Pain Relief – DialaMeds

Fioricet Brand

Product Name
Fioricet Brand 30 Tabs of 40mg

Fioricet Brand 60 Tabs of 40mg

Fioricet Brand 90 Tabs of 40mg

$146.00

$210.00

$280.00

Generic Name: acetaminophen/ caffeine (oral) (a seet a MIN oh fen and boo TAL bi tall and CAFF een)
Brand Names: Esgic, Esgic-Plus, Fioricet
What is the most important information I should know about butalbital?
• Use caution when driving, operating machinery, or performing other hazardous activities. Butalbital will cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
• Avoid sleeping pills, antihistamines, sedatives, and tranquilizers except under the supervision of your doctor. These may also make you drowsy.
• Avoid alcohol. Alcohol taken during therapy with acetaminophen and butalbital can be very damaging to your liver and can increase drowsiness and dizziness.
• Check the acetaminophen content of other over-the-counter and prescription products while taking this medication. You should not exceed 4 grams (4000 mg) of acetaminophen per day.
• Never take more acetaminophen/ butalbital/ caffeine than is prescribed for you. If your pain is not being adequately treated, talk to your doctor.
What is butalbital?
• Acetaminophen is a pain reliever and fever reducer.
• Butalbital is in a class of drugs called barbiturates that slow down your central nervous system (brain and nerve impulses) causing relaxation.
• Caffeine is believed to constrict dilated blood vessels that may contribute to tension headaches.
• Together, acetaminophen, butalbital, and caffeine are used to relieve complex tension (muscle contraction) headaches although precisely how it works is unknown.
• Acetaminophen/ butalbital/ caffeine may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking butalbital?
• This medication is habit forming and should only be used under close supervision. Take this drug only for as long as it is prescribed , in the amounts it is prescribed, and no more frequently than prescribed.
• Do not take acetaminophen/ butalbital/ caffeine without first talking to your doctor if you drink more than three alcoholic beverages per day or if you have had alcoholic liver disease. You may not be able to take acetaminophen and butalbital, or you may require a lower dose.
• Do not take acetaminophen/ butalbital/ caffeine if you have porphyria.
• Before taking this medication, tell your doctor if you have
• kidney disease, or
• liver disease.
• You may not be able to take acetaminophen/ butalbital/ caffeine, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
• This drug combination is in the FDA pregnancy category C. This means that its effects on an unborn baby are not known. Do not take this medication without first talking to your doctor if you are pregnant.
• This drug combination passes into breast milk and may harm a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
• Acetaminophen/ butalbital/ caffeine has not been approved for use in children younger than 12 years of age.
How should I take butalbital?
• Take acetaminophen/ butalbital/ caffeine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass of water.
• Take acetaminophen/ butalbital/ caffeine with food or milk if it upsets your stomach.
• Never take more acetaminophen/ butalbital/ caffeine than is prescribed for you. If your pain is not being adequately treated, talk to your doctor.
• Store acetaminophen/ butalbital/ caffeine at room temperature away from moisture and heat.
What happens if I miss a dose?
• Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking your next dose.
What happens if I overdose?
• Seek emergency medical attention.
• Symptoms of an acetaminophen/ butalbital/ caffeine overdose include insomnia, restlessness, tremor, nausea, vomiting, diarrhea, abdominal pain, sweating, seizures, drowsiness, decreased breathing, dizziness or fainting, confusion, an irregular heartbeat, and coma.
What should I avoid while taking butalbital?
• Use caution when driving, operating machinery, or performing other hazardous activities. Butalbital will cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.
• Avoid sleeping pills, antihistamines, sedatives, and tranquilizers except under the supervision of your doctor. These may also make you drowsy.
• Avoid alcohol. Alcohol taken during therapy with acetaminophen and butalbital can be very damaging to your liver and can increase drowsiness and dizziness.
• Check the acetaminophen content of other over-the-counter and prescription products while taking this medication. You should not exceed 4 grams (4000 mg) of acetaminophen per day.
• Avoid taking too much caffeine. Check the caffeine content of other over-the-counter and prescription products as well as beverages (coffee, tea, and colas) while taking this medication
What are the possible side effects of butalbital?
• If you experience any of the following serious side effects, stop taking acetaminophen/ butalbital/ caffeine and seek emergency medical attention:
• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
• slow, weak breathing;
• liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue);
• blood problems (easy or unusual bleeding or bruising); or
• low blood sugar (fatigue, increased hunger or thirst, dizziness, or fainting).
• These side effects are very rare and are not likely to occur during proper treatment with acetaminophen and caffeine. If you experience any unusual reactions, stop taking this medicine and seek the advice of your doctor.
• Other, less serious side effects may be more likely to occur. Continue to take acetaminophen/ butalbital/ caffeine and talk to your doctor if you experience
• drowsiness;
• dizziness,, confusion or lightheadedness;
• shortness of breath;
• dry mouth;
• nausea, vomiting, abdominal pain, or decreased appetite;
• tiredness, leg pain, or muscle weakness;
• agitation, irritability, nervousness, anxiety or excitability;
• rash or itching;
• feeling of intoxication;
• headache; or
• constipation.
• Butalbital may be habit forming.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect butalbital?
• Do not take acetaminophen/ butalbital/ caffeine if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. Dangerous side effects could result.
• Acetaminophen and butalbital may increase the effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), other pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine unless your doctor approves.
• Many other medicines contain acetaminophen, especially over-the-counter pain, fever, cold, and allergy medications. Too much acetaminophen can be very dangerous.
• Drugs other than those listed here may also interact with acetaminophen/ butalbital/ caffeine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.
Where can I get more information?
• Your pharmacist has additional information about butalbital written for health professionals that you may read.

