How often can you take fioricet. Fioricet: Uses, Dosage, Side Effects, and Proper Usage Guidelines
How often can you take Fioricet. What are the main ingredients in Fioricet. What is Fioricet used for. What are the potential risks and side effects of Fioricet. How should Fioricet be taken properly. What precautions should be considered before taking Fioricet. Who should not use Fioricet.
Understanding Fioricet: Composition and Mechanism of Action
Fioricet is a combination medication containing three active ingredients: acetaminophen, butalbital, and caffeine. Each component plays a specific role in alleviating tension headaches:
- Acetaminophen: A pain reliever and fever reducer
- Butalbital: A barbiturate that relaxes muscle contractions associated with tension headaches
- Caffeine: A central nervous system stimulant that improves blood flow by relaxing blood vessel contractions
This unique combination makes Fioricet particularly effective in treating tension headaches caused by muscle contractions. However, it’s crucial to understand the proper use and potential risks associated with this medication.
Proper Dosage and Administration of Fioricet
The correct dosage of Fioricet is essential for its effectiveness and safety. For adults and children 12 years or older, the typical dosage is as follows:
- 1 or 2 capsules orally every 4 hours as needed
- Do not exceed 6 capsules per day
Is there a maximum duration for using Fioricet? Extended and repeated use of Fioricet is not recommended due to the potential for physical dependence. It’s crucial to follow your doctor’s instructions and not exceed the prescribed dosage.
Missed Dose Guidelines
If you’re on a regular dosing schedule and miss a dose, take it as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Never double up on doses to make up for a missed one.
Important Warnings and Precautions for Fioricet Use
Before taking Fioricet, it’s crucial to be aware of several important warnings and precautions:
- Liver damage risk: An overdose of acetaminophen can cause severe liver damage or even death. Never exceed the recommended dosage.
- Alcohol interaction: Avoid alcohol while taking Fioricet, as it can increase the risk of liver damage.
- Dependence potential: Butalbital, a component of Fioricet, has the potential for physical dependence.
- Skin reactions: In rare cases, acetaminophen may cause severe skin reactions. Discontinue use and seek medical attention if you experience skin redness, rash, blistering, or peeling.
Can Fioricet interact with other medications? Yes, Fioricet can interact with various drugs, particularly MAO inhibitors. Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days, as a dangerous drug interaction could occur.
Contraindications: Who Should Not Take Fioricet?
Certain individuals should not use Fioricet due to increased risks or potential complications. You should avoid Fioricet if you:
- Have porphyria
- Have recently used alcohol, sedatives, tranquilizers, or other narcotic medications
- Are allergic to any of the ingredients
- Have a history of alcoholism or drug addiction
- Consume more than 3 alcoholic beverages per day
Are there specific medical conditions that require caution when using Fioricet? Yes, inform your doctor if you have a history of liver disease, kidney disease, stomach ulcers, mental illness, or suicidal thoughts before taking Fioricet.
Potential Side Effects and Adverse Reactions
While Fioricet can be effective in treating tension headaches, it may cause various side effects. Common side effects include:
- Drowsiness or dizziness
- Nausea or vomiting
- Abdominal pain
- Shortness of breath
- Increased anxiety or restlessness
In rare cases, more severe side effects may occur. Seek immediate medical attention if you experience:
- Signs of liver problems (nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice)
- Severe skin reactions (redness, rash, blistering, peeling)
- Confusion or seizures
- Unusual bleeding or bruising
Special Considerations for Pregnant and Breastfeeding Women
The safety of Fioricet during pregnancy and breastfeeding is a concern that requires careful consideration:
- Pregnancy: It’s unknown whether Fioricet can harm an unborn baby. However, using butalbital during pregnancy may lead to dependency in the newborn, causing life-threatening withdrawal symptoms.
- Breastfeeding: The components of Fioricet can pass into breast milk and potentially harm a nursing infant.
