Esgic-Plus / APAP/butalbital/caffeine

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Posted by Chonas ( on February 18, 2000 at 17:37:16:

In Reply to: ESGIC-PLUS posted by JEFF on February 18, 2000 at 15:36:08:

Brand: Esgic-Plus
1. Drowsiness, lightheadedness, dizziness, sedation, and an intoxicated feeling have been reported frequently from the use of butalbital. Headache and seizures have been reported infrequently. Mental confusion, excitement, or depression have also been repo
2. Consumption of higher doses of caffeine (>600 mg/day) has been reported to have lead to caffeinism. Caffeinism is a syndrome characterized by anxiety, restlessness, and sleep disorders (similar to anxiety states). It has also been reported that chronic,
3. In alcoholic patients, severe and sometimes fatal dose dependent hepatitis has been reported with the use of acetaminophen. Hepatotoxicity has been increased during fasting.
Alcoholic patients may develop hepatotoxicity after even modest doses of acetaminophen. In healthy patients, approximately 15 grams of acetaminophen is necessary to deplete liver glutathione stores by 70% in a 70 kg person. However, hepatotoxicity has b
4. In clinical trials of caffeine citrate, five cases of necrotizing enterocolitis were reported among the 46 infants exposed to the caffeine citrate injection.

Nausea, vomiting, and abdominal pain have been reported frequently with the use of butalbital.

5. Renal side effects are rare with acetaminophen and include acute tubular necrosis and interstitial nephritis. Adverse renal effects are most often observed after overdose, after chronic abuse (often with multiple analgesics), or in association with aceta
Acute tubular necrosis usually occurs in conjunction with liver failure, but has been observed as an isolated finding in rare cases. A possible increase in the risk of renal cell carcinoma has been associated with chronic acetaminophen use as well.

A re
6. Hypersensitivity reactions, including anaphylaxis and fixed drug eruptions, have been reported rarely in association with acetaminophen use.
7. Rare cases of thrombocytopenia associated with acetaminophen have been reported. Methemoglobinemia with resulting cyanosis has also been observed in the setting of acute overdose.
8. Erythematous skin rashes associated with acetaminophen have been reported, but are rare. Acetaminophen associated bullous erythema and purpura fulminans have been reported.
9. Dyspnea has been reported frequently with the use of butalbital.

A case of acetaminophen-induced eosinophilic pneumonia has been reported.
10. At least two cases of hypotension have been reported following the administration of acetaminophen.
Two cases hypotension have been reported following the administration of acetaminophen. Both patients experienced significant decreases in blood pressure. One of the two patients required pressor agents to maintain adequate mean arterial pressures. Nei
11. In one study of the effects of caffeine, 634 women with fibrocystic breast disease (compared to 1066 women without the disease), the occurrence of fibrocystic breast disease was positively associated with average daily consumption of caffeine.

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