Frequently Asked Questions of Ordering Gabapentin and Fioricet Online

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 ?

fioricet2 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.

Acetaminophen500mg

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.

Who Can not Buy Fioricet Online ?

Buy Fioricet online is legal and easy yo operate. You only need go to our website gabapentin600mg.com to check out. But you can not buy fioricet online if you do not know what you should know before you buy fioricet online. You can not be alcohol addictive and you have not take narcotic related drugs.

We only do business with responsible persons and if you click “buy now” button but do not pick up your order. We will not do any business with you.

If you have sent us a bounced check before, we will not do any business with you.

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:

  1. You have porphyria;
  2. You have alcohol addictive history;
  3. You have recently taken edatives, tranquilizers, or other narcotic medications;
  4. You have taken an MAO inhibitor in the past 14 days;
  5. You have liver disease;
  6. You have cirrhosis disease;
  7. You have drug addiction history;
  8. You drink more than 3 alcoholic beverages per day;
  9. You have kidney disease;
  10. You have asthma, sleep apnea, or other breathing disorder;
  11. You have stomach ulcer or bleeding;
  12. You have a history of skin rash caused by any medication;
  13. You have a history of mental illness or suicidal thoughts;
  14. You use medicine to prevent blood clots;
  15. You are pregnant;
  16. You are breastfeeding.

check more here

The Mechanism of Action of Fioricet

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

The mechanisms of action of acetaminophenAcetaminophen:  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:

The mechanism of action of barbiturate

 

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

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 Cautions and Warnings and What You Must Know Before You Ordering Fioricet Online

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 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.

drugs that contains 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]

What Health Conditions Should I tell My Physicians when I buy Fioricet and Gabapentin Online

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:

healthquestions1

  1. your Weight;
  2. your Height;
  3. The reasons to order fioricet or gabapentin online;
  4. list your current medical conditions;
  5. any related health and medical history;
  6. do you have any drug allergy;
  7. do you have any allergy;
  8. do you have blood pressure …

For detail health questionnaires, please see following pictures:

healthquestion2

healthquestion3

The list of FDA approved Fioricet manufactures

Fioricet contains a combination of acetaminophen, butalbital, and caffeine.

Each tablet contains the following active ingredients:
butalbital USP . . . . . . . . . . . .50 mg
acetaminophen USP . . . . . . 325 mg
caffeine USP . . . . . . . . . . . . .40 mg

Acetaminophen is a pain reliever and fever reducer.

fioricetButalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache.

Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.

Fioricet is used to treat tension headaches that are caused by muscle contractions. Fioricet is manufactured by several manufacturers. Fioricet is not controlled substance.

Fioricet (Butalbital, Acetaminophen and Caffeine ) is produced by following companies:

List as:

company name – Trade Name – NDC code – Form – controlled substance – controlled substance dosage(mg)

Actavis Pharma, Inc.   Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 0591-2640 CA Butalbital 50.00
Actavis Pharma, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 0591-3369 TB Butalbital 50.00
Actavis Pharma, Inc. Fioricet (Butalbital, Acetaminophen and Caffeine USP 50/300/40) 52544-080 CA Butalbital 50.00

Alphagen Laboratories, Inc.  Butalbital and Acetaminophen Capsules 50mg/ 650mg 00603-2542 CA Butalbital 50.00

Althon Pharmaceuticals, Inc.  Butalbital, Acetaminophen and Caffeine Tablets USP 66813-074 TB Butalbital 50.00
Alvogen, Inc. Butalbital and AcetaminophenTablets USP 50/325 47781-0535 CA Butalbital 50.00
Alvogen, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 47781-0536 CA Butalbital 50.00

Amerisource Health Services Corporation  Butalbital, Acetaminophen and Caffeine Tablets 50/325/40mg 68084-0396 TB Butalbital 50.00

Atley Pharmaceuticals  Butalbital, Acetaminophen and Caffeine Tablets 59702-661 TB Butalbital 50.00
AvKare, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 50/325/40 50268-139 TB Butalbital 50.00
AvKare, Inc. Butalbital, Acetaminophen and Caffeine Capsules USP 50/300/40 42291-181 CA Butalbital 50.00

Cardinal Health  Butalbital, Acetaminophen and Caffeine Tablets 50mg/325mg/40mg 0904-6538 TB Butalbital 50.00

D.M. Graham Laboratories, Inc.  Butalbital, Acetaminophen and Caffeine Tablets 00756-0111 TB Butalbital 50.00

Duramed Pharmaceuticals  Butalbital, Acetaminophen and Caffeine Tablets 51285-0849 TB Butalbital 50.00

Forest Pharmacal Inc  Acetaminophen 325 mg/Butalbital 50 mg 00456-0674 TB Butalbital 50.00
Forest Pharmacal Inc  Acetaminophen 500 mg/Butalbital 50 mg 00456-0671 TB Butalbital 50.00

Geneva Pharmaceuticals, Inc.  Butalbital, Acetaminophen and Caffeine Tablets 00781-1901 TB Butalbital 50.00

Halsey Drug Co Inc  Blue Cross Butalbital, APAP and Caffeine Tablets 00879-0567 TB Butalbital 50.00
Halsey Drug Co Inc Butalbital and Acetaminophen Tablets 00879-0543 TB Butalbital 50.00