What should pregnant or breastfeeding women do if they need pain relief? It’s crucial to consult with a healthcare provider to discuss safer alternatives for managing tension headaches during pregnancy or while breastfeeding.
Proper Storage and Handling of Fioricet
To maintain the effectiveness and safety of Fioricet, proper storage and handling are essential:
- Store at room temperature away from moisture and heat
- Keep out of reach of children and pets
- Never share your medication with others, even if they have similar symptoms
- Keep track of the amount of medicine used from each new bottle
Why is it important to monitor Fioricet usage closely? Butalbital, a component of Fioricet, is a controlled substance with potential for abuse. Being aware of your medication use helps prevent misuse and ensures you’re taking it as prescribed.
Alternatives to Fioricet for Tension Headache Management
While Fioricet can be effective for some individuals, it’s not suitable for everyone. Alternative treatments for tension headaches include:
- Over-the-counter pain relievers (e.g., ibuprofen, naproxen)
- Prescription medications like triptans or ergotamines
- Stress management techniques
- Regular exercise
- Adequate sleep and hydration
- Acupuncture or massage therapy
How can you determine the best treatment option for your tension headaches? Consult with your healthcare provider to discuss your symptoms, medical history, and potential treatment options to find the most suitable approach for your individual needs.
Long-term Considerations and Potential Risks of Fioricet Use
While Fioricet can provide relief from tension headaches, long-term use carries several risks that should be carefully considered:
- Physical dependence: Prolonged use of butalbital can lead to dependence, making it difficult to stop using the medication.
- Tolerance: Over time, you may need higher doses to achieve the same pain-relieving effect.
- Rebound headaches: Overuse of pain medications, including Fioricet, can lead to medication overuse headaches, exacerbating the original problem.
- Liver damage: Long-term use of acetaminophen, especially at high doses, can cause cumulative liver damage.
How can you minimize the risks associated with long-term Fioricet use? Work closely with your healthcare provider to monitor your usage, explore alternative treatments, and develop a plan to prevent dependency and other potential complications.
Strategies for Safe Long-term Pain Management
If you suffer from chronic tension headaches, consider these strategies for safer long-term management:
- Explore preventive treatments to reduce headache frequency
- Incorporate non-pharmacological approaches like relaxation techniques and lifestyle modifications
- Rotate between different types of pain relievers to reduce the risk of medication overuse headaches
- Maintain regular follow-ups with your healthcare provider to assess the effectiveness of your treatment plan
Recognizing and Addressing Fioricet Dependency
Given the potential for physical dependence, it’s crucial to be aware of the signs of Fioricet dependency:
- Needing increasingly higher doses to achieve pain relief
- Experiencing withdrawal symptoms when not taking the medication
- Continuing to use Fioricet despite negative consequences
- Spending significant time obtaining, using, or recovering from the effects of Fioricet
What should you do if you suspect you’ve developed a dependency on Fioricet? It’s essential to seek professional help immediately. Your healthcare provider can develop a tapering plan to safely discontinue the medication and explore alternative treatments for your headaches.
Steps for Safely Discontinuing Fioricet
If you need to stop taking Fioricet, follow these guidelines:
- Consult your healthcare provider before making any changes to your medication regimen
- Follow a gradual tapering schedule as recommended by your doctor
- Be prepared for potential withdrawal symptoms and discuss management strategies with your provider
- Explore alternative pain management techniques to address your headaches during and after the tapering process
Fioricet Interactions with Other Substances and Medications
Fioricet can interact with various substances and medications, potentially leading to serious complications. Some key interactions to be aware of include:
- Alcohol: Increases the risk of liver damage and enhances the sedative effects of butalbital
- MAO inhibitors: Can cause dangerous drug interactions
- Other pain medications: May increase the risk of acetaminophen overdose
- Sedatives and tranquilizers: Can enhance the sedative effects of butalbital
- Blood thinners: May increase the risk of bleeding
How can you ensure you’re taking Fioricet safely with other medications? Always inform your healthcare provider and pharmacist about all medications, supplements, and substances you’re using to prevent potential interactions.
