label to treat migraines. Fioricet, like all barbiturates, is associated with a high risk of developing dependence and addiction. Even a few Fioricet pills can cause overdose symptoms, and Fioricet overdose is a medical emergency. If you suspect an overdose, call 911 immediately.

How Do Overdoses Occur?

Barbiturates are common drugs of misuse. People who have experienced a “Fioricet high” describe it as feeling “goofy” or “loopy.” Misuse of barbiturates, including Fioricet, is incredibly dangerous. Barbiturates are considered sedative-hypnotics that rapidly induce tolerance, meaning that higher doses of the drug are required to achieve the same effect. Tolerance is quickly followed by dependency and addiction. When Fioricet is co-used with other drugs or alcohol, the sedative-hypnotic effect increases and can quickly lead to respiratory depression, coma and even death.

The most dangerous component of Fioricet is the barbiturate butalbital. Fioricet pills contain 50 mg butalbital, and 1 g (20 pills) is considered a toxic dose for adults. In addition, each pill contains 325 mg acetaminophen and 40 mg caffeine. Toxic doses for these drugs are 30 tablets (10 g) and 25 tablets (1 g), respectively. The half-life of Fioricet is 35 hours, so multiple doses over the course of a few days can lead to a toxic buildup of these compounds.

Most Fioricet overdoses are associated with co-use of other drugs or alcohol, but it can be easy to overdose on Fioricet alone. Tension headaches are often treated with a prescription of six tablets per day, which is over 25% of the toxic dose. People who are struggling with severe tension headache pain may be predisposed to overdose in an attempt to ease their pain. People who take Fioricet for headaches may experience medication overuse headaches, or “rebound headaches.” Rebound headaches are as painful as a tension headache but do not respond to additional medication.

Fioricet should be used rarely, as directed and with extreme caution. Never use Fioricet if you have not been prescribed the medication, and do not share your prescription.

Fioricet Overdose Signs and Symptoms

Fioricet overdose symptoms include:

  • Dizziness
  • Drowsiness
  • Lethargy
  • Confusion
  • Hypothermia
  • Hypotension
  • Respiratory depression, which can lead to coma and death
  • Potentially lethal hypovolemic shock (loss of blood flow), in extreme cases

Because Fioricet also has acetaminophen and caffeine, it is possible to overdose on these drugs as well. Acetaminophen overdose can cause liver failure, which causes symptoms of nausea, vomiting, lethargy and excessive sweating. Caffeine overdose can lead to insomnia, tremor, delirium and heart palpitations.

What Happens if You Overdose on Fioricet?

If Fioricet was the only drug consumed and the user is awake and alert, vomiting should be induced. However, many Fioricet overdoses are associated with other drugs or alcohol. Polysubstance overdoses are very dangerous, and treatment is dependent on the combination of drugs used.

Fioricet overdose is a potentially deadly medical emergency that must be treated by medical professionals. If you suspect an overdose, call 911 immediately.

Fioricet Overdose Deaths

Barbiturates were commonly prescribed in the 1960s and 1970s. Now, benzodiazepines have mostly replaced barbiturate prescriptions because they are much safer. Because of the reduction in prescription frequency, barbiturate overdose deaths are relatively rare today.

Statistics specific to barbiturate deaths are not readily available. According to the American Association of Poison Control Centers, however, the sedative/hypnotic/antipsychotic drug class (which includes barbiturates) was the fourth leading cause of poisoning in 2017. This drug class was responsible for 5.7% of poisonings, with nearly 150,000 exposures being reported. Some barbiturate deaths are purposeful, including suicide and capital punishment by lethal injection.

Fioricet Overdose Treatment

Fioricet overdose is a medical emergency that must be addressed by medical professionals. Because Fioricet overdose is often associated with respiratory depression, the first thing EMTs or doctors will do is ensure that the patient is able to breathe. Oxygen may be administered, and extreme cases may call for assisted or controlled ventilation. Intravenous fluids will typically be administered to prevent hypovolemic shock. In some cases, activated charcoal will be given to prevent acetaminophen-induced hepatotoxicity (liver failure).

