|The following information is a summary about Esgic Plus. It is not intended to replace a doctor''s instructions. |
Esgic Plus USES
Esgic Plus will relieve a headache best if you take it as soon as the headache begins. If you get warning signs of a migraine, take Esgic Plus as soon as you are sure that the migraine is coming. This may even stop the headache pain from occurring. Lying down in a quiet, dark room for a while after taking the medicine also helps to relieve headaches. People who get a lot of headaches may need to take a different medicine to help prevent headaches. It is important that you follow your doctor''s directions about taking the other medicine, even if your headaches continue to occur. Headache-preventing medicines may take several weeks to start working. Even after they do start working, your headaches may not go away completely. However, your headaches should occur less often, and they should be less severe and easier to relieve than before. This will reduce the amount of headache relievers that you need. If you do not notice any improvement after several weeks of headache-preventing treatment, check with your doctor.
Esgic Plus DIRECTIONS
Butalbital and acetaminophen (byoo-TAL-bi-tal and a-seat-a-MIN-oh-fen) combination is a pain reliever and relaxant. It is used to treat tension headaches. Butalbital belongs to the group of medicines called barbiturates (bar-BI-tyoo-rates) . 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 (KAF-een) . 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. Butalbital and acetaminophen combinations are available only with your doctor''s prescription in the following dosage forms: Oral Butalbital and Acetaminophen Capsules (U.S.) Tablets (U.S.) Butalbital, Acetaminophen, and Caffeine Capsules (U.S.) Tablets (U.S.)
Esgic Plus SIDE EFFECTS
Check with your doctor immediately if any of the following side effects occur, especially if several of them occur together: Rare Bleeding or crusting sores on lips; chest pain; fever with or without chills; hive-like swellings (large) on eyelids, face, lips, and/or tongue ; muscle cramps or pain; red, thickened, or scaly skin; shortness of breath, troubled breathing, tightness in chest, or wheezing; skin rash, itching, or hives; sores, ulcers, or white spots in mouth (painful); sore throat Symptoms of overdose Anxiety, confusion, excitement, irritability, nervousness, restlessness, or trouble in sleeping (severe, especially with products containing caffeine) ; convulsions (seizures) (for products containing caffeine); diarrhea, especially if occurring together with increased sweating, loss of appetite, and stomach cramps or pain; dizziness, lightheadedness, drowsiness, or weakness, (severe) ; frequent urination (for products containing caffeine) ; hallucinations (seeing, hearing, or feeling things that are not there); increased sensitivity to touch or pain (for products containing caffeine); muscle trembling or twitching (for products containing caffeine); nausea or vomiting, sometimes with blood; ringing or other sounds in ears (for products containing caffeine); seeing flashes of ``zig-zag'''' lights (for products containing caffeine); shortness of breath or unusually slow or troubled breathing; slow, fast, or irregular heartbeat; slurred speech; staggering; swelling, pain, or tenderness in the upper abdomen or stomach area; unusual movements of the eyes Also, check with your doctor as soon as possible if any of the following side effects occur: Less common Confusion (mild); mental depression ; unusual excitement (mild) Rare Bloody or black, tarry stools; bloody urine; pinpoint red spots on skin; swollen or painful glands; unusual bleeding or bruising ; unusual tiredness or weakness (mild) Other 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. However, check with your doctor if any of the following side effects continue or are bothersome: More common Bloated or ``gassy'''' feeling; dizziness or lightheadedness (mild); drowsiness (mild); nausea, vomiting, or stomach pain (occurring without other symptoms of overdose) Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Esgic Plus PRECAUTIONS
Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have. Limit alcohol as it may add to the dizziness or drowsiness effects caused by Esgic Plus. Because this drug may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug. Esgic Plus should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Esgic Plus is excreted into breast milk. Because the effects on a nursing infant are not known, consult your doctor before breast- feeding.
Esgic Plus DRUG INTERACTIONS
Tell your doctor of all prescription and nonprescription meds you may use, especially of: carbamazepine, narcotic pain relievers (e.g., codeine), drugs used to aid sleep, antidepressants (e.g., SSRI-types such as fluoxetine or fluvoxamine), MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, procarbazine, selegiline, tranylcypromine), psychiatric medicine (e.g., nefazodone), "triptan"-type drugs, anti-anxiety drugs (e.g., diazepam), sibutramine. Also, report use of certain antihistamines (e.g., diphenhydramine) which are also present in many cough-and-cold products. Do not start or stop any medicine without doctor or pharmacist approval.
Esgic Plus OVERDOSE
If overdose is suspected, contact your local poison control center or emergency room immediately.
Esgic Plus NOTES
Do not share Esgic Plus with others. Medical examinations including the nose are generally performed during prolonged use of this product to check for side effects. Inform all your doctors you use (or have used) Esgic Plus.
If you miss a dose, use Esgic Plus as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
Esgic Plus STORAGE
Store Esgic Plus at room temperature between 36 and 77 degrees F (2 -25 degrees C) away from light and moisture.