Importance of Medication Reconciliation
To minimize the risk of drug interactions, follow these steps:
- Maintain an up-to-date list of all medications, including over-the-counter drugs and supplements
- Share this list with all healthcare providers involved in your care
- Consult your pharmacist or doctor before starting any new medication or supplement
- Be aware of potential interaction symptoms and report any unusual effects to your healthcare provider promptly
Fioricet Use in Special Populations
Certain populations require special consideration when it comes to Fioricet use:
Elderly Patients
Older adults may be more sensitive to the effects of Fioricet, particularly the sedative effects of butalbital. They may also be at increased risk for liver and kidney problems. Dosage adjustments may be necessary, and close monitoring is essential.
Patients with Liver or Kidney Disease
Individuals with liver or kidney impairment may need dosage adjustments or may not be suitable candidates for Fioricet use due to the increased risk of toxicity.
Individuals with a History of Substance Abuse
Due to the potential for dependence, Fioricet should be used with extreme caution in individuals with a history of substance abuse. Alternative treatments should be considered when possible.
How can healthcare providers ensure safe use of Fioricet in these special populations? Careful assessment of individual risk factors, close monitoring, and consideration of alternative treatments are crucial for ensuring safe and effective pain management in these groups.
The Role of Fioricet in Comprehensive Headache Management
While Fioricet can be an effective tool for managing tension headaches, it’s important to view it as part of a comprehensive headache management strategy. A well-rounded approach may include:
- Identifying and avoiding headache triggers
- Implementing stress reduction techniques
- Maintaining a consistent sleep schedule
- Regular exercise and proper hydration
- Dietary modifications if certain foods are triggers
- Complementary therapies like acupuncture or biofeedback
How can you develop an effective, personalized headache management plan? Work closely with your healthcare provider to identify your specific headache patterns, triggers, and most effective treatments. Regular follow-ups and adjustments to your plan can help optimize your headache management over time.
Tracking Headaches and Medication Use
Keeping a headache diary can be an invaluable tool in managing your condition. Consider tracking the following:
- Frequency and intensity of headaches
- Potential triggers (e.g., stress, certain foods, weather changes)
- Medications taken, including dosage and effectiveness
- Any side effects experienced
- Non-pharmacological strategies used and their effectiveness
This information can help you and your healthcare provider make informed decisions about your treatment plan and identify patterns that may be contributing to your headaches.
Fioricet Uses, Dosage, Side Effects & Warnings
Generic name: acetaminophen, butalbital, and caffeine [ a-SEET-a-MIN-oh-fen, bue-TAL-bi-tal, and-KAF-een ]
Drug class: Analgesic combinations
Medically reviewed by Sanjai Sinha, MD. Last updated on Mar 16, 2022.
What is Fioricet?
Fioricet capsules contain a combination of acetaminophen, butalbital, and caffeine. Acetaminophen is a pain reliever and fever reducer. Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache. Caffeine is a central nervous system stimulant. It relaxes muscle contractions in blood vessels to improve blood flow.
Fioricet is used to treat tension headaches that are caused by muscle contractions.
Extended and repeated use of Fioricet is not recommended because of the potential for physical dependence.
Warnings
You should not use Fioricet if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other narcotic medications.
Do not use Fioricet if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, and tranylcypromine.
Do not take more Fioricet than is recommended. An overdose of acetaminophen can damage your liver or cause death. Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes).
In rare cases, acetaminophen may cause a severe skin reaction. Stop taking Fioricet and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.
Before taking this medicine
Do not use Fioricet if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
You should not use Fioricet if you are allergic to it, if you have porphyria, or if you have recently used alcohol, sedatives, tranquilizers, or other opioids.
