ASCOMP WITH CODEINE (CODEINE PHOS/BUTALBITAL/ASPIRIN/CAFFEINE)
- Tension-type headache
- Fiorinal-codeine #3 Capsule
- Codeine-butalbital-asa-caffeine Capsule
- Butalbital Compound With Codeine Capsule
- Butalbital Compound W/codeine Capsule
- Ascomp With Codeine Capsule
- By Indication
30 mg-50 mg-325 mg-40 mg capsule
- 1 capsule by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
Fiorinal-Codeine #3 30 mg-50 mg-325 mg-40 mg capsule
- 1 capsule by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
eine 30 mg-50 mg-325 mg-40 mg capsule
- 1 capsule by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
Butalbital Compound with Codeine 30 mg-50 mg-325 mg-40 mg capsule
- 1 capsule by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
Butalbital Compound with Codeine 30 mg-50 mg-325 mg-40 mg capsule
- 1 capsule by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
30 mg-50 mg-325 mg-40 mg capsule
- 1 capsule by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
Tension-type headache
- 1 capsule by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
- 2 capsules by oral route every 4 hours as needed not to exceed 6Capsules per 24Hrs
- 1 - 2 capsules by oral route every 4 hours as needed not to exceed 6 capsules per 24Hrs
- Depade
- dipyridamole
- ketorolac
- Mifeprex
- mifepristone
- naltrexone
- naltrexone microspheres
- Revia
- sodium oxybate
- Sprix
- Vivitrol
- Xyrem
Contraindicated
- Acid Reducer (cimetidine)
- Acid Relief (cimetidine)
- Adenocard
- Adenoscan
- adenosine
- adenosine (diagnostic)
- Afinitor
- Afinitor Disperz
- Agrylin
- Alimta
- Altavera (28)
- Alyacen 1/35 (28)
- Alyacen 7/7/7 (28)
- Amethia
- Amethia Lo
- Amethyst
- anagrelide
- apixaban
- Apri
- Aranelle (28)
- Astagraf Xl
- Aubra
- Aviane
- Azurette (28)
- Balziva (28)
- Beyaz
- Brevicon (28)
- Briellyn
- Brilinta
- Camila
- Camrese
- Camrese Lo
- Caziant (28)
- Chateal
- cimetidine
- Coumadin
- Cryselle (28)
- Cyclafem 1/35 (28)
- Cyclafem 7/7/7 (28)
- Cyclessa (28)
- cyclosporine
- cyclosporine modified
- Dasetta 1/35 (28)
- Dasetta 7/7/7 (28)
- Daysee
- desog-e.estradiol/e.estradiol
- Desogen
- desogestrel-ethinyl estradiol
- drospirenone-e.estradiol-lm.FA
- drospirenone-ethinyl estradiol
- Elinest
- Eliquis
- Emoquette
- Enpresse
- Enskyce
- Errin
- Estarylla
- estradiol valerate-dienogest
- Estrostep Fe-28
- ethynodiol diac-eth estradiol
- etonogestrel
- etonogestrel-ethinyl estradiol
- everolimus
- Falmina (28)
- Femcon Fe
- flu vac,qval 2013-14 (2-49yrs)
- Flumist 2013-2014
- Generess Fe
- Gengraf
- Gianvi (28)
- Gildagia
- Gildess
- Gildess Fe
- Heartburn Relief
- Heather
- Hecoria
- Introvale
- Jantoven
- Jencycla
- Jolessa
- Jolivette
- Junel 1.5/30 (21)
- Junel 1/20 (21)
- Junel Fe 1.5/30 (28)
- Junel Fe 1/20 (28)
- Kariva (28)
- Kelnor 1/35 (28)
- Kurvelo
- L norgest&E estradiol-E estrad
- Larin 1/20 (21)
- Larin Fe
- Leena 28
- Lessina
- Levonest (28)
- levonorg-eth estrad triphasic
- levonorgestrel
- levonorgestrel-ethinyl estrad
- Levora 0.15/30 (28)
- Levora-28
- Lexiscan
- Lo Loestrin Fe
- Loestrin 1.5/30 (21)
- Loestrin 1/20 (21)
- Loestrin Fe 1.5/30 (28)