If other drugs (particularly opioids) were also used, emergency protocols must take them into account. Barbiturate overdose treatment must be done by medical professionals.

Fioricet Overdose Prevention

The best way to prevent Fioricet overdose is to not use the drug. If you are prescribed Fioricet by your doctor, take it as prescribed. It should be used rarely and with caution. As with all barbiturates, Fioricet should never be taken daily.

Common side effects of Fioricet include dizziness and mild lethargy. If you (or someone else) have taken Fioricet as prescribed and are concerned with how you feel, call 911.

Barbiturate addiction can be extremely challenging to overcome. If you or a loved one is facing Fioricet dependency or addiction, The Recovery Village Ridgefield can help. Our multidisciplinary team is equipped to help you with the physical and psychological aspects of Fioricet detox and withdrawal. Our residential and outpatient programs have been successful in helping people overcome barbiturate addiction. Contact us today to learn how we can help.

What is the Side Effects of Fioricet ?

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

    1. Lightheadedness
    2. shortness of breath

Incidence not known

    1. Abdominal or stomach pain
    2. black, tarry stools
    3. bleeding gums
    4. blistering, peeling, or loosening of the skin
    5. blood in the urine or stools
    6. blurred vision
    7. change in the frequency of urination or amount of urine
    8. chills
    9. cough
    10. diarrhea
    11. difficulty with breathing
    12. difficulty with swallowing
    13. dizziness
    14. drowsiness
    15. dry mouth
    16. fainting
    17. fast, pounding, or irregular heartbeat or pulse
    18. flushed or dry skin
    19. fruit-like breath odor
    20. hives, itching, or skin rash
    21. increased hunger
    22. increased thirst
    23. increased urination
    24. joint or muscle pain
    25. loss of appetite
    26. nausea or vomiting
    27. pinpoint red spots on the skin
    28. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
    29. red skin lesions, often with a purple center
    30. red, irritated eyes
    31. seizures
    32. shakiness in the legs, arms, hands, or feet
    33. sore throat
    34. sores, ulcers, or white spots in the mouth or on the lips
    35. sweating
    36. swelling of the feet or lower legs
    37. tightness in the chest
    38. trembling or shaking of the hands or feet
    39. troubled breathing
    40. unexplained weight loss
    41. unusual bleeding or bruising
    42. unusual tiredness or weakness
    43. weakness

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

    1. Confusion as to time, place, or person
    2. dark urine
    3. difficult or painful urination
    4. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
    5. fever
    6. general feeling of discomfort or illness
    7. hallucinations
    8. headache
    9. holding false beliefs that cannot be changed by fact
    10. increased sweating
    11. irregular, fast or slow, or shallow breathing
    12. light-colored stools
    13. loss of appetite
    14. pale or blue lips, fingernails, or skin
    15. restlessness
    16. sudden decrease in the amount of urine
    17. sweating
    18. trouble sleeping
    19. unpleasant breath odor
    20. unusual excitement, nervousness, or restlessness
    21. vomiting of blood
    22. yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

    1. Relaxed and calm
    2. sleepiness

Incidence not known

    1. Anxiety
    2. bloated
    3. constipation
    4. continuing ringing or buzzing or other unexplained noise in the ears
    5. depression
    6. earache
    7. excess air or gas in the stomach or intestines
    8. false or unusual sense of well-being
    9. full feeling
    10. hearing loss
    11. heartburn
    12. heavy eyelids
    13. high energy
    14. hot spells
    15. hyperventilation
    16. irritability
    17. numbness
    18. pain in the leg
    19. passing gas
    20. sluggishness
    21. stuffy nose
    22. tingling sensation

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

What is fioricet ?

Fioricet contains a combination of acetaminophen, butalbital, and caffeine. Acetaminophen is a pain reliever and fever reducer. Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache. Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

Mikart Fioricet
Mikart Fioricet

Fioricet is used to treat tension headaches that are caused by muscle contractions.

Fioricet® (Butalbital, Acetaminophen, and Caffeine Tablets USP) is supplied in tablet form for oral administration.

