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  1. Before taking this medication, tell your doctor if you've had:

    • Liver disease
    • Kidney disease
    • Personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol)
    • Mental/mood disorders
    • Abdominal/intestinal problems

    Products that may interact with this drug include:

    • Darunavir
    • Sodium oxybate
    • Anti-seizure drugs (e.g., phenytoin)
    • Drugs affecting liver enzymes that remove this medication from your body (such as disulfiram, valproic acid, MAO inhibitors including isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine)
    • Isoniazid
    • Methoxyflurane
    • Phenothiazines (e.g., chlorpromazine)

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    Warnings

    • If you are pregnant or considering becoming pregnant you should discuss the use of this medication with your doctor or pharmacist. ; May cause drowsiness and dizziness. Alcohol and marijuana may intensify this effect. Use care when operating a vehicle, vessel (e.g., boat), or machinery. ; Contains Acetaminophen. Don't use with other drugs that contain Acetaminophen (prescription or nonprescription) unless doctor approves. Too much can cause liver damage ; Do not drink alcoholic beverages when using this medication. ; Using more of this medication than recommended may cause serious breathing problems. ; This medication can interfere with the effectiveness of birth control pills. Consult your doctor or pharmacist. ;

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    Side effects

    Common side effects

    • Drowsy
    • Dizziness
    • Acute cognitive impairment
    • Excitement
    • Symptoms of anxiety
    • Nightmares
    • Depression
    • Constipation
    • Syncope
    • Vertigo
    • Insomnia
    • Lethargy
    • Headache disorder
    • Nausea
    • Vomiting
    • Nervousness
    • Irritability

    Tell your doctor right away if any of these unlikely but serious side effects occur

    • Shortness of breath
    • Mental/mood changes
    • Fainting
    • Seizure
    • Fast heartbeat

    Tell your doctor right away if any of these rare but very serious side effects occur

    • Signs of infection
    • Easy bruising/bleeding

    A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including

    • Rash
    • Itching/swelling
    • Severe dizziness
    • Trouble breathing

    Other things to note

    • Nausea, vomiting, abdominal pain, lightheadedness, dizziness, or drowsiness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.
    • To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

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    Precautions

    • Not recommended for long term use in pregnancy
    • May reduce effectiveness of oral contraceptives
    • May make you drowsy or dizzy. Drive with caution
    • Avoid drinking alcohol
    • Call Dr before increasing dose or frequency.
    • Do not use with other acetaminophen products.
    • Review all drugs you are taking with your doctor
    • Call MD if new abdominal pain/yellowing eyes/skin

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    Overview

    This combination medication is used to treat tension headaches.

    May Treat: Tension-type headache

    Brand Names: Phrenilin · Phrenilin Forte · Tencon · Bupap · Allzital and more

    Drug Class: Analgesic or Antipyretic Non-Opioid/Sedative Combinations

    Availability: Prescription Required

    Pregnancy: Consult a doctor before using

    Lactation: Does not adversely affect lactation

    Alcohol: Limit intake while taking this medication

    Driving: May cause drowsiness or dizziness. Use caution

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  1. Do not take this medication with any of the following medications: Alcohol This medication may also interact with the following medications: Antihistamines for allergy, cough and cold Any medication that contains acetaminophen Barbiturates like phenobarbital Female hormones, including contraceptive or birth control pills
    my.clevelandclinic.org/health/drugs/20764-butalbital-acetaminophen-capsules-or-tablets
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