- Loestrin Fe 1/20 (28)
- Lomedia 24 Fe
- Loryna (28)
- Loseasonique
- Low-ogestrel (28)
- Lutera (28)
- Lyza
- Marlissa
- Methotrexate (anti-rheumatic)
- methotrexate sodium
- methotrexate sodium (PF)
- Microgestin 1.5/30 (21)
- Microgestin 1/20 (21)
- Microgestin Fe 1.5/30 (28)
- Microgestin Fe 1/20 (28)
- Minastrin 24 Fe
- Mircette (28)
- Mirena
- Modicon (28)
- Mono-linyah
- Mononessa (28)
- My Way
- Myzilra
- Natazia
- Necon 0.5/35 (28)
- Necon 1/35 (28)
- Necon 1/50 (28)
- Necon 10/11 (28)
- Necon 7/7/7 (28)
- Neoral
- Nexplanon
- Next Choice One Dose
- Nor-qd
- Nora-be
- norelgestrom-ethinyl estradiol
- noreth-ethinyl estradiol-iron
- norethin-e.estradiol triphasic
- norethin-eth estrad biphasic
- norethindrone (contraceptive)
- norethindrone ac-eth estradiol
- norethindrone-e.estradiol-iron
- norethindrone-ethin estradiol
- norethindrone-mestranol
- norgestimate-ethinyl estradiol
- norgestrel-ethinyl estradiol
- Norinyl 1+35 (28)
- Norinyl 1+50 (28)
- Nortrel 0.5/35 (28)
- Nortrel 1/35 (21)
- Nortrel 1/35 (28)
- Nortrel 7/7/7 (28)
- Nuvaring
- Ocella
- Ogestrel (28)
- Orsythia
- Ortho Evra
- Ortho Micronor
- Ortho Tri-cyclen (28)
- Ortho Tri-cyclen Lo (28)
- Ortho-cept (28)
- Ortho-cyclen (28)
- Ortho-novum 1/35 (28)
- Ortho-novum 7/7/7 (28)
- Ovcon-35 (28)
- pemetrexed
- Philith
- Pimtrea (28)
- Pirmella
- Plan B One-step
- Portia
- Previfem
- Prograf
- Quartette
- Quasense
- quetiapine
- Rapamune
- Reclipsen (28)
- regadenoson
- Rheumatrex
- rivaroxaban
- Safyral
- Samsca
- Sandimmune
- Seasonique
- Seroquel Xr
- sirolimus
- Skyla
- Sprintec (28)
- Sronyx
- Syeda
- tacrolimus
- Tagamet Hb
- temsirolimus
- ticagrelor
- Tilia Fe
- tolvaptan
- Torisel
- Trexall
- Tri-estarylla
- Tri-legest Fe
- Tri-linyah
- Tri-norinyl (28)
- Tri-previfem (28)
- Tri-sprintec (28)
- Trinessa (28)
- Trivora (28)
- varicella virus vacc live (PF)
- Varivax (pf)
- Velivet Triphasic Regimen (28)
- Vestura (28)
- Viorele (28)
- Vyfemla (28)
- warfarin
- Wera (28)
- Wymzya Fe
- Xarelto
- Yasmin (28)
- Yaz 28
- Zarah
- Zenchent (28)
- Zenchent Fe
- Zeosa
- Zortress
- Zovia 1/35E (28)
- Zovia 1/50E (28)
Severe
Moderate
- A-hydrocort
- A-methapred
- Abilify
- Abilify Discmelt
- Abilify Maintena
- Accupril
- Accuretic
- acebutolol
- Aceon
- acetazolamide
- acetazolamide sodium
- Activella
- Adasuve
- Adoxa
- Alora
- Altace
- Amaryl
- aminophylline
- amlodipine-benazepril
- Angeliq
- Anucort-hc
- Anusol-hc
- Aplenzin
- aripiprazole
- Aristospan Intra-articular
- Aristospan Intralesional
- Arixtra
- Avidoxy
- benazepril
- benazepril-hydrochlorothiazide
- betamethasone acet & sod phos
- betaxolol
- Brintellix
- Brisdelle
- budesonide
- Buprenex
- buprenorphine
- buprenorphine-naloxone
- Buproban
- bupropion HBr
- bupropion HCl
- butorphanol tartrate
- Butrans
- captopril
- captopril-hydrochlorothiazide
- Celestone Soluspan
- Celexa
- Cenestin
- chlorpromazine
- citalopram
- Climara
- Climara Pro
- colchicine-probenecid
- Colocort
- Combipatch
- Compazine
- Compro
- conj estrogens-bazedoxifene
- conjugated estrogens
- Cortef
- Cortenema
- Cortifoam
- cortisone
- Covaryx
- Covaryx H.s.
