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Doctor insights on: Fiorinal

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Dr. Jeffrey Wint
72 Doctors shared insights

Fiorinal (Overview)

Fiorinal is a combination agent for pain which is a kind of pain medication.


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Why is fiorinal (aspirin butalbital and caffeine) considered a controlled substance?

Why is fiorinal (aspirin butalbital and caffeine) considered a controlled substance?

Contains Butalbatal: Which is a barbiturate a controlled substance. May have some effect on the intensity of the headache through a anti-epileptic effect. Also contains caffeine. Probably not the best treatment for headaches as it tends to worsen them if taken frequently. ...Read more

Dr. Jeffrey Wint
72 Doctors shared insights

Fiorinal (Overview)

Fiorinal is a combination agent for pain which is a kind of pain medication.


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I get frequent bad headaches causing me to be nauseous and sensitive to light. A doc I saw prescribed fiorinal (aspirin butalbital and caffeine) but it doesn't always work. Thoughts?

I get frequent bad headaches causing me to be nauseous and sensitive to light. A doc I saw prescribed fiorinal (aspirin butalbital and caffeine) but it doesn't always work. Thoughts?

Headache syndromes: Could be migraine, but other causes are possible. If its migraine, many good treatments taken daily can prevent them. Taking 3 tablets 200 mg Ibuprofen with food, plus 1000 mg Acetaminophen (tylenol) if needed after 30 minutes can help the acute headache. See a headache specialist. ...Read more

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Is Fiorinal (aspirin butalbital and caffeine) w Codeine dangerous, or just addictive?

Is Fiorinal (aspirin butalbital and caffeine) w Codeine dangerous, or just addictive?

Fiorinal (aspirin butalbital and caffeine): Fiorinal (aspirin butalbital and caffeine) actually contains 3 drugs that can be addictive codeine a narcotic, butalbital a barbiturate and caffeine all of which may become addictive it also contains aspirin which has its own dangers Care should be taken when used frequently ...Read more

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How long will it take for fiorinal with codeine (aspirin butalbital caffeine and codeine) to be completely out of your system?

How long will it take for fiorinal with codeine (aspirin butalbital caffeine and codeine) to be completely out of your system?

48 hours: Fiorinal with Codeine (aspirin butalbital caffeine and codeine) is primarily eliminates from the body via the kidney as almost unchanged drug or metabolites. The plasma half-life is about 35 hours. Completely out of the body in approximately 48 hours. ...Read more

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How could long term fioricet / fiorinal (aspirin butalbital and caffeine) users or abusers affect someone?

How could long term fioricet / fiorinal (aspirin butalbital and caffeine) users or abusers affect someone?

Many Ways: Aside from the likely liver or kidney damage from the Aspirin or tylenol (acetaminophen) contained in these combinations, assuming that you were taking the meds for headache, you will probably develop medication overuse headache. There is also the possibility of developing a barbiturate dependence which could lead to seizures if you stopped the drug suddenly. ...Read more

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Can I take Fiorinal (aspirin butalbital and caffeine) w Codeine and then take a lorazepam 1mg 2 hours later? Any interactions or dangers?

Can I take Fiorinal (aspirin butalbital and caffeine) w Codeine and then take a lorazepam 1mg 2 hours later? Any interactions or dangers?

Yes: However be aware of the combined CNS depressing effect of both Opiods and Benzodiazepines. Overdose or addition of any other CNS depressant like alcohol can lead to Respiratory depression and possible death ...Read more

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Can you take Ambien (zolpidem) and fiorinal with cosine?

Can you take Ambien (zolpidem) and fiorinal with cosine?

Ambien (zolpidem): I believe you're referring to fiorinal with codeine. It is not a good idea to mix narcotics and sleeping medication, such as Codeine and ambien (zolpidem). This could result in the sedation and possible respiratory depression. Additionally both drugs are metabolized by the liver and could cause liver damage. Make sure that your prescribing doctor knows that you're taking both medications and discuss it thoroughly with your prescribing physician. ...Read more

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Is there a fioricet or fiorinal available without caffeine? It jazzes me up so much.

Is there a fioricet or fiorinal available without caffeine? It jazzes me up so much.

Yes: Phrenilin is just butallbital/acetaminophen. While fioricet has butalbital/acetaminophen/caffeine. Not sure how many pharmacies stock it. It might be special order. Best wishes! ...Read more

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Why is there caffeine in fiorinal (aspirin butalbital and caffeine)?

Why is there caffeine in fiorinal (aspirin butalbital and caffeine)?

Migraine: Because it commonly helps with migraine headaches by improving constriction of blood vessels in the brains of migraine sufferers. ...Read more

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Can I take chantix with fiorinal (aspirin butalbital and caffeine)?

Can I take chantix with fiorinal (aspirin butalbital and caffeine)?

Yes: There are no interactions noted between Chantix and fiorinal (aspirin butalbital and caffeine). ...Read more

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Why is fiorinal (aspirin butalbital and caffeine) considered a controlled substance?

Contains Butalbatal: Which is a barbiturate a controlled substance. May have some effect on the intensity of the headache through a anti-epileptic effect. Also contains caffeine. Probably not the best treatment for headaches as it tends to worsen them if taken frequently. ...Read more

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What happens if you take expired fiorinal (aspirin butalbital and caffeine) w/ codeine?

What happens if you take expired fiorinal (aspirin butalbital and caffeine) w/ codeine?

