BARBITURATES, ASPIRIN & CODEINE (Also contains caffeine)

Brand & Generic Names

ABC Compound with Codeine	Fiorinal-C1/2
Ascomp with Codeine No. 3	Fiorinal with Codeine
B-A-C with Codeine	Fiorinal with Codeine No. 3
BUTALBITAL, ASPIRIN &	Idenal with Codeine
CODEINE	Isollyl with Codeine
Butalbital Compound with	Phenaphen with Codeine No. 2
Codeine	Phenaphen with Codeine No. 3
Butinal with Codeine No. 3	Phenaphen with Codeine No. 4
Fiomor with Codeine	PHENOBARBITAL, ASPIRIN &
Fiorgen with Codeine	CODEINE
Fiorinal-C1/4

Basic Information

• Habit forming? Yes
• Prescription needed? Yes
• Available as generic? No
• Drug class: Narcotic, analgesic

Uses

• Reduxes anxiety or nervous tension (low dose).
• Reduces pain, fever, inflammation.

Dosage & Usage Information

How to take:
Tablet or capsule--Swallow with liquid or food to lessen stomach irritation. If you can't swallow whole, crumble tablet or open capsule and take with liquid or food.
Extended-release tablets or capsules--Swallow each dose whole.

When to take:
When needed. No more often than every 4 hours.

If you forget a dose:
Take as soon as you remember. Wait 4 hours for next dose.

What drug does:
May partially block nerve impulses at nerve-cell connections.
Affects hypothalamus, the part of the brain that regulates temperature by dilating small blood vessels in skin.
Prevents clumping of platelets (small blood cells) so blood vessels remain open.
Decreases prostaglandin effect.
Blocks pain messages to brain and spinal cord.
Reduces sensitivity of brain's cough-control center.

Time lapse before drug works:
30 minutes.

Don't take with:
Non-prescription drugs without consulting doctor.
See interactions section (below) and consult doctor.

Overdose

SYMPTOMS:
Deep sleep, slow and weak pulse, ringing in ears, nausea, vomiting, dizziness, fever, deep and rapid breathing, hallucinations, convulsions, coma.

WHAT TO DO:

• Dial 911 (emergency) or 0 (operator) for an ambulance or medical help. Then give first aid immediately.
• If patient is unconscious and not breathing, give mouth-to-mouth breathing. If there is no heartbeat, use cardiac massage and mouth-to-mouth breathing (CPR). Don't try to make patient vomit. If you can't get help quickly, take patient to nearest emergency facility.
• See EMERGENCY information.

Possible Adverse Reactions or Side Effects

Life-threatening:

Wheezing, tightness Seek emergency treatment immediately. in chest, pinpoint pupils.

Common:

Dizziness, drowsiness, heartburn, flushed face, depression, false sense of well-being, increased urination.

Infrequent:

Jaundice; vomiting blood; easy bruising; skin rash, hives; confusion; depression; sore throat, fever, mouth sores; difficult urination; hearing loss; slurred speech; blood in urine; decreased vision.

Rare:

Insomnia, nightmares, constipation, headache, nervousness, flushed face, increased sweating, unusual tiredness.

Warnings & Precautions

Don't take if:

• You are allergic to any barbiturate or narcotic.
• You have a peptic ulcer or stomach or duodenum, bleeding disorder, porphyria.

Before you start, consult your doctor:

• If you have had stomach or duodenal ulcers.
• If you have asthma, epilepsy, kidney or liver damage, anemia, chronic pain, gout.
• If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia.

Over age 60:

• Adverse reactions and side effects may be more frequent and severe than in younger persons.
• More likely to cause hidden bleeding in stomach or intestines. Watch for dark stools.
• More likely to be drowsy, dizzy, unsteady or constipated. Use only if absolutely necessary.

Pregnancy:
Risk to unborn child outweighs drug benefits. Don't use.

Breast-feeding:
Drug passes into milk. Avoid drug or discontinue nursing until you finish medicine. Consult doctor for advice on maintaining milk supply.

Infants & children:

• Overdose frequent and severe. Keep bottles out of children's reach.
• Use only under doctor's supervision.
• Consult doctor before giving to persons under age 18 who have fever and discomfort of viral illness, especially chicken pox and influenza. Probably increases risk of Reye's syndrome.

Prolonged use:

• Kidney damage. Periodic kidney function test recommended.
• May cause addiction, anemia, chronic intoxication.
• May lower body temperature, making exposure to cold temperatures hazardous.

