Fioricet (Acetaminophen, Butalbital, Caffeine ) is used to treat tension headaches, but a lot of doctors prescribe it to cure migraine, and other kinds of headache. Almost all people in the US have headache history, there are more than 200 types of headaches. 53% of Headaches are tension headache.
Normally you do not need take fioricet when you have a headache, you can follow the steps here to prevent your headache and treat your headache. But you will be prescribed fioricet when you have serious headache, especially tension headache. Here are the questions that are often asked by patients.
Question 1: Can I take Fioricet ?
Fioricet is usually used for treating tension headaches, A headache or cephalalgia is pain anywhere in the region of the head or neck. It can be a symptom of a number of different conditions of the head and neck. 53% of headache is tension headache. These are headaches that are not caused by other conditions. However, you need to be recommended by your doctor to buy fioricet online. Before you buy fioricet online, you must know the side effects of fioricet.
Can I use Fioricet for Migraine, cluster headaches, or neck Pain ?
Different patients have different experience. Some patients think it works for migraine headache, some people think it works for neck headache, some patients use fioricet for all kinds of headaches. But some patients think it doesnot work at all. Fioricet contains three distinct painkiller drugs and may relief your Pain. Even acetaminophen itself can relief your pains. Once again, you must have your doctors reviewed your health conditions before you buy fioricet online.
Can I get addicted to Fioricet?
No, you will not be addicted to fioricet if you follow the fioricet instruction. Because one tablet of fioricet contains 40mg butalbital, the max dosage of fioricet you can take per day is six tablets. It means you can only take 240mg of butalbital per day. Butalbital (5-allyl-5-isobutylbarbituric acid), is a short to intermediate-acting barbiturate. Barbiturates may be habit-forming. The average daily dose for the barbiturate addict is usually about 1500 mg.
If you are addicted, it means that you have at least taken 37 tablets of fioricet per day. It will kill you by the acetaminophen in the fioricet. The max dosage of acetaminophen per day is 3000mg.
37 tablet of fioricet will have 12,025 mg of acetaminophen. It is four times of your acetaminophen max dosage and will seriously hurt your liver, heart, and kidney.
Can I have drug dependency on Fioricet ?
Unfortunately YES. You can be dependency on Fioricet. The reason for this is that one of the ingredients in Fioricet is butalbital. Barbiturate have been known to cause dependency if they are used for longer periods of time. If you use Fioricet for longer periods of time, you may develop dependency to it. Luckily, your doctor can help you discontinue the drug without experiencing withdrawal symptoms by slowly tapering down the drug.
The best way to avoid becoming dependency on Fioricet is to only take the medication as prescribed. If you start to notice that Fioricet is getting less effective at treating your headaches, talk to your doctor about alternative options.
Can I combine Fioricet with other painkillers?
Fioricet already contains two painkillers in it, acetaminophen and butalbital. Either one of these can interact with other painkillers and cause very serious interactions which can be extremely dangerous. Too many painkillers in the system may cause seizures, coma, fainting and even death. Moreover, you should never combine Fioricet with any other drugs unless your doctor approves of such combinations.
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Following Patients can not buy Fioricet Online
Some patients are not allowed to buy fioricet online though they are OK to buy fioricet in a street pharmacy with their doctors’ prescription:
You have porphyria;
You have alcohol addictive history;
You have recently taken edatives, tranquilizers, or other narcotic medications;
You have taken an MAO inhibitor in the past 14 days;
You have liver disease;
You have cirrhosis disease;
You have drug addiction history;
You drink more than 3 alcoholic beverages per day;
You have kidney disease;
You have asthma, sleep apnea, or other breathing disorder;
You have stomach ulcer or bleeding;
You have a history of skin rash caused by any medication;
You have a history of mental illness or suicidal thoughts;
It is said Gabapentin is the best substitute of tramadol. Because tramadol is controlled after Aug 18, 2014. Some tramadol patients are changing their prescriptions from tramadol to Gabapentin.
Gabapentin is an anti-epileptic medication, also called an anticonvulsant. It affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. Gabapentin is used in adults to treat nerve pain caused by herpes virus or shingles (herpes zoster).