- Cymbalta
- dalteparin (porcine)
- Delestrogen
- Depacon
- Depakene
- Depakote
- Depakote Er
- Depakote Sprinkles
- Depo-estradiol
- Depo-medrol
- desvenlafaxine
- desvenlafaxine fumarate
- desvenlafaxine succinate
- dexamethasone
- Dexamethasone Intensol
- dexamethasone sodium phos (PF)
- dexamethasone sodium phosphate
- Dexpak 10 Day
- Dexpak 13 Day
- Dexpak 6 Day
- dextromethorphan-quinidine
- Diabeta
- Diamox Sequels
- divalproex
- Divigel
- Doryx
- Doxy-100
- doxycycline calcium
- doxycycline hyclate
- doxycycline monohydrate
- drospirenone-estradiol
- Duavee
- Duetact
- duloxetine
- Dutoprol
- Eemt
- Eemt Hs
- Effexor Xr
- Elestrin
- Elixophyllin
- Elmiron
- enalapril maleate
- enalapril-hydrochlorothiazide
- enalaprilat
- Enjuvia
- enoxaparin
- Entocort Ec
- Epaned
- escitalopram oxalate
- esterified estrogens
- Estrace
- estradiol
- estradiol acetate
- estradiol cypionate
- Estradiol Transdermal Patch
- estradiol valerate
- estradiol-levonorgestrel
- estradiol-norethindrone acet
- estradiol-norgestimate
- Estrasorb
- Estring
- Estrogel
- estrogens-methyltestosterone
- estropipate
- Evamist
- Ez Use Joint-tunnel-trigger
- Fanatrex
- felodipine
- Femhrt Low Dose
- Femring
- Fetzima
- First-duke's
- First-mary's Mouthwash
- Flagyl
- Flagyl Er
- Flo-pred
- fludrocortisone
- fluoxetine
- fluphenazine decanoate
- fluphenazine HCl
- fluvoxamine
- fondaparinux
- Forfivo Xl
- fosinopril
- fosinopril-hydrochlorothiazide
- Fragmin
- gabapentin
- gabapentin enacarbil
- glimepiride
- glipizide
- glipizide-metformin
- Glucotrol
- Glucotrol Xl
- Glucovance
- glyburide
- glyburide micronized
- glyburide-metformin
- Glynase
- Gralise
- Gralise 30-day Starter Pack
- Grx Hicort 25
- Haldol
- Haldol Decanoate
- haloperidol
- haloperidol decanoate
- haloperidol lactate
- Hemril-30
- heparin (porcine)
- heparin (porcine) in D5W
- heparin(porcine) in 0.45% NaCl
- heparin, porcine (PF)
- Horizant
- hydrocortisone
- hydrocortisone acetate
- hydrocortisone sod succ (PF)
- hydrocortisone sod succinate
- Inderal La
- Inderal Xl
- Innopran Xl
- Jinteli
- Kenalog
- Khedezla
- lepirudin
- levomilnacipran
- Lexapro
- lisinopril
- lisinopril-hydrochlorothiazide
- lithium carbonate
- lithium citrate
- Lithobid
- Lopressor
- Lopressor Hct
- Lotensin
- Lotrel
- Lovenox
- loxapine
- loxapine succinate
- Loxitane
- Luvox Cr
- Mavik
- Medrol
- Medrol (pak)
- Menest
- Menostar
- methazolamide
- methylprednisolone
- methylprednisolone acetate
- methylprednisolone sod suc(PF)
- methylprednisolone sodium succ
- methylprednisolone-bupivacaine
- metoprolol su-hydrochlorothiaz
- metoprolol succinate
- metoprolol ta-hydrochlorothiaz
- metoprolol tartrate
- Metro I.v.