To make sure Fioricet is safe for you, tell your doctor if you have ever had:
liver disease, cirrhosis, a history of alcoholism or drug addiction, or if you drink more than 3 alcoholic beverages per day;
kidney disease;
stomach ulcer or bleeding;
a history of skin rash caused by any medication; or
a history of mental illness or suicidal thoughts.
It is not known whether Fioricet will harm an unborn baby. If you use butalbital while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Acetaminophen, butalbital, and caffeine can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breastfeeding a baby.
Fioricet is not approved for use by anyone younger than 12 years old.
How should I take Fioricet?
Take Fioricet exactly as prescribed. Follow all directions on your prescription label. Do not take more of this medication than recommended. An overdose can damage your liver or cause death. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
Butalbital may be habit-forming. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.
Store at room temperature away from moisture and heat.
Keep track of the amount of medicine used from each new bottle. Butalbital is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.
Dosing information
Usual Adult Dose for Headache:
Butalbital 50 mg/acetaminophen 300 mg/caffeine 40 mg: 1 or 2 capsules orally every 4 hours as needed not to exceed 6 capsules per day
Uses: For the relief of the symptom complex of tension (or muscle contraction) headache.
Usual Pediatric Dose for Headache:
12 years or older: Butalbital 50 mg/acetaminophen 300 mg/caffeine 40 mg: 1 or 2 capsules orally every 4 hours as needed not to exceed 6 capsules per day
Comments:
-Due to high rate of physical dependence, the extended use of this drug is not recommended.
-The safety and efficacy of treating multiple recurrent headaches with this product is not known.
Uses: For the relief of the symptom complex of tension (or muscle contraction) headache.
What happens if I miss a dose?
Since this medicine is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen, butalbital, and caffeine can be fatal.
The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.
Overdose symptoms may also include insomnia, restlessness, tremor, diarrhea, increased shallow breathing, uneven heartbeats, seizure (convulsions), or fainting.
What should I avoid while taking Fioricet?
This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.
Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP.
While you are taking this medication, avoid taking diet pills, caffeine pills, or other stimulants (such as ADHD medications) without your doctor’s advice.
Fioricet side effects
Get emergency medical help if you have signs of an allergic reaction to Fioricet: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
In rare cases, acetaminophen may cause a severe skin reaction that can be fatal. This could occur even if you have taken acetaminophen in the past and had no reaction. Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling. If you have this type of reaction, you should never again take any medicine that contains acetaminophen.
Stop using this medicine and call your doctor at once if you have:
confusion, a seizure;
shortness of breath;
a light-headed feeling, like you might pass out; or
nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
Common Fioricet side effects may include include:
drowsiness, dizziness;
feeling light-headed;
nausea, vomiting, stomach pain;
drunk feeling; or
shortness of breath.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Fioricet?
Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before taking Fioricet with a sleeping pill, opioid pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.
Other drugs may interact with acetaminophen, butalbital, and caffeine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.
Popular FAQ
According to the Drug Enforcement Administration (DEA), Fioricet is not a controlled substance. However, butalbital belongs to a class of drugs known as barbiturates. These drugs are habit-forming and can be abused. For this reason, it’s not recommended to take Fioricet long-term.
Fioricet is not the same as Excedrin. Fioricet contains butalbital, which is available by prescription only. Excedrin products are available over the counter and contain different combinations of aspirin, acetaminophen, caffeine and diphenhydramine:
|
Excedrin Extra Strength |
Excedrin Migraine |
Excedrin Tension Headache |
Excedrin PM Headache |
---|---|---|---|---|
Acetaminophen |
250 mg |
250 mg |
500 mg |
250 mg |
Aspirin |
250 mg |
250 mg |
|
250 mg |
Caffeine |
65 mg |
65 mg |
65 mg |
|
Diphenhydramine |
|
|
|
38 mg |
Because butalbital is habit-forming, it is not recommended to take Fioricet every day. It’s possible to build up a tolerance to butalbital. Over time, higher doses may be needed to have the same effect, leading to drug dependence. Taking higher doses of Fioricet can also increase the chance of an overdose.