Each tablet contains the following active ingredients:
butalbital USP . . . . . . . . . . . .50 mg
acetaminophen USP . . . . . . 325 mg
caffeine USP . . . . . . . . . . . . .40 mg

Butalbital has generalized depressant effect on central nervous system and, in very high doses, has peripheral effects. Acetaminophen has analgesic and antipyretic effects mediated by a metabolite which acts at cannabinoid receptors, contrary to popular belief it is not an antiinflammatory at safe levels (it becomes toxic at doses above 1,000mg per dose and/or 3,000mg per day). Caffeine is thought to produce constriction of cerebral blood vessels and serves to counteract the sedative effect of butalbital.

Butalbital has a half-life of about 35 hours. Acetaminophen has a half-life of about 1.25 to 3 hours, but may be increased by liver damage and after an overdose. Caffeine has a half-life of about 5 to 7 hours

US Brand Name

      1. Anolor 300
      2. Dolgic LQ
      3. Esgic
      4. Esgic-Plus
      5. Ezol
      6. Fioricet
      7. Geone
      8. Margesic
      9. Medigesic
      10. Nonbac
      11. Pacaps
      12. Repan


Butalbital, acetaminophen, and caffeine combination is used to relieve symptoms of tension (or muscle contraction) headaches.

Butalbital belongs to the group of medicines called barbiturates. Barbiturates act in the central nervous system (CNS) to produce their effects.

Acetaminophen is used to relieve pain and reduce fever in patients. It does not become habit-forming when taken for a long time. But acetaminophen may cause other unwanted effects when taken in large doses, including liver damage.

When butalbital is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.

Caffeine is a CNS stimulant that is used with pain relievers to increase their effect. It has also been used for migraine headaches. However, caffeine can also cause physical dependence when it is used for a long time. This may lead to withdrawal (rebound) headaches when you stop taking it.

This medicine is available only with your doctor’s prescription.

This product is available in the following dosage forms:

    • Tablet
    • Capsule
    • Solution

What Should I Avoid While I am Taking Fioricet?

Fioricet 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.

Mikart Fioricet
Mikart Fioricet

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 may be habit-forming. If you or your child feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

Check with your doctor right away if you or your child have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, unusual tiredness or weakness, or yellow eyes or skin. These could be symptoms of a serious liver problem.

Serious skin reactions can occur with this medicine. Check with your doctor right away if you have blistering, peeling, or loose skin, red skin lesions, severe acne or skin rash, sores or ulcers on the skin, or fever or chills while you are using this medicine.

This medicine may cause serious allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you or your child have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

This medicine may make you dizzy or drowsy. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert.

This medicine will add to the effects of alcohol and other CNS depressants (medicines that can make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicine, other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics.

Also, there may be a greater risk of liver damage if you drink three or more alcoholic beverages while you are taking acetaminophen. Do not drink alcoholic beverages, and check with your doctor before taking any of these medicines while you are using this medicine.

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.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

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.

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

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We only accept form Orders.  We guarantee the cheapest Gabapentin, fioricet, and generic fioricet, butalbital apap caffeine online. As you know, we never sell controlled substance such as tramadol, soma online. We only sell fioricet, and gabapentin, flexeril, robaxin, zanaflex, cialis, and viagra online.

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What is gabapentin?

Gabapentin is a prescription drug. It comes as an oral capsule, an immediate-release oral tablet, an extended-release oral tablet, and an oral solution.

What is Gabapentin ?
What is Gabapentin ?

Gabapentin oral capsule is available as the brand-name drug Neurontin. It’s also available as a generic drug. Generic drugs usually cost less than the brand-name version. In some cases, the brand-name drug and the generic version may be available in different forms and strengths.

Gabapentin (Generic Neurontin ) was developed to treat epilepsy, but it is now used to treat various forms of chronic pain. It works by reducing the number of signals sent through the nerves. If the signals are reduced then the pain will be reduced. Research has shown that Gabapentin can help in treating various types of nerve pain.