- Metrogel Vaginal
- metronidazole
- metronidazole in NaCl (iso-os)
- Millipred
- Millipred Dp
- milnacipran
- Mimvey
- Minivelle
- moexipril
- moexipril-hydrochlorothiazide
- Monodox
- Morgidox
- nalbuphine
- nateglinide
- Neptazane
- Neurontin
- Nuedexta
- nystatin-hydrocortisone-diphen
- nystatin-TCN-HC-diphenhydramin
- Ogen 2.5
- olanzapine-fluoxetine
- Oracea
- Orapred
- Orapred Odt
- paroxetine HCl
- paroxetine mesylate
- Paxil
- Paxil Cr
- Pediapred
- pentosan polysulfate sodium
- perindopril erbumine
- perphenazine
- perphenazine-amitriptyline
- Pexeva
- Phenadoz
- Phenergan
- Physicians Ez Use M-pred
- pioglitazone-glimepiride
- prednisolone
- prednisolone acetate
- prednisolone sodium phosphate
- prednisone
- Prednisone Intensol
- Prefest
- Premarin
- Prinivil
- Pristiq
- probenecid
- prochlorperazine
- prochlorperazine Edisylate
- prochlorperazine maleate
- Proctocort
- promethazine
- Promethazine Vc
- Promethazine Vc-codeine
- promethazine-codeine
- promethazine-DM
- promethazine-phenyleph-codeine
- promethazine-phenylephrine
- Promethegan
- propranolol
- propranolol-hydrochlorothiazid
- Prozac
- Prozac Weekly
- quinapril
- quinapril-hydrochlorothiazide
- quinidine gluconate
- quinidine sulfate
- ramipril
- Rayos
- Rectacort-hc
- Refludan
- Risperdal
- Risperdal Consta
- Risperdal M-tab
- risperidone
- risperidone microspheres
- Sarafem
- Savella
- Sectral
- Seroquel
- sertraline
- Solu-cortef
- Solu-cortef (pf)
- Solu-medrol
- Solu-medrol (pf)
- Starlix
- Stavzor
- Suboxone
- Symbyax
- synthetic conj estrogens A
- synthetic conj estrogens B
- Tarka
- Theo-24
- Theochron
- theophylline
- theophylline in dextrose 5 %
- thioridazine
- ticlopidine
- tolazamide
- tolbutamide
- Toprol Xl
- trandolapril
- trandolapril-verapamil
- triamcinolone acetonide
- triamcinolone hexacetonide
- triamcinolone-lidocaine
- trifluoperazine
- Uceris
- Uniretic
- Univasc
- Vagifem
- valproate sodium
- valproic acid
- valproic acid (as sodium salt)
- Vandazole
- Vaseretic
- Vasotec
- venlafaxine
- Veripred 20
- Vibramycin
- Viibryd
- vilazodone
- Vivelle-dot
- vortioxetine
- Wellbutrin
- Wellbutrin Sr
- Wellbutrin Xl
- Zestoretic
- Zestril
- Zoloft
- Zubsolv
- Zyban
- 30 day risk period post-myocardial infarction
- Acute asthma attack
- Adenoidectomy in pediatric patient
- Alcoholism
- Aspirin exacerbated respiratory disease
- Gastrointestinal hemorrhage
- Hemolytic anemia from PK and g6PD deficiencies
- Hemophilia
- Lactating mother
- Peptic ulcer
- Porphyria
- Pregnancy
- Respiratory depression
- Reye's syndrome
- Sleep apnea
- Tonsillectomy in pediatric patient
- Von willebrand's disease
Contraindicated
- Acute asthma attack
- Acute pancreatitis
- Acute respiratory insufficiency
- Alcoholism
- Asthma
- Chronic obstructive pulmonary disease