Fioricet is intended for occasional use every 4 hours when symptoms occur.
Butalbital affects the central nervous system and can make you sleepy. It can also cause lightheadedness, dizziness and mental confusion. Drowsiness is also one of the first signs of an overdose from barbiturates.
Fioricet contains three different drugs. Each drug is estimated to stay in your body for a different amount of time.
- Acetaminophen is eliminated after about 6 to 15 hours
- Caffeine is eliminated after about 15 hours
- Butalbital is eliminated after about 7 days
Fioricet contains 40 mg of caffeine, similar to a cup of tea. The following shows the average amount of caffeine in some common beverages:
- 8 oz of coffee: 80 to 100 mg of caffeine
- 8 oz green or black tea: 30 to 50 mg of caffeine
- 12 oz caffeinated soda: 30 to 40 mg of caffeine
In clinical studies, weight loss was not a reported side effect from Fioricet. However, it can cause nausea, vomiting and stomach pain. Having those side effects may lead to a decreased appetite and lead to weight loss.
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Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Fioricet only for the indication prescribed.
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Acetaminophen, Butalbital, and Caffeine: MedlinePlus Drug Information
pronounced as (a set a mee’ noe fen) (byoo tal’ bi tal) (kaf’ een)
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This combination of drugs is used to relieve tension headaches.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
The combination of acetaminophen, Butalbital, Caffeine comes as a capsule and tablet to take by mouth. It usually is taken every 4 hours as needed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take acetaminophen, Butalbital, Caffeine exactly as directed. Do not take more than six tablets or capsules in 1 day. If you think that you need more to relieve your symptoms, call your doctor.
This medication can be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to.
Before taking acetaminophen, Butalbital, Caffeine,
- tell your doctor and pharmacist if you are allergic to acetaminophen, butalbital, caffeine, or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially anticoagulants (‘blood thinners’) such as warfarin (Coumadin), antidepressants, antihistamines, pain medications, sedatives, sleeping pills, tranquilizers, and vitamins.
Many nonprescription pain relievers contain acetaminophen. Too much of this drug can be harmful.
- tell your doctor if you have or have ever had liver disease, porphyria, or depression.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking this medication, call your doctor.
- you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
- remember that alcohol can add to the drowsiness caused by this drug.
Acetaminophen, Butalbital, Caffeine may cause an upset stomach. Take this medicine with food or milk.
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
Acetaminophen, Butalbital, Caffeine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- drowsiness
- upset stomach
- vomiting
- stomach pain
- depression
- lightheadedness
- confusion
If you experience any of the following symptoms, call your doctor immediately:
- skin rash
- itching
- difficulty breathing
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online (http://www. fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature, away from excess heat and moisture (not in the bathroom).
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org
In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can’t be awakened, immediately call emergency services at 911.
- Alagesic®¶
- Americet®¶
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- Anoquan®¶
- Arcet®¶
- Dolgic®¶
- Dolmar®¶
- Endolor®¶
- Esgic®¶
- Ezol®¶
- Femcet®¶
- Fioricet®
- Fiorpap®¶
- G-1®¶
- Ide-cet®¶
- Isocet®¶
- Margesic®¶
- Medigesic®¶
- Minotal®¶
- Mygracet®¶
- Nonbac®¶
- Pacaps®¶
- Pharmagesic®¶
- Quala Cet®¶
- Repan®¶
- Tenake®¶
- Tencet®¶
- Triad®¶
- Two-Dyne®¶
- Zebutal®¶
- Esgic® Plus (containing Acetaminophen, Butalbital, Caffeine, Codeine)
- Geone® (containing Acetaminophen, Butalbital, Caffeine)¶
- Orbivan® (containing Acetaminophen, Butalbital, Caffeine)¶
- Fioricet® with Codeine (containing Acetaminophen, Butalbital, Caffeine, Codeine)
- Phrenilin® with Caffeine and Codeine (containing Acetaminophen, Butalbital, Caffeine, Codeine)
¶ This branded product is no longer on the market. Generic alternatives may be available.