Not recommended: You should never use expired medicine. As it gets old, the chemicals can break down and produce undesired effects or the medication is no longer effective. ...Read more

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How could long term fioricet / fiorinal (aspirin butalbital and caffeine) users or abusers affect someone?

Many Ways: Aside from the likely liver or kidney damage from the Aspirin or tylenol (acetaminophen) contained in these combinations, assuming that you were taking the meds for headache, you will probably develop medication overuse headache. There is also the possibility of developing a barbiturate dependence which could lead to seizures if you stopped the drug suddenly. ...Read more

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Is Fiorinal (aspirin butalbital and caffeine) w Codeine dangerous, or just addictive?

Fiorinal (aspirin butalbital and caffeine): Fiorinal (aspirin butalbital and caffeine) actually contains 3 drugs that can be addictive codeine a narcotic, butalbital a barbiturate and caffeine all of which may become addictive it also contains aspirin which has its own dangers Care should be taken when used frequently ...Read more

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Why would fiorinal (aspirin butalbital and caffeine) be considered a controlled substance while fioricet is not?

Why would fiorinal (aspirin butalbital and caffeine) be considered a controlled substance while fioricet is not?

Good question: Not sure why it would not be a schedule 3 controlled substance. The abusable substance is the butalbatol which is a barbiturate. I do not know why it is not scheduled. It should be. Perhaps the dea can give you an answer. ...Read more

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Can I take Fiorinal (aspirin butalbital and caffeine) w Codeine and then take a lorazepam 1mg 2 hours later? Any interactions or dangers?

Yes: However be aware of the combined CNS depressing effect of both Opiods and Benzodiazepines. Overdose or addition of any other CNS depressant like alcohol can lead to Respiratory depression and possible death ...Read more

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Will cautious, sporadic use of fiorinal (aspirin butalbital and caffeine) w codeine (approx 10-20 caps per month, usually less, prn) inevitably lead to dependence?

Will cautious, sporadic use of fiorinal (aspirin butalbital and caffeine) w codeine (approx 10-20 caps per month, usually less, prn) inevitably lead to dependence?

Can lead to: Dependence but not inevitably. Tolerance to opiates develops with chronic use and eventually requires higher doses to obtain same amount of relief. Plain fiorinal (aspirin butalbital and caffeine) may provide the same headache relief without the codeine. Thanks for trusting HealthTap! ...Read more

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What's fiorinal with codeine (aspirin butalbital caffeine and codeine) like?

What's fiorinal with codeine (aspirin butalbital caffeine and codeine) like?

Fiorinol without Cod: The Codeine probably doesn't add a lot to the effectiveness. This med is responsible for a lot of rebound or transformed migraine development. ...Read more

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Does fiorinal with codeine (aspirin butalbital caffeine and codeine) make you high?

Does fiorinal with codeine (aspirin butalbital caffeine and codeine) make you high?

Taking for pain?: All pain medications can make some people feel "high". If you taking this for pain then it is less likely. If you are taking it to get high, then you are risking your life. ...Read more

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Is it okay that I usedget fiorinal (aspirin butalbital and caffeine) with 30mg codeine for tension/cluster headaches.?

Is it okay that I usedget fiorinal (aspirin butalbital and caffeine) with 30mg codeine for tension/cluster headaches.?

Yes it is ok: It is ok to use this. This medicine was not generally effective for many headache subtypes so it has not become a first line agent for any of them.

If you have tried many other treatments, and failed, this may be a reasonable option.

It is surprising how often codeine medicines do not help headaches. ...Read more

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How long will it take for fiorinal with codeine (aspirin butalbital caffeine and codeine) to be completely out of your system?

48 hours: Fiorinal with Codeine (aspirin butalbital caffeine and codeine) is primarily eliminates from the body via the kidney as almost unchanged drug or metabolites. The plasma half-life is about 35 hours. Completely out of the body in approximately 48 hours. ...Read more

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I have very severe migraines. Will fiorinal with codeine (aspirin butalbital caffeine and codeine) help?

I have very severe migraines. Will fiorinal with codeine (aspirin butalbital caffeine and codeine) help?

Yes and no: Fiorinal (aspirin butalbital and caffeine) and Codeine are painkillers which can block the pain for a while (and cause drowsiness, other side effects & addiction), but will not get rid of the underlying problem. If you get these severe migraines more than 3 or 4 times a year, or if they last for more than half a day, talk to your doctor about migraine-specific treatments to prevent them or stop them in their tracks. ...Read more

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Can fiorinal with codeine (aspirin butalbital caffeine and codeine) #3 cause itching?

Can fiorinal with codeine (aspirin butalbital caffeine and codeine) #3 cause itching?

Narcotic itch: Great question. Any narcotic (or opioid medication) can cause the side effect of itching. If the itching is severe, you may have to change to a different medication. Many other things can cause itching too. If you continue to have itching after stopping the medication, then you have to rule out other potential offending agents. ...Read more

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Cam anyone perscribe fiorinal with codeine (aspirin butalbital caffeine and codeine)?

Cam anyone perscribe fiorinal with codeine (aspirin butalbital caffeine and codeine)?

Yes...but?: Anyone with a medical (or dental license) plus a dea controlled substance registration. ...Read more

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Is fiorinal with codeine (aspirin butalbital caffeine and codeine) as potent as lortab 10mg?

Is fiorinal with codeine (aspirin butalbital caffeine and codeine) as potent as lortab 10mg?

Lortab stronger: Lortab has hydrocodone that's stronger than codeine. So lortab has more oomph for pain control. ...Read more

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