Tramadol

Product Name

Tramadol 90 Tabs of 50mg

Tramadol 180 Tabs of 50mg

Tramadol 250 Tabs of 50mg

Tramadol 90 Tabs of 100mg

Tramadol 180 Tabs of 100mg

Tramadol 250 Tabs of 100mg

$142.00

$185.00

$217.00

$182.00

$267.00

$344.50

Generic Name: tramadol (TRAM a dol)
Brand Names: Ultram, Ultram ER
What is the most important information I should know about tramadol?
• You should not take tramadol if you have ever been addicted to drugs or alcohol.
• Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day.
• Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using tramadol. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using tramadol.
• Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death.
• Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.
• Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.
• While you are taking tramadol, do not drink alcohol or use drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.
• Tramadol 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.
What is tramadol?
• Tramadol is a narcotic-like pain reliever.
• Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.
• Tramadol may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking tramadol?
• You should not take tramadol if you have ever been addicted to drugs or alcohol.
• Do not take tramadol if you are intoxicated (drunk), or if you have recently used any of the following drugs:
• alcohol;
• narcotic pain medicine;
• sedatives or tranquilizers (such as Valium);
• medicine for depression or anxiety;
• medicine for mental illness (such as bipolar disorder, schizophrenia); or
• street drugs.
• Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions:
• a history of drug or alcohol addiction;
• a history of epilepsy or other seizure disorder;
• a history of head injury; or
• a metabolic disorder.
• Talk with your doctor about your individual risk of having a seizure from this medicine.
• Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have:
• kidney disease;
• liver disease;
• a stomach disorder; or
• a history of depression, mental illness, or suicide attempt.
• If you have any of these conditions, you may not be able to use tramadol, or you may need a dosage adjustment or special tests during treatment.
• FDA pregnancy category C. This medication may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
• Tramadol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
• Older adults may be more sensitive to the effects of tramadol. If you are over 65, your doctor may recommend a lower dose.
• Tramadol should not be given to a child younger than 16 years of age.
How should I take tramadol?
• Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label. Do not take more than 300 milligrams of tramadol in one day.
• Take each dose with a full glass of water.
• Tramadol can be taken with or without food, but take it the same way each time.
• Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death.
• Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.
• If you use the tramadol extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.
• Tramadol may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor.
• Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose. Withdrawal symptoms may occur when you stop using tramadol. Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Call your doctor at once if you have any of these withdrawal symptoms after you stop using tramadol.
• Store tramadol at room temperature away from moisture and heat.
What happens if I miss a dose?
• Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
• Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal.
• Symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.
What should I avoid while taking tramadol?
• Do not drink alcohol while you are taking tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol.
• Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.
• Tramadol 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.
What are the possible side effects of tramadol?
• Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
• Stop using tramadol and call your doctor at once if you have any of these serious side effects:
• seizure (convulsions);
• a red, blistering, peeling skin rash; or
• shallow breathing, weak pulse.
• Continue taking tramadol and talk to your doctor if you have any of these less serious side effects:
• dizziness, drowsiness, weakness;
• nausea, vomiting, constipation, loss of appetite;
• blurred vision;
• flushing (redness, warmth, or tingly feeling); or
• sleep problems (insomnia).
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect tramadol?
• You may be more likely to have a seizure (convulsions) if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following:
• an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or
• an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft).
• Before taking tramadol, tell your doctor if you also use:
• carbamazepine (Tegretol);
• warfarin (Coumadin);
• digoxin (Lanoxin, Lanoxicaps);
• ketoconazole (Nizoral);
• erythromycin (E-Mycin, E.E.S., Ery-Tab);
• rifampin (Rifadin, Rimactane, Rifater);
• St. John’s wort;
• quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or
• drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety).
• If you are using any of these drugs, you may not be able to use tramadol or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect tramadol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Where can I get more information?
• Your pharmacist has more information about tramadol written for health professionals that you may read.