Last Revised – 05/15/2019
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Drugs that reduce memory. Five groups of drugs that affect memory
Memory loss is most commonly reported as a sign of aging, a consequence of substance use, or a symptom of diseases such as Alzheimer’s disease. Many people do not know that episodes of forgetfulness can occur as a side effect of certain medications.
“Scientists now know that memory decline with aging is not at all inevitable,” writes Dr. Armon B. Neel, geriatric pharmacist, “In fact, the brain is capable of growing new nerve cells and rewiring connections between neurons throughout life.
In order to educate patients about the unknown side effects of certain medications, Dr. Neal has compiled a list of medications that can cause forgetfulness.
Is memory loss interfering with your life? The “culprit” may be one of these drugs.
Anti-anxiety drugs (benzodiazepines)
Representatives of : alprazolam (Xanax), chlordiazepoxide (Librium), clonazepam (Klonopin), diazepam (Valium), flurazepam (Dalmane), lorazepam (Ativan).
These medicines are usually prescribed for anxiety, agitation, muscle spasms, delirium. They suppress the activity of certain areas of the brain, due to which they can disrupt the transfer of data from short-term to long-term memory. This is why benzodiazepines are so commonly used by anesthesiologists.
To avoid these side effects, pharmacists recommend taking benzodiazepines in short courses. If you suffer from complications associated with increased anxiety, such as insomnia, then it is better to opt for alternative treatments.
Cholesterol-lowering drugs (statins)
Representatives of : atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), rosuvastatin (Crestor), and simvastatin (Zocor).
Statins lower blood cholesterol, but can also lower cholesterol levels in the brain where it is needed. If this happens, the connections between nerve cells are disrupted.
If you are on a statin for a slight increase in blood cholesterol levels, but you do not have a diagnosis of coronary disease, a vitamin shake is a better choice.
“Talk to your doctor about this. You may be given a combination of sublingual (under the tongue) vitamin B12 (1,000 micrograms per day), folic acid (800 micrograms per day), and vitamin B6 (200 mg per day),” recommends Dr. Neil.
Antidepressants (tricyclic antidepressants)
Representatives of : amitriptyline (Elavil), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil).
These drugs are prescribed for patients suffering from depression, as well as eating disorders, chronic pain, and obsessive-compulsive disorders. More than a third of adults taking these drugs complain of memory impairment and about half of problems with concentration.
To avoid these side effects, it is worth talking to your doctor about the possibility of using non-drug treatments. Venlafaxine (Effexor) is also a good alternative because it has minimal negative effects on memory.
Hypertension medicines (beta-blockers)
Representatives of : atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), propranolol (anaprilin), sotalol (Betapace), timolol (Timoptic) .
Beta-blockers are used to slow the heart rate and lower blood pressure. At the same time, they can block the effects of important substances such as adrenaline and norepinephrine, leading to memory problems.
Calcium channel blockers, which are derivatives of benzothiazepine, are safer in this respect. In addition, they are often more efficient.
Hypnotics (non-benzodiazepine hypnotics and sedatives)
Representatives : eszopiclone (Lunesta), zaleplon (Sonata), and zolpidem (Ambien).
These drugs help you sleep. But just like the aforementioned sedatives, they can interfere with the link between short-term and long-term memory.
“There are alternative drugs and non-drug treatments for insomnia. Talk to your doctor about them. For example, melatonin at night at a dose of 3 to 10 mg helps restore healthy sleep. However, be aware that abrupt withdrawal of sleeping pills can lead to side effects, so any changes in the course of treatment should be carried out by the attending physician, ”says Dr.