Went to Dr - New Med

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Regular Member

Date Joined Aug 2005
Total Posts : 59
   Posted 12/20/2005 8:21 PM (GMT -6)   
I went to Acute care tonite (almost like the ER but in the Dr office), for my migraine. I have had one since Thur. or Fri. 1st bad one since I started Topamax in July or Aug (cant remember much less really think at the moment) Any way instead of giving me a shot like my Nuerologist said they would, she said that from the sounds of it (I talked to her on the phone) that oral meds was not going to work that I needed a shot to get rid of it. But the Acute care Dr gave me a prescriptition for an oral med. Its a generac drug & the bottle says Butal/ASA/Caff. Does anyone have any information on this? What is the non generac form of the drug? I am to only take it when I have a migraine. Has others had good luck with this med? - I sure do hope it works for me.

Nicky (coquitlam55)
Veteran Member

Date Joined Jul 2005
Total Posts : 505
   Posted 12/21/2005 12:01 AM (GMT -6)   


You were given a combination of Butalbital, Aspirin and Caffeine. Butalbital is a barbituate. Not my medication of choice for a migraine. The information I found recommends it for "tension" headaches. It also warns that this combination can cause rebound headaches so becareful.

My personal recommendation would be to head back to your GP or neurologist for a prescription of pain meds specifically for migraines if that's what the Acute Care doc is going to give you. But that's just me. Or if you're not sure, ask your GP or neurologist if this is the best medication for you.

Sorry if I sound a little upset. I'm at the end of a long migraine day and I may be misinterpreting it but it sounds like somebody has "misinterpreted" your migraine and that makes me mad. :-)

Good luck. Let us know how it goes.


Fall seven times, stand up eight.
                 --Japanese proverb

Veteran Member

Date Joined Dec 2004
Total Posts : 921
   Posted 12/21/2005 2:04 PM (GMT -6)   

Brand name would be fioricet or something of the sort...I took that too...it helps but not when when I am in the type of pain that sends me to an ER type setting.

then again "acute" care type places HERE don't keep narcotic injections on hand.

You need to have your doctor fill out an ER form with their desired treatment so you don't get jerked around like that again! (I posted them on an old thread...I will try to hunt it down)

That medication will work for pain, but not like on a 7-10 on a 1-10 scale...


Sara-Migraine/Headache Forum Moderator
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Veteran Member

Date Joined Dec 2004
Total Posts : 921
   Posted 12/21/2005 2:08 PM (GMT -6)   

Generic name: Aspirin, Butalbital, and Caffeine

Brand name: Fiorinal (fee or in all) (Fioricet-is without caffeine)

WHY is this drug prescribed? The combination of aspirin, butalbital, and caffeine is effective in relieving migraine and tension headaches.

WHEN should it be used? Fiorinal is taken immediately at the onset of headache. If you have an aura before your migraines (flashing lights, vision changes, tingling), you should take the Fiorinal during this aura.

HOW should it be used? Fiorinal comes in tablets and capsules. Your prescription label tells you how much to take at each dose. In general, one to two tablets of Fiorinal can be taken every 4 hours for headaches.

  • Swallow the capsules whole.
  • The medication should be taken with food.
  • Do not take more than 8 tablets per day unless specifically directed by your doctor.

What SPECIAL INSTRUCTIONS should I follow while using this drug?

  • This medication can cause drowsiness and sleepiness - do not drive a car or operate dangerous machinery until you know how it affects you.
  • Do not take alcohol. Alcohol can add to the drowsiness and stomach irritation.
  • Keep all appointments with your doctor so that your doctor can monitor your response to this medication.
  • Take Fiorinal exactly as your doctor has directed. Do not take more of it or take it more often than as instructed.
  • It is often helpful to keep a log or a diary to track your pain. Write down the length of time and the severity of the pain on a scale from 1 to 10.

What SIDE EFFECTS can this medication cause? What can I do about them?

  • Nausea, vomiting, stomach pain - Take Fiorinal after meals or with a full glass of water or milk. Contact your doctor if the nausea persists.
  • Drowsiness, dizziness, lightheadedness, confusion - Contact your doctor if these effects are severe.
  • Ringing in the ears, bloody or black stools, difficulty breathing - Stop taking this medication and contact your doctor.
  • Fiorinal should not be used during pregnancy. Stop the medication if you are pregnant or may become pregnant. Birth defects have not been demonstrated with Fiorinal but it is best to be safe and stop the medication.
  • If you take large doses of this medication for a long time, you may have severe headaches for a few days after stopping the drug. Contact your doctor about alternate medications.

What OTHER PRECAUTIONS should I follow while using this drug?

  • Before you take Fiorinal, tell your doctor if you are pregnant (or even if you think you could become pregnant), breast-feeding, have a history of bleeding problems, or ulcers.
  • Tell your doctor what prescription and non-prescription drugs you are taking, especially anticoagulants (blood thinners), warfarin, coumadin, acetazolamide, corticosteroids, methotrexate, and medication for arthritis, gout, or diabetes.
  • Do not take this medication with alcohol, sleeping pills, tranquilizers, sedatives.
  • Tell your doctor if you have ever had a bad reaction to butalbital, phenobarbital, seconal, aspirin, ibuprofen, Advil, Motrin, Naprosyn, or any aspirin-like medications.
  • Keep this medication in the container it came in, tightly closed, and out of the reach of children. Store at room temperature. Throw away any medication that smells strongly of vinegar.
  • Do not allow anyone else to take your medications.

Sara-Migraine/Headache Forum Moderator
Thanks for Visiting HealingWell.com

Regular Member

Date Joined Aug 2005
Total Posts : 59
   Posted 12/21/2005 5:14 PM (GMT -6)   
Thank you for the information. I am waitin gfor my husband to come home. He will will be taking me back to the Dr today. This time my neurologists nurse will be giving me the shot that I should have gotten last night. So I am a little teed off that I am dishing out more money today where if the Acutte care Dr would have listened to my Dr I would not be going through this tonight.

Regular Member

Date Joined Nov 2005
Total Posts : 24
   Posted 12/28/2005 4:27 AM (GMT -6)   

tymaboy i have hemiplegic severe migraines and i am on fioricet also. i have found it to be extremly helpful for most migraines -except the very severe ones. technically yes fioricet is for tension headaches, but there is such a thing as tension migraines and tension adds or can cause migraine also. so dont knock it till you try it. the only thing that works on me for the severe ones however is stadol which is an opiate. VERY effective though.my doc tells me to take the fioricet AS SOON as i start having the aura, or feel one coming on. the longer you wait to take the harder it will be to control.

good luck to you,


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