The roles and interactions of the combination of acetaminophen, butalbital and caffeine in the treatment of tension headaches are not well understood. But the different mechanisms of action of acetaminophen, or butalbital, or caffeine are well understood.
The mechanism of action of acetaminophen
Acetaminophen: Acetaminophen acts primarily in the CNS and increases the pain threshold by inhibiting cyclooxygenase, an enzyme involved in prostaglandin (PG) synthesis. Paracetamol (acetaminophen) is generally considered to be a weak inhibitor of the synthesis of prostaglandins (PGs). However, the in vivo effects of paracetamol are similar to those of the selective cyclooxygenase-2 (COX-2) inhibitors. Paracetamol also decreases PG concentrations in vivo, but, unlike the selective COX-2 inhibitors, paracetamol does not suppress the inflammation of rheumatoid arthritis. Acetaminophen inhibits both isoforms of central cyclooxygenase, COX-1 and COX-2.
Acetaminophen does not inhibit PG synthesis in peripheral tissues, which is the reason for its lack of peripheral anti-inflammatory effects. The antipyretic activity of acetaminophen is exerted by blocking the effects of endogenous pyrogen on the hypothalamic heat-regulating center by inhibiting PG synthesis. Heat is dissipated by vasodilatation, increased peripheral blood flow, and sweating.
The mechanism of action of butalbital
Butalbital (5-allyl-5-isobutylbarbituric acid), a slightly bitter, white, odorless, crystalline powder, is a short to intermediate-acting barbiturate. The mechanism of action of barbiturate is listed below:
Butalbital: Butalbital has generalized depressant effect on central nervous system and, in very high doses, has peripheral effects. Sedative-hypnotic effects of butalbital are similar to phenobarbital and may result from producing or enhancing the inhibitory affects of gamma-aminobutyric acid (GABA) in the thalamus. Barbiturates inhibit ascending conduction in the reticular formation, which interferes with conduction of impulses to the cortex causing sensory cortex depression, decreased motor activity, drowsiness, sedation and changes in cerebral function. Barbiturates also cause a nonselective depressant effect throughout the CNS and are capable of producing all types of CNS mood alterations. In addition, butalbital may exhibit anticonvulsant affects in high, anesthetic doses.
The mechanism of action of Caffeine
Caffeine is thought to produce constriction of cerebral blood vessels and serves to counteract the sedative effect of butalbital. Caffeine causes cerebral vasoconstriction, which decreases blood flow and oxygen tension. In combination with acetaminophen, caffeine may provide a quicker onset of action and enhance pain relief allowing for lower doses of analgesics. In some patients, caffeine relieves headaches by treating the effects of caffeine withdrawal.
Butalbital has a half-life of about 35 hours. Acetaminophen has a half-life of about 1.25 to 3 hours, but may be increased by liver damage and after an overdose. Caffeine has a half-life of about 2.5 to 4.5 hours.
Fioricet contains a combination of acetaminophen, butalbital, and caffeine. Butalbital is a short to intermediate-acting barbiturate and is habit-forming and potentially abusable. Consequently, the extended use of this product is not recommended.
Acetaminophen is used to relieve mild to moderate pain from headaches, muscle aches, menstrual periods, colds and sore throats, toothaches, backaches, and reactions to vaccinations (shots), and to reduce fever. Caffeine is a methylxanthine similar to theophylline and theobromine. While caffeine is used for stimulant and mood-elevating effects in drinks such as coffee, it also has been used to treat neonatal apnea and headaches in combination with other analgesics.
Following image is the ingredient of fioricet.
The average daily dose for the barbiturate addict is usually about 1500 mg. But the lethal dose of a barbiturate is far less if alcohol is also ingested. It is strictly required not taking alcohol while you are taking fioricet. One of the important ingredient is acetaminophen. A lot of drugs contains acetaminophen.