Why Gabapentin is used

Gabapentin oral capsule is used to treat the following conditions:

    • Seizures: Gabapentin is used to treat partial (focal) seizures. It’s taken together with other seizure medications in adults and in children 3 years of age and older who have epilepsy.
    • Postherpetic neuralgia: This is pain from nerve damage caused by shingles, a painful rash that affects adults. Shingles appears after infection with the varicella zoster virus. This virus occurs in people who have had chicken pox.

Gabapentin may be used as part of a combination therapy. This means you may need to take it with other drugs.

How Gabapentin works

Gabapentin belongs to a class of drugs called anticonvulsants. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.


It’s not fully understood how gabapentin works. For postherpetic neuralgia, it seems to prevent the increase in sensitivity to pain that occurs. For seizures, it may alter the effect of calcium (low levels of calcium may cause seizures).

 Gabapentin off-label usages

Some Research Team performed searches to look for clinical trials where gabapentin was used to treat neuropathic pain or fibromyalgia. They found that 5633 participants had been involved in 37 studies of reasonable quality.  They tested gabapentin against placebo for four weeks or more.  Studies lasting only one or two weeks are unhelpful when pain can last for years.

Neuropathic pain is pain coming from damaged nerves. It differs from pain messages carried along healthy nerves from damaged tissue (a fall, cut, or arthritic knee).

Neuropathic pain is treated by different medicines than pain from damagedtissue. Medicines like paracetamol or ibuprofen are not effective in neuropathic pain, while medicines that are sometimes used to treat depression or epilepsy can be very effective in some people with neuropathic pain.

Our understanding of fibromyalgia (a condition of persistent, widespread pain and tenderness, sleep problems, and fatigue) is poor, but fibromyalgia can respond to the same medicines as neuropathic pain.

Gabapentin is helpful for some people with chronic neuropathic pain or fibromyalgia. Gabapentin comes as a capsule, tablet, or solution. You take it by mouth. Gabapentin is available as the brand-name drugs Neurontin, Gralise, and Horizant.  It’s also available as a generic drug.

By Drugs.com, Gabapentin Can be used for a lot of Nerve Pain related health conditions. Gabapentin is also used for a lot of off-label usage such as  Cough, Hot Flashes, Alcohol Withdrawal, Anxiety 161 reviews, Bipolar Disorder, Trigeminal Neuralgia, Postherpetic Neuralgia, Migraine, Insomnia, Occipital Neuralgia, Peripheral Neuropathy,Vulvodynia, Benign Essential Tremor, Epilepsy, Fibromyalgia, Pain Relief, Diabetic Peripheral Neuropathy , Neuropathic Pain,Reflex Sympathetic Dystrophy Syndrome,Periodic Limb Movement Disorder, Spondylolisthesis, Burning Mouth Syndrome,Pudendal Neuralgia, Small Fiber Neuropathy.

A lot of Patients use Gabapentin (Neurontin) to treat Hot Flashes, Anxiety, Bipolar Disorder, Migraine, Insomnia, Restless Legs Syndrome, Peripheral Neuropathy, Fibromyalgia, Neuropathic Pain. Fe patients use gabapentin to treat Pruritus, Cough, Occipital Neuralgia, Benign Essential Tremor, ement Disorder, Spondylolisthesis, Burning Mouth Syndrome, Pudendal Neuralgia, Small Fiber Neuropathy.

Gabapentin off-label usages
Gabapentin off-label usages

There are totally 1359 reviews on Gabapentin, only eleven reviews are on Epilepsy whereas 1348 reviews are on Gabapentin Off-label usage. The most widely usage of Gabapentin is for Anxiety ( 243 Reviews ), Pain Relief ( 241 Reviews ), Fibromyalgia ( 137 Reviews ), Peripheral Neuropathy (119 reviews ), Bipolar Disorder ( 83 reviews ), Migraine ( 79 reviews), Neuropathic Pain ( 75 reviews ), Hot Flashes (70 reviews ), Restless Legs Syndrome (61 Reviews ) and Insomnia ( 59 reviews). The most effective usage of Gabapentin is for Pruritus and Cough.

