| Idenal W/Codeine |
This combination medication is used to treat tension headaches. Codeine is a narcotic pain reliever (opiate-type) that acts on certain centers in the brain to give you pain relief. Aspirin helps to decrease the pain from the headache. Caffeine helps increase the effects of aspirin. Butalbital is a sedative that helps to decrease anxiety and cause sleepiness and relaxation.This medication may also be used to treat migraine headaches.
- Do not share this medication with others.
- It is against the law.Massage, hot baths, and other relaxation methods can help with tension headaches.
- Consult your doctor or pharmacist for more details.Laboratory and/or medical tests (e.g., liver and kidney function tests) may be performed periodically to monitor your progress or check for side effects.
- Consult your doctor for more details.
- Store at room temperature below 77 degrees F (25 degrees C) away from light and moisture.
- Do not store in the bathroom.
- Keep all medicines away from children and pets.
- Symptoms of overdose may include: severe drowsiness, slow breathing, very small pupils, severe dizziness, persistent nausea/vomiting, ringing in the ears.
- Take this medication by mouth, usually every 4 hours as needed or as directed by your doctor.
- Do not take more than 6 capsules in a 24-hour period.
- Take with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise.
- Do not lie down for at least 30 minutes after taking this medication.
- If you have nausea, you may take this medication with food.
- Consult your doctor or pharmacist about other ways to decrease nausea (e.g., antihistamines, lying down for 1-2 hours with as little head movement as possible).The dosage is based on your medical condition and response to therapy.
- This medication works best if it is used as the first signs of a headache occur.
- If you wait until the headache has worsened, the medication may not work as well.This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses.
- In such cases, withdrawal reactions (e.g., runny nose, watery eyes, mental/mood changes, seizures) may occur if you suddenly stop this drug.
- To prevent withdrawal reactions when stopping extended, regular treatment with this drug, gradually reduce the dosage as directed.
- Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.Though very unlikely, abnormal drug-seeking behavior (addiction) is possible with this medication.
- To lessen the risk of becoming addicted, do not increase your dose, take it more frequently, or take it for a longer time than prescribed.
- Properly stop the medication when so directed.Inform your doctor if you notice increased use of this medication, a worsening of headaches, an increase in the number of headaches, the medication not working as well, or use of this medication for more than 2 headache episodes a week.
- Your doctor may need to change your medication and/or add a separate medication to prevent the headaches.
- Nausea, vomiting, stomach upset, gas, shaking (tremor), constipation, dry mouth, 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.To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise.
- If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative (e.g., stimulant-type with stool softener).Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
- Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood changes, fainting, seizure, fast/irregular heartbeat, increased thirst/urination, slow/shallow breathing, hearing changes (e.g., ringing in the ears), easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), heartburn, discomfort when swallowing, dark urine, yellowing eyes/skin, change in the amount of urine, unusual tiredness.Seek immediate medical attention if any of these rare but very serious side effects occur: black stools, severe stomach/abdominal pain, vomit that looks like coffee grounds, slurred speech, weakness on one side of the body.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.If you notice other effects not listed above, contact your doctor or pharmacist.
- Before taking this medication, tell your doctor or pharmacist if you are allergic to aspirin, caffeine, codeine, or butalbital; or to other barbiturates (e.g., phenobarbital), salicylates (e.g., salsalate), nonsteroidal anti-inflammatory drugs (e.g., ibuprofen), narcotic pain medications (e.g., morphine) or xanthine derivatives (e.g., theophylline); or if you have any other allergies.This medication should not be used if you have certain medical conditions.