Inwood Laboratories, Inc.  Butalbital, Acetaminophen and Caffeine Tablets, USP 0258-3657 TB Butalbital 50.00

Lannett Company, Inc.  Butalbital, Acetaminophen & Caffeine Tablets (50mg/325mg/40mg) 00527-1695 TB Butalbital 50.00

Lemmon Company  Acetaminophen/Butalbital/Caffeine Tablets 00093-0854 TB Butalbital 50.00

Libertas Pharma, Inc.  Butalbital, Acetaminophen and Caffeine Capsules USP 51862-179 CA Butalbital 50.00

Mallinckrodt Inc.  Butalbital, Acetaminophen, and Caffeine (“BAC”) Tablets USP 00406-0970 TB Butalbital 50.00

Martec Pharmacal Inc  Butalbital, Acetaminophen and Caffeine Tablets 52555-0079 TB Butalbital 50.00

Midlothian Laboratories (Manufactured by Mikart, Inc.) Esgic (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 68308-219 CA Butalbital 50.00
Midlothian Laboratories (Manufactured by Mikart, Inc.) Esgic (Butalbital, Acetaminophen, & Caffeine Tablets 50/325/40 68308-220 TB Butalbital 50.00
Midlothian Laboratories (Manufactured by Mikart, Inc.) Zebutal (Butalbital, Acetaminophen, & Caffeine Capsules 50/325/40 68308-554 CA Butalbital 50.00

Mikart FIoricet

Mikart, Inc.  Butalbital and Acetaminophen Tablets 50/325 46672-0099 TB Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Tablets 50/650 11584-0029 TB Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Tablets 50/650 46672-0098 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Capsules 46672-0228 CA Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Capsules 00588-7788 CA Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Eilixer 46672-0633 EL Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets 52555-0647 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets 46672-0053 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 49884-0811 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 00258-3665 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP (50/325/40) 51862-540 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets, USP 0591-3416 TB Butalbital 50.00

Mikart, Inc. Butalbital and Acetaminophen Tablets 50/300 46672-286 TB Butalbital 50.00
Mikart, Inc. Butalbital and Acetaminophen Tablets 50/300 46672-856 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen and Caffeine Tablets, USP 46672-184 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen, and Caffeine Oral Solution 66813-073 LQ Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen, and Caffeine Tablets 51432-0034 TB Butalbital 50.00
Mikart, Inc. Butalbital, Acetaminophen, and Caffeine Tablets 46672-0059 TB Butalbital 50.00

Mikart, Inc. Esgic Capsules 00535-0012 CA Butalbital 50.00
Mikart, Inc. Esgic Tablets 00535-0011 TB Butalbital 50.00

Mikart, Inc. (on behalf of Mayne Pharma) Butalbital and Acetaminophen Tablets 50/300 51862-538 TB Butalbital 50.00

Moore Medical Corporation  Butalbital, Acetaminophen and Caffeine Tablets 00839-7831 TB Butalbital 50.00

Nexgen Pharma  BUPAP (Butalbital and Acetaminophen 50mg/300mg) 0095-3000 TB Butalbital 50.00
Nexgen Pharma Butalbital with Acetaminophen and Caffeine Tablets 0722-7029 CA Butalbital 50.0

Oceanside Pharmaceuticals (Manufactured by Nexgen) Butalbital and Acetaminophen Tablets (50mg/300mg) 68682-306 TB Butalbital 50.00

PD-Rx Pharmaceuticals, Inc.  Butalbital/APAP/Caffeine Tablets (50mg/325mg/40mg) 55289-0879 TB Butalbital 50.00

Pharmaceutical Basics Inc Butalbital, Acetaminophen and Caffeine Tablets 00832-1102 TB Butalbital 50.00

Qualitest Pharmaceuticals, Inc.  Butalbital and Acetaminophen Tablets 0603-2540 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets 50/325/40mg 0603-2544 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets USP 0603-2547 TB Butalbital 50.00
Qualitest Pharmaceuticals, Inc. Butalbital, Acetaminophen and Caffeine Tablets, USP 0603-2551 TB Butalbital 50.00

Qualitest Products Inc Butalbital, Acetaminophen and Caffeine Tablets 52446-0544 TB Butalbital 50.00

Rugby Laboratories Inc  Butalbital, Acetaminophen and Caffeine Tablets, USP 0536-5567 TB Butalbital 50.00

Sunrise Pharmaceuticals, Inc.  Butalbital, Acetaminophen, Caffeine Capsules (50 mg/300 mg/40mg) 11534-187 CA Butalbital 50.00

Tedor Pharma, Inc. (Manufactured for Xspire Pharma) Butalbital, Acetaminophen and Caffeine Caps (50mg/300mg/40mg) 42195-955 CA Butalbital 50.00

West-Ward Pharmaceutical Corp. Butalbital with Acetaminophen and Caffeine Tablets 00143-1787 TB Butalbital 50.00
West-Ward Pharmaceutical Corp. Butalbital, Acetaminophen and Caffein Capsules 00143-3001 CA Butalbital 50.00

West-Ward Pharmaceutical Corp. Butalbital, Acetaminophen, and Caffeine Tablets, USP 00143-1115 TB Butalbital 50.00

Zenith Goldline Pharmaceuticals Butalbital, Acetaminophen and Caffeine Tablets 00182-2659 TB Butalbital 50.00