More than 600 medicines contain acetaminophen. These medicines include both prescription medicines and OTC medicines. On prescription labels, acetaminophen is sometimes listed as “APAP,” “acetam,” or other shorted versions of the word. Please read very carefully when you are taking the medicines that contains APAP because overdose of acetaminophen will hurt your heart, liver, and kidney seriously. To know what is in your medicines, read the list of active ingredients on the label each and every time you take a medicine. Following picture is a list of some OTC or prescription drugs that contain acetaminophen.
When you take drugs for pain relief. Please check whether the drug contains apap. You cannot take more than 4000mg acetaminophen per day.
Liver Damage While taking Acetaminophen
The safety dosage is 3000mg per day. Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4000 milligrams per day, and often involve more than one acetaminophen-containing product. According to the FDA, in the United States there were “56,000 emergency room visits, 26,000 hospitalizations, and 458 deaths per year related to acetaminophen-associated overdoses during the 1990s. Within these estimates, unintentional acetaminophen overdose accounted for nearly 25% of the emergency department visits, 10% of the hospitalizations, and 25% of the deaths.” [1]
Pregnancy and nursing mom warning while taking fioricet
Acetaminophen; butalbital; caffeine components may all be excreted to some extent into breast milk. According to the manufacturer, because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug. Caffeine can accumulate in the neonate. Chronic barbiturate use while breast-feeding may cause dependence in the neonate. The chronic use of acetaminophen, butalbital, caffeine during breast-feeding is not recommended.
Serious Skin Reactions
Rarely, acetaminophen may cause serious skin reactions such as acute generalized exanthematous pustulosis (AGEP), Stevens-Johnson Syndrome, and toxic epidermal necrolysis (TEN), which can be fatal. Patients should be informed about the signs of serious skin reactions, and use of the drug should be discontinued at the first appearance of skin rash or any other sign of hypersensitivity.
Other warnings
other serious warning is listed in our first page. Following Patients can not buy Fioricet Online. [2]
When you buy fioricet online or buy Gabapentin online, you should have known the side effects and precautions of fioricet and gabapentin. Normally we suggest you refill your fioricet and gabapentin online. You already have your local doctor checked your health conditions and have bought fioricet or Gabapentin in your local pharmacies. Actually online Fioricet pharmacy and online Gabapentin Pharmacy are for prescription refilled customers only.
When you refill your fioricet and gabapentin online, your doctors may ask you a lot of health questionnaires, they may also phone you to ask your health questions. Please be honest to complete all your health questions, the health questions may include:
your Weight;
your Height;
The reasons to order fioricet or gabapentin online;
list your current medical conditions;
any related health and medical history;
do you have any drug allergy;
do you have any allergy;
do you have blood pressure …
For detail health questionnaires, please see following pictures:
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We only work with responsible people. We verify all new orders and we think all our customers are responsible people. We ship all customers the first order after verification. But it is your responsibility to pick up your order no matter what happens. We have a “place order button” which requires a term “I double checked the information and confirm all the information is correct , and I will pay you a money order when I pick up the drugs. I also know the order cannot be cancelled when I click “place order now” link. I will never overdose the medicines “. If you cannot pick up your order by paying USPS guy money orders, you are not a responsible people and we will not do business with you any more.
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You must know the side effects of Fioricet;
Never overdose fioricet. The delivery of every pharmacy may need 5 – 7 days to deliver to your door, you need find the best times to order;
The pharmacies have strict refill day limitations, you must not refill before your refill day limitation;
You must know the total acetaminophen dosage of all medicines you are taking, Acetaminophen overdose will make your liver, kidney, heart seriously damage;
Fioricet is hard to be addictive because butalbital in fioricet is limited to 40mg but the addictive dosage of butalbital is 1500mg ( almost 35 tablets of fioricet );
Fioricet may have dependency. When you decide not to take fioricet, please go to your doctor to find a method;
You should not take fioricet if it is your first time to take fioricet, you must go to your local doctors to check your health conditions to take fioricet. Online Fioricet is only used for refill.
If your health conditions changed, you should go to your doctors to check your health conditions before you refill online
You can not be alcohol addictive and you have not take narcotic related drugs.
