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Overview	Photos	How To Use	Side Effects	Precautions	Missed Dose	Drug Interactions

quala-Cet Fioricet, Butalbital/apap/caffeine, Esgic, Butalbital-Apap-Caffeine, Repan, Americet Uses Quala-Cet is a pain reliever and sedative. It is used to relieve mild to moderate pain and tension headaches. Storage Store at room temperature away from moisture and sunlight. Do not store in the bathroom. Overdose If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include vomiting, unusual drowsiness, lack of feeling alert, slow or shallow breathing, cold or clammy skin, loss of consciousness, severe nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue. How To Use To prevent upset stomach, take Quala-Cet with food or milk. Pain medications work best if they are used as the first signs of pain (or first signs of migraine) occur. If you wait until the pain has significantly worsened, the pain medicine may not work as well. Take this as prescribed. Do not increase your dose or take it more frequently without your doctor s approval. Quala-Cet contains acetaminophen. Do not take more acetaminophen than recommended (see Side Effects section). Side Effects May cause lightheadedness, dizziness, drowsiness, stomach upset, nausea, and sleeping disturbances the first few days as your body adjusts to the medication. If these symptoms persist or become bothersome, inform your doctor. Notify your doctor immediately if you develop: a rapid/ irregular heartbeat. If you do not have liver problems, the adult maximum dose of acetaminophen is 4 grams per day (4000 milligrams). If you take more than the maximum daily amount, it may cause serious (possibly fatal) liver disease. Tell your doctor immediately if you have any of the following symptoms of liver damage: severe nausea, yellowing eyes or skin, dark urine, stomach pain, extreme fatigue. An allergic reaction to Quala-Cet is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist. Precautions Tell your doctor your medical history, especially of: liver disease, alcohol or narcotic dependence, emotional/mental conditions, heart disease (arrhythmias, recent MI), stomach/intestinal ulcers, any allergies. This product contains acetaminophen. Acetaminophen may cause liver damage. Daily use of alcohol, especially when combined with acetaminophen, may increase your risk for liver damage. Check with your doctor or pharmacist for more information. To prevent oversedation, avoid using alcohol and other sedative type medications while taking this. Quala-Cet may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Avoid alcoholic beverages. Quala-Cet contains caffeine. Avoid drinking large amounts of caffeinated beverages while taking Quala-Cet as excessive nervousness and irritability can occur. Quala-Cet should be used during pregnancy only if clearly needed. Small amounts of Quala-Cet appear in breast milk. Consult your doctor before breast-feeding. Missed Dose Not applicable. Drug Interactions Tell your doctor of all prescription and nonprescription drugs you may use, especially of: blood thinners Tell your doctor or pharmacist of all prescription and nonprescription drugs you may use that cause drowsiness such as: medicine for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine, or tricyclics such as amitriptyline), anti-seizure drugs (e.g., carbamazepine), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine). Acetaminophen is an ingredient in many nonprescription products and in some combination prescription medications. Read the labels carefully before taking other pain relievers, fever reducers, or cold products to see if they also contain acetaminophen. Consult your pharmacist if you are uncertain if your other prescription or nonprescription products contain acetaminophen. (Also see adult maximum daily dose information in Side Effects section). Quala-Cet may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.