Butalbital-Asa-Caff-Codeine Cupones y Precios - Rx.com

If you're searching for a butalbital-asa-caff-codeine coupon, this medication is the generic version of Fiorinal with Codeine, a Schedule III combination of a barbiturate, a salicylate, caffeine, and the opioid codeine phosphate, and like most generics its cash price can differ substantially from pharmacy to pharmacy. Rx.com compares prices across more than 60,000 U.S. pharmacies, so enter your ZIP code above to see today's price near you before you fill this prescription.

What Is Butalbital, Aspirin, Caffeine, and Codeine?

Butalbital, aspirin, caffeine, and codeine phosphate is a four-ingredient combination medication: butalbital is a barbiturate, aspirin is a salicylate (NSAID-type pain reliever), caffeine is a CNS stimulant, and codeine phosphate is an opioid analgesic. It's FDA-approved for the symptomatic relief of the "symptom complex" of tension (muscle-contraction) headache in patients for whom non-opioid pain relievers and other treatments haven't been enough. It is not FDA-approved for migraine, and headache specialists generally advise against using butalbital- and opioid-containing combinations like this one for migraine: the American Headache Society's Choosing Wisely guidance recommends against opioid- or butalbital-containing treatments for migraine except as a last resort, because frequent use carries a meaningfully higher risk of medication-overuse (rebound) headache and dependence than migraine-specific treatments.

The standard label dosing is 1-2 capsules every 4 hours as needed, not to exceed 6 capsules in a 24-hour period. Because it contains codeine, it is a Schedule III controlled substance. The original brand was Fiorinal with Codeine, and generic versions of this combination, including one marketed as Ascomp with Codeine, are also available.

Comparing Pharmacy Prices

This drug is available generically, but generic pricing still varies by pharmacy, especially for a Schedule III controlled substance where stock levels and dispensing practices differ from store to store. There is no manufacturer copay or savings card for this medication. The most reliable way to find a fair price is to compare pharmacies directly rather than assume any one chain is cheapest.

Enter your ZIP code above to see today's price at pharmacies near you, and consider calling ahead to confirm a pharmacy has it in stock before you travel to fill it.

Related Medications and Alternatives

A few related combination products are worth knowing about, since your prescriber may consider them depending on your history and symptoms:

• Fiorinal — the same butalbital, aspirin, and caffeine combination but without codeine, so it is not a controlled opioid.
• Fioricet and butalbital/acetaminophen/caffeine — swap acetaminophen for aspirin, also without codeine.
• Acetaminophen with codeine — pairs codeine with acetaminophen instead of the butalbital/aspirin/caffeine combination.
• Codeine alone, without the barbiturate, salicylate, or caffeine components.

Only your prescriber can decide whether switching between these makes sense for you.

Safety Information

This medication carries an FDA boxed warning covering the risk of addiction, abuse, and misuse that can lead to overdose and death; the risk of life-threatening or fatal respiratory depression, especially when starting the drug or increasing the dose, which is worsened by alcohol, benzodiazepines, or other CNS depressants; the danger that even a single accidental dose can be fatal, especially in children; and the risk of neonatal opioid withdrawal syndrome with prolonged use during pregnancy. The codeine component also carries an added warning about life-threatening respiratory depression in children who are ultra-rapid metabolizers of codeine; it is contraindicated in children under 12 and in patients under 18 recovering from tonsillectomy or adenoidectomy. The aspirin component adds a risk of GI bleeding and Reye's syndrome in children or teens with a viral illness, and butalbital itself is habit-forming, with physical dependence and withdrawal possible after prolonged use.

It should not be combined with alcohol or with MAOIs (current use or within the past 14 days), and it is contraindicated in significant respiratory depression, acute or severe asthma, bleeding disorders such as hemophilia, or known hypersensitivity to any of its ingredients. This is general information, not medical advice — talk with your prescriber or pharmacist about whether this medication is right for you.