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Background Information

It will come as no surprise to you that from the earliest recorded times there are accounts of pain and the treatment used. These early theories, that pain was related to demonic activity and sorcery, were replaced by the insights of the Greeks and the Romans who speculated that the nervous system transmitted pain. Transmitted the signals from the injured or traumatized site to the brain along what Descartes described as the pain pathway.

It is still called that today.

Use of opiates by doctors and scientists in the 1800’s paved the way for a model of pain management and alleviation that we still use today. Although the use of the opiates created problems of dependence, they did lead to the development of aspirin, still the most common form of pain relief practiced.

The newer drug therapies, like Butalbital, use various active ingredients in unique and powerful formulations, to alleviate pain. And they are less addictive.

However the more you understand your condition, the more you understand what pain is, the better the therapies you will choose. You can make better dietary decisions, better choices about relaxation and perhaps start a moderate exercise program. That, along with your prescribed regimen of Butalbital, will improve the prognosis for your condition markedly.

That’s particularly true for sufferers of chronic pain: that is pain that persists for long periods without apparent cause. This type of pain is difficult to manage because there is the added psychological stress factor of the unknown to cope with. If you cut your finger, stub your toe or even break your arm, there is an obvious cause of your discomfort and an awareness it will pass. That helps to deal with the pain differently.

To have persistent pain signals fired into the nervous system with no apparent cause is debilitating physically and emotionally. Butalbital is often used to treat this condition.

Other therapies such as electrical stimulation of the brain and localized pain areas, surgery and acupuncture are being used to great effect. Relaxation and meditation programs, supervised exercise routines, biofeedback techniques and behavior modification techniques also show promise.

All of these options can be confusing, but scientifically they often make sense and when used with a pain relief medication such as Butalbital, can help enormously in the management of chronic pain.

Take acupuncture as an example. Research has established that sufferers of chronic pain usually have low endorphin levels. Stimulating nerve endings using electro acupuncture---needles wired to deliver low levels of electricity---increases endorphin levels in the body’s cerebrospinal fluid, so the therapy is founded on good science.

Important Facts

The Butalbital formulation includes a barbiturate so the body can develop a high tolerance for this medication from extended use. Extended use can also be habit forming, causing a mental or physical dependence. This dependence can lead to side effects and withdrawal symptoms such as rebound headaches.
The caffeine component of Butalbital can also lead to physical dependence and withdrawal symptoms, including rebound headaches.

Allergic Reactions

A small percentage of people have allergic reactions to the barbiturates, acetaminophen or caffeine in Butalbital. Others suffer discomfort when certain foods, preservatives or dyes caused allergic responses to Butalbital.

Expectant Mothers

Studies show that barbiturates, taken during pregnancy, increase the risk of birth defects.

Nursing Mothers

Barbiturates pass into the breast milk and can result in a slow heartbeat, troubled breathing and/or drowsiness for breast fed infants. The acetaminophen and caffeine in Butalbital has not been shown to pass into the breast milk in sufficient quantities to cause problems.

Children

The side effects of barbiturates on children vary from drowsiness to hyper-excitement.

Interactions with other medications

Certain medications should never be used in combination Butalbital, while others, although they interact, may still be taken when on a course of this medication.

Do not take Butalbital in combination with:

• Corticosteroids
• Contraceptives containing estrogen
• Cabamazepine
• Blood thinning medications (anticoagulants)
• Antidepressants---these medications can magnify the effects of barbiturates and cause increased drowsiness
• Central nervous system depressants
• Divalproex

Additional considerations

Your general health and other medical conditions are important considerations when using this medication, so tell your health professional if you suffer from:

• Drug abuse
• Alcohol abuse
• Liver diseases such as Hepatitis
• Kidney disease (this will greatly increase the risk of side effects
• Diabetes
• Porphyria
• Depression
• Hypertension

Proper use

It is important to take this medication only as directed. Remember also that overuse can result in liver damage and other medical problems.

Dosing

Dosages for barbiturate and acetaminophen combination prescriptions vary from patient to patient so follow the directions on your label.

Check with your doctor if:

• The medication is less effective than when you first started taking it. This may indicate an increasing physiological dependence. Do not try to compensate by increasing your dosage.
• Consult your doctor if you are getting headaches more often than when you first started your course of Butalbital. This may also indicate dependence.

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