For more information you should not take fioricet online, please check Who cannot buy fioricet online
Pregnancy and Fioricet
Fioricet is in Pregnancy Category C, according to the FDA, which means that injury to the developing fetus cannot be ruled out. Even so, the benefits of the drug to the mother must be weighed against the potential risk to the unborn baby.
All three drugs found in Fioricet are found in small amounts in human milk, but the significance of that is not known.
You should discuss with your doctor whether to stop breastfeeding or stop taking the drug, weighing the benefits against the costs.
Mikart Generic fioricet is available for both COD and CC pharmacy in our online fioricet pharmacies. You can chose Mikart Generic fioricet or Blue Fioricet. But it is only a big probability event and not guaranteed.
Some patients like mikart Fioricet, some patient like Blue Fioricet. Mikart fioricet is manufactured by Mikart Inc. Some Generic Fioricet NDC ID is: NDC 46672-053-10, some NDC 46672-059-10, some NDC 46672-633-16.
We can not guarantee the brand of what kinds of fioricet the pharmacy dispatch because of so many fioricet manufactures in US. The pharmacies buy fioricet from different wholesalers. But the VISA online pharmacy can sell “NDC 46672-0053-50 Mikart Generic Fioricet Online”. The VISA pharmacy is especially for the patient who like Mikart generic fioricet.
Our COD pharm can also sell Mikart Generic fioricet, but they changed their brand frequently. Sometimes it is westward brand, sometimes it is watson brand. We really donot know what brand they are selling right now.
The instruction in Mikart Fioricet Label and instruction:
Pharmacist: Dispense in a tight light-resistant container with a child resistant closure. Storage: Store at 20 to 25 Degree. Manufactured By Mikart, INC, Atlanta, GA 30318.
CAUTION: Federal Law PROHIBITS transfer of this drug to any person other than the patient for whom it was prescribed.
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Blue and White Fioricet
A lot of patients want to buy fioricet online because of free doctor prescription fee and cheaper prices. If you have not health insurance, the best choices are to go to online fioricet to buy your headache medicines fioricet. Fioricet is very effective for headache, especially tension headache. A lot of patients reviews that Fioricet is very good for migraine headache, and neck pain, even cluster headache. Some patients think is is also good for neck pains. Fioricet contains Butalbital, Acetaminophen, and caffeine.
Butalbital is some kind of Barbiturate. The average daily dose for the barbiturate addict is usually about 1500 mg. One tablet of fioricet only contains 40mg butalbital, so it is not easy to get additive if you take max dosage of fioricet. the body mainly absorbs butalbital through the gastrointestinal tract, and then it is moved to most tissues in the body. Butalbital leaves the body primarily through the kidneys as a drug that hasn’t been broken down.
A lot of patients order fioricet for migraine, tension headaches, all kinds of other headaches, and even neck pains. Most of patients already have the experience of taking fioricet and they only refill fioricet for their tension headache, migraine, even cluster headache. We suggest you have your local doctors check your health conditions and write you a fioricet prescription at first time. You can refill online when your health conditions are not changed.
fioricet
Fioricet is a prescription headache killer, you must let your doctors know you are buying fioricet online. Off course we have US licensed doctors to review your health questionnaires and talk with you about your health conditions but our doctors approve your prescription according to your health questionnaires.
Brand Fioricet is very expensive, most of online pharmacies do not sell fioricet brand directly but they sell generic fioricet. Generic fioricet has the same headache relief effects as brand fioricet.
The original formulation of Fioricet included 50 milligrams (mg) of butalbital, 40 mg of caffeine, and 325 mg of acetaminophen.
However, in 2011 the FDA asked all prescriptions with acetaminophen to limit the amount of that drug to no more than 325 mg in each tablet by 2014. This action was taken to protect consumers from severe liver damage, a risk linked with taking too much acetaminophen.
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Fioricet Generic prices changed a lot in past few years. We made our prices the cheapest but lose a lot if you do not pick up your order after you have placed it. If you pay us by check, the pharmacies may put your name into no-sending list. For both your and our benefits, please pick up the orders after you have submitted your form. Please do not click submit button for more than one time because the program may be not working very well and send you duplicated orders.
