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 Esgic

Esgic Plus is an analgesic, barbiturate, and stimulant combination used to treat tension headaches. Esgic Plus is very effective in relieving from mild to chronic Migraine Pain.



Esgic Plus Generic (Butalbital & Acetaminophen & Caffeine) 500mg 30 tablets$121.60
Esgic Plus Generic (Butalbital & Acetaminophen & Caffeine) 500mg 60 tablets$163.48
Esgic Plus Generic (Butalbital & Acetaminophen & Caffeine) 500mg 90 tablets$215.25

ESGIC PLUS DRUG INFO

ACTIVE INGREDIENT:

Butalbital and Acetaminophen (byoo-TAL-bi-tal and a-seat-a-MIN-oh-fen) - ORAL


COMMON BRAND NAME(S):

Esgic, Esgic Plus


USES:

This medication is a pain reliever and relaxant. It is used to treat tension headaches. Butalbital belongs to the group of medicines called barbiturates. Barbiturates act in the central nervous system (CNS) to produce their effects. When you take butalbital for a long time, your body may get used to it so that larger amounts are needed to produce the same effects. This is called tolerance to the medicine. Also, butalbital may become habit-forming (causing mental or physical dependence) when it is used for a long time or in large doses. Physical dependence may lead to withdrawal side effects when you stop taking the medicine. In patients who get headaches, the first symptom of withdrawal may be new (rebound) headaches.Some butalbital and acetaminophen combinations also contain caffeine. Caffeine may help to relieve 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.Butalbital and acetaminophen combination may also be used for other kinds of headaches or other kinds of pain as determined by your doctor.


HOW TO USE:

The combination of acetaminophen, butalbital, and caffeine comes as a capsule and tablet to take by mouth. It usually is taken every 4 hours as needed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take acetaminophen, butalbital, and caffeine exactly as directed. Do not take more than six tablets or capsules in 1 day. If you think that you need more to relieve your symptoms, call your doctor.


SIDE EFFECTS:

Although side effects from acetaminophen, butalbital, and caffeine are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

  • drowsiness
  • upset stomach
  • vomiting
  • stomach pain
  • depression
  • lightheadedness
  • confusion

If you experience any of the following symptoms, call your doctor immediately:

  • skin rash
  • itching
  • difficulty breathing

PRECAUTIONS:

Before taking acetaminophen, butalbital, and caffeine,

  • tell your doctor and pharmacist if you are allergic to acetaminophen, butalbital, caffeine, or any other drugs.
  • tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially anticoagulants ('blood thinners') such as warfarin (Coumadin), antidepressants, antihistamines, pain medications, sedatives, sleeping pills, tranquilizers, and vitamins. Many nonprescription pain relievers contain acetaminophen. Too much of this drug can be harmful.
  • tell your doctor if you have or have ever had liver disease, porphyria, or depression.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking this medication, call your doctor.
  • you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
  • remember that alcohol can add to the drowsiness caused by this drug.

DRUG INTERACTIONS:

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking a butalbital and acetaminophen combination, it is especially important that your health care professional know if you are taking any of the following:

  • Anticoagulants (blood thinners), or
  • Carbamazepine (e.g., Tegretol) or
  • Contraceptives, oral (birth control pills) containing estrogen, or
  • Corticosteroids (cortisone-like medicines) or
  • Corticotropin (e.g., ACTH)—Butalbital may make these medicines less effective
  • Antidepressants, tricyclic (amitriptyline [e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil], desipramine [e.g., Pertofrane], doxepin [e.g., Sinequan], imipramine [e.g., Tofranil], nortriptyline [e.g., Aventyl], protriptyline [e.g., Vivactil], trimipramine [e.g., Surmontil]) or
  • Central nervous system (CNS) depressants (medicines that often cause drowsiness)—These medicines may add to the effects of butalbital and increase the chance of drowsiness or other side effects
  • Divalproex (e.g., Depakote) or
  • Valproic acid (e.g., Depakene)—The chance of side effects may be increased

OVERDOSE:

If overdose is suspected, contact your local poison control center or emergency room immediately. Overdose is especially dangerous in young children. If the victim has collapsed or is not breathing, call local emergency services at 911.


NOTES:

Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to acetaminophen, butalbital, and caffeine. Do not let anyone else take your medication. This medication is a controlled substance. Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions.


MISSED DOSE:

Missed dose—If your doctor has ordered you to take this medicine according to a regular schedule and you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


STORAGE:

To store this medicine:

  • Keep out of the reach of children.
  • Store away from heat and direct light.
  • Do not store this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
  • Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

IMPORTANT NOTE:

The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

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