- CYp2d6 poor metabolizer
- CYp2d6 ultrarapid metabolizer
- Depression
- Drug abuse
- Erosive gastritis
- Gastrointestinal obstruction
- Gastrointestinal ulcer
- Gout
- Hepatic coma
- Hepatic encephalopathy
- History of opioid overdose
- Hyperammonemia
- Hypoprothrombinemia
- Intracranial hypertension
- Kidney disease with likely reduction in GFR
- Necrotizing enterocolitis
- Obstructive sleep apnea syndrome
- Peptic ulcer
- Shock
- Suicidal ideation
- Systemic mastocytosis
- Thrombocytopenic disorder
- Thrombotic thrombocytopenic purpura
Severe
Moderate
- Adrenal cortical insufficiency
- Alcohol intoxication
- Anemia
- Biliary tract disorder
- Cardiac arrhythmia
- Complex sleep behavior
- Constipation
- Cor pulmonale
- Debilitation
- Disease of liver
- Hyperkinesis
- Hypertension
- Hypotension
- Insomnia
- Kidney disease with reduction in GFR
- Nasal polyp
- Neutropenic disorder
- Renal disease with moderate to severe impairment
- Seizure disorder
- Severe hepatic disease
- Thrombocytopenic disorder
- Untreated hypothyroidism
- Urinary retention
- Vitamin K deficiency
ASCOMP WITH CODEINE (CODEINE PHOS/BUTALBITAL/ASPIRIN/CAFFEINE)
- Tension-type headache
- None
- Abdominal pain with cramps
- Constipation
- Dizziness
- Drowsy
- Gastric acid hypersecretory conditions
- Gastrointestinal irritation
- Heartburn
- Insomnia
- Nausea
- Nervousness
- Sedation
- Vomiting
More Frequent
Severe
Less Severe
- Acute confusion
- Atelectasis
- CNS depression
- Dyspnea
- Excitement
- Lethargy
- Orthostatic hypotension
- Respiratory depression
- Acute confusion
- Anorexia
- Constipation
- Depression
- Dizziness
- Dysphoric mood
- Excitement
- General weakness
- Headache disorder
- Hyperhidrosis
- Hypotension
- Insomnia
- Irritability
- Nausea
- Nervousness
- Nightmares
- Oliguria
- Palpitations
- Pruritus of skin
- Skin rash
- Symptoms of anxiety
- Syncope
- Urticaria
- Vertigo
- Visual changes
- Vomiting
- Xerostomia
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Accidental fall
- Acute respiratory insufficiency
- Adrenal cortical insufficiency
- Agranulocytosis
- Allergic dermatitis
- Altered consciousness
- Anaphylaxis
- Androgen deficiency
- Anemia
- Angioedema
- Apnea
- Blistering skin
- Bradycardia
- Bronchospastic pulmonary disease
- Cardiac arrest
- Circulatory depression
- Drug-induced hepatitis
- Dyspnea
- Exfoliative dermatitis
- Extrasystoles
- Gastrointestinal hemorrhage
- Gastrointestinal perforation
- Gastrointestinal ulcer
- Hallucinations
- Hemolytic anemia
- Hemorrhage
- Hypersensitivity drug reaction
- Hypotension
- Hypoventilation
- Ileus
- Interstitial nephritis
- Intracranial bleeding
- Leukopenia
- Megaloblastic anemia
- Memory impairment
- Opioid dependence
- Osteopenia
- Pancreatitis
- Platelet aggregation inhibition
- