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The Medical Problems That can Affect the use of Fioricet

The presence of other medical problems may affect the use of Fioricet.

Make sure you tell your doctor if you have any other medical problems, especially:

- Addison’s disease (an adrenal problem) or
- Alcohol abuse, or history of or
- Brain problems (eg, tumor, increased intracranial pressure) or
- Breathing or lung problems (eg, COPD, hypercapnia, hypoxia, sleep apnea) or
- Cor pulmonale (serious heart condition) or
- Depression, or history of or
- Drug abuse or dependence, or history of or
- Enlarged prostate or
- Head injury, history of or
- Hypothyroidism (underactive thyroid) or
- Obesity (overweight) or
- Trouble urinating or
- Weakened physical condition—Use with caution. May increase risk for more serious side effects.
- Gallbladder problems or Hypotension (low blood pressure) or
- Pancreatitis (swelling of the pancreas) or
- Seizures, or history of—Use with caution. May make these conditions worse.
- Kidney disease or
- Liver disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
- Lung or breathing problems (eg, asthma, respiratory depression), severe or
- Porphyria (enzyme problem) or
- Stomach or bowel blockage (including paralytic ileus) or
- Surgery (eg, nasopharyngeal tonsils, tonsils)—Should not be used in patients with these conditions.

Do not Take Fioricet if you are taking following drugs:
- - doravirine
  - fostemsavir
  - isavuconazonium sulfate
  - isocarboxazid
  - linezolid
  - lonafarnib
  - lorlatinib
  - mavacamten
  - phenelzine

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Black Box Warnings

Contains acetaminophen

Hepatotoxicity may occur with acetaminophen doses that exceed 4 g/day; take into account all acetaminophen-containing products the patient is taking, including PRN doses and OTC products

Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplantation or death

New dosage limit allows no more than 325 mg/dosage unit for prescription medications that contain acetaminophen

Healthcare professionals can direct patients to take 1 or 2 tablets, capsules, or other dosage units of a prescription product containing 325 mg of acetaminophen up to 6 times daily (12 dosage units) and still not exceed the maximum daily dose of acetaminophen (ie, 4 g/day)

Who cannot Buy Fioricet Online ?

- If you have liver, kidney, or heart diseases, please donot take fioricet. Because fioricet contains barbiturate butalbital, it can cross the placental barrier;
- We donot suggest you order fioricet online if you are pregnant or or in breast feeding period. If you are pregnant, please go to your street doctors and let them to check whether you are OK to take fioricet;
- If you are addictive to alcohol or other pain killer medicines, please donot buy fioricet online, you must find a street doctor to solve your addictive first before you order fioricet, or buy fioricet online;
- You must complete the health questionnaires very carefull because the US licensed doctors and pharmacists will review your health questionnaires to approve your prescription or not;
- All online pharmacies share the same blacklist. If you have paid bounced checks to any online pharmacy and you will be blacklisted by all online pharmacies. You are not allowed to order Fioricet Online;
- We will not send you Fioricet or Gabapentin if you have suicide thoughts

For more detail fioricet prescription instruction, you can check Wiki Fioricet. The pharmacy will also send you a instruction on fioricet usage and introduction. Please be very careful to take the fioricet within the max dosage. Never exceed the max dosages. Or you will be seriously damaged.

In some cases, Fioricet can interact with other drugs and create an adverse reaction or serious side effects. Fioricet should not be combined with any other drugs that contain butalbital, acetaminophen and caffeine to avoid accidental overdose.

Fioricet with Codeine should not be taken in combination with serotonergic drugs, like some types of antidepressants or anxiety medications.

Fioricet may also have a negative interaction with other medications that have a sedating effect. Combining sedatives can slow breathing and heart rate to dangerous levels. It’s important to disclose all medications to your doctor to avoid risks of drug interactions.

What other Drugs Will Affect Acetaminophen, Butalbital, Caffeine ?

Do not take acetaminophen, butalbital, caffeine, and codeine with any other narcotic pain medications, sedatives, tranquilizers, sleeping pills, muscle relaxers, or other medicines that can make you sleepy or slow your breathing. Dangerous side effects may result.

Use Cautiously in:

- History of suicide attempt or drug addiction
- Chronic alcohol use
- Severe hepatic or renal impairment
- Severe cardiovascular disease
- Patients concomitantly receiving other CNS depressants
- OB: Safety not established in pregnancy
- Pedi: Children <12 yr (safety and effectiveness not established);
- Geri: Appears on Beers list. Geriatric patients are at ↑ risk for side effects (dosage ↓ recommended).

Tell your doctor about all other medicines you use, especially:

- glycopyrrolate (Robinul);
- mepenzolate (Cantil);
- ciprofloxacin (Cipro);
- atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
- bladder or urinary medications such as darifenacin (Enablex), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);
- a bronchodilator such as ipratropium (Atrovent) or tiotropium (Spiriva);
- irritable bowel medications such as dicyclomine (Bentyl) or hyoscyamine (Anaspaz, Cystospaz, and others); or
- an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate).

This list is not complete and other drugs may interact with acetaminophen, butalbital, caffeine, and codeine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.