Treating tension headaches. It may also be used for other conditions as determined by your doctor.

Aspirin/butalbital/caffeine/codeine is a salicylate, barbiturate, caffeine, and narcotic combination. How these medicines work is not completely understood. Aspirin reduces pain and inflammation. Caffeine may work by constricting blood vessels that may cause headaches. Butalbital has a depressant effect that reduces anxiety and causes relaxation. Codeine works in the central nervous system to decrease pain.

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  • Ascomp-Codeine and Fiorinal with Codeine
  • Rare
    Back, leg, or stomach pains
    black, tarry stools
    bleeding gums
    blistering, peeling, or loosening of the skin
    blood in the vomit
    bloody urine
    blurred vision
    chills, fever
    dark urine
    decreased frequency or amount of urine
    difficulty breathing
    difficulty swallowing
    dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
    fast, irregular, pounding, or racing heartbeat or pulse
    general tiredness and weakness
    hives, itching, skin rash
    increased thirst
    joint or muscle pain
    light-colored stools
    lower back or side pain
    nausea or vomiting
    puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
    red skin lesions, often with a purple center
    red, irritated eyes
    shakiness in the legs, arms, hands, or feet skin
    sores, ulcers, or white spots in the mouth or on the lips
    swelling of the face, fingers, or lower legs
    tightness or pain in the chest
    trembling or shaking of the hands or feet
    upper right abdominal or stomach pain
    weight gain
    yellow eyes and skin
    If any of the following symptoms of overdose occur while taking aspirin / butalbital / caffeine / codeine, get emergency help immediately:

    Symptoms of overdose
    Confusion as to time, place, or person
    continuing ringing or buzzing or other unexplained noise in the ears
    difficult or troubled breathing
    extremely high fever or body temperature
    hearing loss
    holding false beliefs that cannot be changed by fact
    irregular, fast or slow, or shallow breathing
    loss of consciousness
    muscle cramps
    pale or blue lips, fingernails, or skin
    pale, clammy skin
    pinpoint pupils (black part of the eyes)
    trouble sleeping
    unusual bleeding or bruising
    Severity: Minor
    Some of the side effects that can occur with aspirin / butalbital / caffeine / codeine may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

    blurred vision
    burning, tingling, numbness, or pain in the hands, arms, feet, or legs
    confusion about identity, place, and time
    constricted, pinpoint, or small pupils (black part of the eye)
    difficulty having a bowel movement (stool)
    dry mouth
    feeling of constant movement of self or surroundings
    feeling of warmth
    feeling that others are watching you or controlling your behavior
    feeling that others can hear your thoughts
    high energy
    irregular heartbeats
    loss in sexual ability, desire, drive, or performance
    pain in the legs
    redness of the face, neck, arms, and occasionally, upper chest
    sensation of spinning
    severe mood or mental changes
    slurred speech
    trouble sitting still
    unexplained weight loss
    unusual behavior
  • (oral capsule)