Fioricet Mechanism of action
Butalbital has generalized depressant effect on central nervous system and, in very high doses, has peripheral effects. Acetaminophen has analgesic and antipyretic effects mediated by a metabolite which acts at cannabinoid receptors, contrary to popular belief it is not an antiinflammatory at safe levels (it becomes toxic at doses above 1,000mg per dose and/or 3,000mg per day). Caffeine is thought to produce constriction of cerebral blood vessels and serves to counteract the sedative effect of butalbital.
Butalbital has a half-life of about 35 hours. Acetaminophen has a half-life of about 1.25 to 3 hours, but may be increased by liver damage and after an overdose. Caffeine has a half-life of about 5 to 7 hours
What you should know before you buy Fioricet Online ?
When you order fioricet generic, gabapentin online, please remember to complete the health condition questionnaire very honestly and carefully. It would be best if You already have the experience of taking fioricet from your local pharmacies and your local doctors have prescribed this medicine before. You should know the side effects and drug interaction before you order cheap fioricet online. There are a lot of medicines contains acetaminophen, butalbital, caffeine. Please read carefully the pain relief medicines’ introduction. Never exceed the max dosages of acetaminophen, or butalbital.
The acetaminophen (Paracetamol, tylenol, APAP) is very popular pain reliever. A lot of pain medicines contain apap. You must read the drug introduction very carefully if you are talking more than two medicines. Our doctors will definitely check whether you are taking acetaminophen too much, but it is your own duty to guarantee all your medicines’ acetaminophen dosage never exceed the max dosage 3000mg per day. Because Acetaminophen eliminates acetaminophen mainly through metabolism by the liver, which breaks this drug down and eventually moves it out of the body by way of the kidneys, Too much acetaminophen will damage your liver and kidneys.
You are not allowed to take fioricet if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications. Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
We donot suggest you buy fioricet online if you are pregnant or breastfeeding. Because the butalbital in the fioricet can cross the placenta, you must go to a local doctor to check your health condition and buy fioricet under the doctor’s instruction.
We also donot suggest you to order fioricet online if you have heart diseases, kidney disease, liver disease, and you are a history of alcoholism or drug addiction. You also are not to order fioricet online if you have asthma, sleep apnea, or other breathing disorder, stomach ulcer or bleeding, a history of skin rash caused by any medication, a history of mental illness or suicidal thoughts, or if you are using medicine to prevent blood clots.
If you have the experience of taking fioricet, and you know the fioricet side effects, and fioricet drug interaction, and fioricet caution, you have completed the health questionnaires correctly, you are safe to buy fioricet online.
Fioricet High and Addiction
The butalbital in Fioricet belongs to a class of drugs called barbiturates, a central nervous system depressant. Like other barbiturates, it has the potential to cause physical and psychological dependence, which can lead to abuse. But we donot think taking Fioricet can cause addiction because the addiction dosage of barbiturate is 1500mg per day which will exhaust 30 tablet fioricet (Around 10,000 mg acetaminophen ). 30 tablet of fioricet with 10,000mg of acetaminophen will kill an adult. The Max dosage of Fioricet is six tablets so it is safe and no addiction concerns.
Fioricet Dependence
Fioricet cannot cause addiction, but it can cause dependence. The first sign of possible Fioricet dependence is when a person notices that their regular dose does not help their headache. People begin increasing their dose, until they are able to achieve the same effects they have experienced in the past. Prolonged use of Fioricet will build a person’s tolerance to it; this means they will need larger doses to achieve the same results. Psychological symptoms of dependence are usually more powerful than the physical, and are not as obvious to the person taking the Fioricet. However, others may notice that they have become obsessed or preoccupied with taking their medication. Prolonged Fioricet use will also make a person believe they are unable to function properly without it.
Never take your fioricet overdose. If six tablet fioricet cannt treat your headaches, please find a neighbor doctor or your family doctor and let them to check your health conditions and prescribe you new fioricet prescription.