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A lot of patients buy Gabapentin (Neurontin) online to prevent migraine and treat nerve pain. When you want to order Neurontin (The Brand Name of Gabapentin ), you can go to our website buygabapentin800mg.com, please complete the health condition form very carefully. We have hired several US licensed doctors to review your health conditions and check whether you are OK to take Neurontin. If all your health conditions are OK to take gabapentin, they will write a free prescription for you to buy Neurontin. Once the doctors approve you to take neurontin, we will send you order to US licensed pharmacies immediately.The US licensed pharmacists will review your order and send you neurontin to your home by COD payment. All the prescription fee is paid by us and it is free for you. If your order is not approved by the doctors, we still need pay them the doctor review fee. so we would like the patients have the history of taking Neurontin.

Please remember that we cannot send you Neurontin if the doctor doesnot approve your prescription. Normally it take longer time for doctors to approve your prescription because they only work in week days and work five hours per day.  We do suggest you refill your Neurontin in our website but not the first time to buy neurontin online in our website. We like to refill gabapentin ( Generic Neurontin ) for you.

DIN (Drug Identification Number)
02084260     Neurontin 100 mg capsule
02084279     Neurontin 300 mg capsule
02084287     Neurontin 400 mg capsule
02239717     Neurontin 600 mg tablet
02239718     Neurontin 800 mg tablet
How long will I have to take Gabapentin for?

This is different for different people. In general, Gabapentin will have to be taken for as long as you are requiring pain relief for nerve pain. Do not stop taking your Gabapentin suddenly if you have been taking it for a while. Your body will be used to the Gabapentin and stopping it suddenly may cause withdrawal symptoms. Reducing the dose slowly as advised by your pain specialist or GP will help stop withdrawal symptoms happening. You may wish to reduce the dose every so often, to check nerve pain is still a problem.

How to take Gabapentin ?

The dose of gabapentin required varies from person to person. To avoid side effects we build up to the dose gradually. The tables in this leaflet show you how this can be done. Some patients can put their dose up faster than others. We call this faster way the FAST TRACK (see table 1).

If you find you are getting side effects with the fast track way of putting your dose up, you can switch to the SLOWER METHOD. ( see table 2).ther people will need to put their dose up less quickly over a number of weeks. This is THE SLOWER METHOD .

As with any medication it is important to check how well it works.  With gabapentin this can be in a few days but for most patients may take 4-8 weeks to assess the full benefit. If you feel you are getting no benefit from this medication please discuss this with your GP or pain specialist.

Gabapentin other Off-label usages

Gabapentin is one drug that researchers have studied for preventing migraines. It has a high safety profile and few side effects. This makes it a good option for Migraine prevention.  Results from some clinical trials have shown a modest benefit from the use of gabapentin for migraine prevention.

However, the American Academy of Neurology (AAN), the organization that provides guidance for the use of drugs to prevent migraines, has stated that there is not enough evidence at this time to support the use of gabapentin for migraine prevention. Healthcare professionals can choose to prescribe gabapentin when other prevention therapies have not worked, however.

Gabapentin has been proven to be effective for people who have hard-to-treat depression or other mood disorders.  Neurontin is not your traditional anxiety drug. It’s a drug primarily described to those with bipolar disorder, not anxiety. Bipolar disorder is a complicated mental health problem.

Gabapentin was successful in helping with rapid cycling and mixed bipolar states in people who have not received relief from valproate or carbamazepine. It appeared that Gabapentin helped more with anxiety and agitation than the other two drugs.

It has also been shown that Gabapentin could aid people with certain types of tardive dyskinesia. That’s why anyone that has been prescribed Neurontin should strongly consider taking it, despite the side effects above and questions about its effectiveness. Bipolar disorder is not something that should be left to chance.

The total number of patients treated with NEURONTIN in controlled clinical trials in patients with postherpetic neuralgia was 336, of which 102 (30%) were 65 to 74 years of age, and 168 (50%) were 75 years of age and older. There was a larger treatment effect in patients 75 years of age and older compared with younger patients who received the same dosage. Since gabapentin is almost exclusively eliminated by renal excretion, the larger treatment effect observed in patients ≥ 75 years may be a consequence of increased gabapentin exposure for a given dose that results from an age-related decrease in renal function.