- Before using this medicine, consult your doctor or pharmacist if you have: severe breathing problems (e.g., respiratory depression, hypercarbia, bronchopneumonia), a certain enzyme disorder (porphyria), intoxication with medications that depress the nervous system or your breathing (CNS/respiratory depressants such as alcohol or tranquilizers/sedatives), severe stomach/bowel problems (e.g., stomach/intestinal ulcers, infectious diarrhea), bleeding/blood clotting disorders (e.g., hemophilia, von Willebrand's disease, thrombocytopenia).Before using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (e.g., seizures, head injury, tumor, increased intracranial pressure), lung diseases (e.g., chronic obstructive pulmonary disease-COPD, asthma, hypoxia, hypercapnia), disease of the pancreas (e.g., pancreatitis), heart disease (e.g., irregular heartbeat, recent heart attack), certain enzyme deficiencies (pyruvate kinase or G6-PD deficiency), gout, liver disease, kidney disease, heartburn, growths in the nose (nasal polyps), a certain spinal problem (kyphoscoliosis), gallbladder disease, personal or family history of regular use/abuse of drugs/alcohol, mental/mood disorders, abdominal problems (e.g., colitis), adrenal gland problem (e.g., Addison's disease), difficulty urinating (e.g., due to enlarged prostate or urethral stricture), underactive thyroid (hypothyroidism), recent bowel/abdominal surgery.Before having surgery, tell your doctor or dentist that you are using this medication.This drug may make you dizzy or drowsy.
- Use caution while driving, using machinery, or taking part in any other activity that requires alertness.
- Avoid alcoholic beverages because they may increase the risk of this drug's side effects.This medicine may cause stomach bleeding.
- Daily use of alcohol while using this medicine may increase your risk for stomach bleeding.
- Consult with your doctor or pharmacist for more details.This medication contains aspirin.
- Children and teenagers should not take aspirin if they have chickenpox, flu, or any undiagnosed illness, or if they have just been given a live virus vaccine, without first consulting a doctor about Reye's syndrome, a rare but serious illness.Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug.This medication is not recommended for use during pregnancy.
- Consult your doctor for more details.This drug passes into breast milk and could have undesirable effects on a nursing infant.
- Therefore, breast-feeding is not recommended while using this drug.
- Consult your doctor before breast-feeding.
- Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
- Do not start, stop, or change the dosage of any medicine before checking with them first.This drug should not be used with the following medications because very serious interactions may occur: ketorolac, mifepristone, naltrexone, sodium oxybate.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this product.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: acetazolamide, adenosine, antacids, anticholinergic medications (e.g., scopolamine), beta agonists (e.g., albuterol), "blood thinners" (e.g., warfarin, heparin, ticlopidine), certain drugs used to treat gout (e.g., uricosuric drugs such as probenecid, sulfinpyrazone), certain antibiotics (e.g., penicillin, sulfonamides such as sulfamethoxazole), diabetes drugs (e.g., insulin, sulfonylureas such as glyburide), drugs affecting liver enzymes that remove this medication from your body (such as macrolide antibiotics including erythromycin, cimetidine, disulfiram, valproic acid), drugs that lower blood pressure (e.g., "water pills"/diuretics such as hydrochlorothiazide, furosemide, ACE inhibitors such as lisinopril, enalapril), ginkgo biloba, lepirudin, lithium, MAO inhibitors (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine), 6-mercaptopurine, methotrexate, methoxyflurane, other medications for pain (e.g., pentazocine, nalbuphine, morphine), pemetrexed, phenytoin, salicylates (e.g., salsalate), certain antidepressants (SSRIs such as fluoxetine, fluvoxamine).This drug can speed up the removal of other drugs from your body by affecting certain liver enzymes.
- These affected drugs include cyclosporine, corticosteroids such as prednisone, estrogen, felodipine, metronidazole, quinidine, certain beta blockers (such as metoprolol), theophylline, doxycycline.Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone).Check the labels on all your medicines (e.g., cough-and-cold products, other headache medications) because they may contain aspirin, caffeine, or drowsiness-causing ingredients.
- Also keep in mind that certain beverages (e.g., coffee, colas, tea) contain caffeine.
- Ask your pharmacist about using those products safely.Also, check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (NSAIDs such as ibuprofen or naproxen) that are similar to this drug and may increase your risk for side effects if taken together with this medication.This medication may decrease the effectiveness of combination-type birth control pills.
- This can result in pregnancy.
- Ask your doctor or pharmacist for details, and discuss whether you should use additional reliable birth control methods while taking any of these drugs.This medication may interfere with certain medical/laboratory tests (including fasting blood glucose, cholesterol levels, prothrombin time, urine 5-HIAA levels, amylase and lipase levels, certain urine glucose tests, dipyridamole-thallium imaging tests), possibly causing false test results.
- Make sure laboratory personnel and all your doctors know you use this drug.