Available formulations of Fioricet (or other brands) include:
There are a lot of manufacturers can produce generic fioricet because they are just compound of butalbital, apap, caffeine. What we can find the fioricet manufacturers are as following: Watson Fioricet. Manufactured By: Nexgen Pharma, INC – NDC:0591-2640-01; Cardinal Health NDC 55254-2073-0; Mikart, INC NDC 46672-059-10; West-Ward Fioricet, West-Ward Pharmaceutical Corp. NDC 0143-1115-01;GSMS Incorporated Fioricet NDC 60426-252-01;Lannett Company INC Fioricet NDC 0527-1695-01;annett Company INC Fioricet NDC 0527-1695-01; Libertas Pharma INC. Fioricet NDC 51862-179-01; Mirror Pharmaceuticals Fioricet NDC 52682-041-03; Nexgen Pharma Fioricet NDC 0722-7029-01; Qualitest Pharmaceuticals Fioricet NDC 42254-323-60; Qualitest Fioricet NDC 0603-2544-21
Fioricet Side effects
Commonly reported side effects for Fioricet include: Euphoria, Dizziness,Drowsiness, Intoxicated feeling, Light-headedness, Nausea, Vomiting, Sedation, Substance dependence, Shortness of breath, Abdominal pain. Fioricet is implicated as causing repeat headaches with over-use. For More Fioricet side effect, please check Fioricet Side Effects.
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When you buy fioricet online or buy Gabapentin online, you should have known the side effects and precautions of fioricet and gabapentin. Normally we suggest you refill your fioricet and gabapentin online. You already have your local doctor checked your health conditions and have bought fioricet or Gabapentin in your local pharmacies. Actually online Fioricet pharmacy and online Gabapentin Pharmacy are for prescription refilled customers only.
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When you order or refill your fioricet and gabapentin online, your doctors may ask you a lot of health questionnaires, they may also phone you to ask your health questions. Please be honest to complete all your health questions, the health questions may include:
your Weight;
your Height;
The reasons to order fioricet or gabapentin online;
list your current medical conditions;
any related health and medical history;
do you have any drug allergy;
do you have any allergy;
do you have blood pressure …
For detail health questionnaires, please see following pictures:
Before you order fioricet online, You must know the side effects of Fioricet and what will happen if you overdose it. Before you buy Gabapentin online, you must know the side effects of gabapentin. You also should the precaution of fioricet and the precaution of taking Gabapentin.
Fioricet Storage
To store this medicine:
Keep out of the reach of children since overdose is especially dangerous in children.
Store away from heat and direct light.
Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.
How do I take Fioricet?
Fioricet should be taken exactly as prescribed by your physician. Do not take it in larger amounts or for longer than recommended. Follow the directions on your fioricet prescription label and tell your physician if the medicine seems to stop working as well in relieving your pain. If Fioricet upsets your stomach take it with food or milk. An overdose of acetaminophen can cause serious harm and damage to your liver. The maximum amount of acetaminophen for an adult is 1 gram per dose and 4 grams per day. Taking more acetaminophen could cause damage to your liver.
Fioricet Interaction with other Drugs
Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before taking Fioricet with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Other drugs may interact with acetaminophen, butalbital, and caffeine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
Different patients have different experience. Some patients think it works for migraine headache, some people think it works for neck headache, some patients use fioricet for all kinds of headaches. But some patients think it doesnot work at all. Fioricet contains three distinct painkiller drugs and may relief your Pain. Even acetaminophen itself can relief your pains. Once again, you must have your doctors reviewed your health conditions before you buy fioricet online.
Acetaminophen: Acetaminophen acts primarily in the CNS and increases the pain threshold by inhibiting cyclooxygenase, an enzyme involved in prostaglandin (PG) synthesis. Paracetamol (acetaminophen) is generally considered to be a weak inhibitor of the synthesis of prostaglandins (PGs). However, the in vivo effects of paracetamol are similar to those of the selective cyclooxygenase-2 (COX-2) inhibitors. Paracetamol also decreases PG concentrations in vivo, but, unlike the selective COX-2 inhibitors, paracetamol does not suppress the inflammation of rheumatoid arthritis. Acetaminophen inhibits both isoforms of central cyclooxygenase, COX-1 and COX-2.