However, other factors cannot be excluded. The types and incidence of adverse reactions were similar across age groups except for peripheral edema and ataxia, which tended to increase in incidence with age.

Clinical studies of NEURONTIN in epilepsy did not include sufficient numbers of subjects aged 65 and over to determine whether they responded differently from younger subjects.

Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

This drug 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 dose should be adjusted based on creatinine clearance values in these patients.

What form(s) does this medication come in?



100 mg – Each hard gelatin Coni-Snap capsule, with white opaque body and cap printed with “PD” on one side and “Neurontin/100 mg” on the other, contains gabapentin 100 mg.

300 mg – Each hard gelatin Coni-Snap capsule, with yellow opaque body and cap printed with “PD” on one side and “Neurontin/300 mg” on the other, contains gabapentin 300 mg.

400 mg – Each hard gelatin Coni-Snap capsule, with orange opaque body and cap printed with “PD” on one side and “Neurontin/400 mg” on the other, contains gabapentin 400 mg.


600 mg – Each white, elliptical, film-coated tablet with “Neurontin 600” printed on one side contains gabapentin 600 mg.

800 mg –  Each white, elliptical, film-coated tablet with “Neurontin 800” printed on one side contains gabapentin 800 mg.

How to take gabapentin

The gabapentin dosage your doctor prescribes will depend on several factors. These include:

      • the type and severity of the condition you’re using gabapentin to treat
      • your age
      • the form of gabapentin you take
      • other medical conditions you may have

Typically, your doctor will start you on a low dosage and adjust it over time to reach the dosage that’s right for you. They’ll ultimately prescribe the smallest dosage that provides the desired effect.

The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.

We do not sell Gabapentin to all patients!

Normally Gabapentin is suitable for all adult and children bigger than six years old. But you are not allowed to order Gabapentin online especially in our online pharmacies if you have any of following health conditions (But you are OK to order in your local street pharmacies):

      1. You are younger than 18 years old;
      2. You have kidney disease;
      3. Alcohol – you are addictive to alcohol, gabapentin may cause alcohol intolerance;
      4. diabetes – Gabapentin may affect blood sugar levels, you must find a local doctor to prescribe you Gabapentin.
      5. kidney disease,liver disease and heart diseases;
      6. a history of depression, mood disorder, drug abuse, or suicidal thoughts or actions;
      7. (for patients with RLS) if you are a day sleeper or work a night shift;
      8. You are breastfeeding mother or you are pregnant;
      9. have thoughts about suicide.
      10. If you are allergy to Gabapentin

Stop immediately if you have any thoughts about suicide.

Donot order Gabapentin online if you have suicide thoughts. Please go to your doctor to have you completely checked.

We hope you can refill your Gabapentin online using our online pharmacy. You have already checked by your local doctors and they have prescribed you Gabapentin.  After your first prescription, you can order in our websites. Our doctors and pharmacists will review your health conditions too and it is much easier for you to understand the gabapentin prescription you are taking.

Gabapentin may interact with other medications

Gabapentin oral capsule can interact with several other medications. Different interactions can cause different effects. For instance, some can interfere with how well a drug works, while others can cause increased side effects.

Below is a list of medications that can interact with gabapentin. This list does not contain all drugs that may interact with gabapentin.

Before taking gabapentin, be sure to tell your doctor and pharmacist about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.

If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.

Pain drugs

When used with gabapentin, certain pain drugs can increase its side effects, such as tiredness. Examples of these drugs include:

  • morphine

Stomach acid drugs

When used with gabapentin, certain drugs used to treat stomach acid problems can reduce the amount of gabapentin in your body. This can make it less effective. Taking gabapentin 2 hours after taking these drugs can help prevent this problem. Examples of these drugs include:

  • aluminum hydroxide
  • magnesium hydroxide

Fioricet Precaution

Do not take more Fioricet than is recommended. An overdose of acetaminophen can damage your liver or cause death. Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes).

In rare cases, acetaminophen may cause a severe skin reaction. Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.

You should not use Fioricet if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.

Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.