Skin & sunlight:
May cause rash or intensify sunburn in areas exposed to sun or sunlamp.

Driving, piloting or hazardous work:
Don't drive or pilot aircraft until you learn how medicine affects you. Don't drive around dangerous machinery. Don't climb ladders or work in high places. Danger increases if you drink alcohol or take medicine affecting alertness and reflexes, such as antihistamines, tranquilizers, sedatives, pain medicine, narcotics and mind-altering drugs.

Discontinuing:
May be unnecessary to finish medicine. Follow doctor's instructions. If you develop withdrawal symptoms of hallucinations, agitation or sleeplessness after discontinuing, call doctor right away.

Others:

• Aspirin can complicate surgery; illness; pregnancy, labor and delivery.
• For arthritis--Don't change dose without consulting doctor.
• Urine tests for blood sugar may be inaccurate.
• Great potential for abuse.

Possible Interaction with Other Drugs

GENERIC NAME	COMBINED EFFECT
-------------------------	-----------------------
Allopurinol	Decreased allopurinol effect.
Analgesics, other*	Increased analgesic effect.
Antacids*	Decreased aspirin effect.
Anticoagulants,	Increased anticoagulant effect. Abnormal
oral*	bleeding.
Anticonvulsants*	Changed seizure patterns.
Antidepressants*	Decreased antidepressant effect.
	Possible dangerous oversedation.
Antidiabetics, oral*	Increased butalbital effect. Low blood
	sugar.
Antihistamines*	Dangerous sedation. Avoid.
Aspirin, other	Likely aspirin toxicity.
Beta-adrenergic	Decreased effect of beta-adrenergic
blockers*	blocker.
Carteolol	Increased narcotic effect. Dangerous
	sedation.
Contraceptives,	Decreased contraceptive effect.
Cortisone drugs*	Increased cortisone effect. Risk of
	ulcer and stomach bleeding.
Digitoxin	Decreased digitoxin effect.
Doxycycline	Decreased doxycycline effect.
Dronabinol	Increased effect of drugs.
Furosemide	Possible aspirin toxicity.
Gold compounds*	Increased likelihood of kidney damage.
Griseofulvin	Decreased griseofulvin effect.
Indapamide	Increased indapamide effect.
Indomethacin	Risk of stomach bleeding and ulcers.
MAO inhibitors*	Increased butalbital effect.
Methotrexate	Increased methotrexate effect.
Mind-altering	Dangerous sedation. Avoid.
Minoxidil	Decreased monoxidil effect.
Naltrexone	Decreased analgesic effect.
Narcotics*	Dangerous sedation. Avoid.
Nitrates*	Excessive blood pressure drop.
Non-steroidal	Risk of stomach bleeding and ulcers.
Pain relievers*	Dangerous sedation. Avoid.
Para-aminosalicylic	Possible aspirin toxicity.
Penicillins*	Increased effect of drugs.
Phenobarbital	Decreased aspirin effect.
Phenothiazines*	Increased phenothiazine effect.
Phenytoin	Increased phenytoin effect.
Probenecid	Decreased probenecid effect.
Propranolol	Decreased aspirin effect.
Rauwolfia alkaloids*	Decreased aspirin effect.
Salicylates*, others	Likely aspirin toxicity.
Sedatives*	Dangerous sedation. Avoid.
Sleep inducers*	Dangerous sedation. Avoid.
Sotalol	Increased narcotic effect. Dangerous
	sedation.
Spironolactone	Decreased spironolactone effect.
Sulfinpyrazone	Decreased sulfinpyrazone effect.
Terfenadine	May conceal symptoms of aspirin over-
	dose, such as ringing in ears.
Tranquilizers*	Dangerous sedation. Avoid.
Valproic acid	Increased phenobarbital effect.
Vitamin C	Possible aspirin toxicity.
Zidovudine	Increased toxicity of both.

Possible Interaction with Other Substances

INTERACTS WITH	COMBINED EFFECT
---------------	---------------
Alcohol:	Possible stomach irritation and
	bleeding, possible fatal overdose.
	Avoid.
Beverages:	None expected.
Cocaine:	Increased cocaine toxic effects. Avoid.
Foods:	None expected.
Marijuana:	Possible increased pain relief, but
	marijuana may slow body's recovery.
	Impairs physical and mental performance.
	Avoid.
Tobacco:	None expected.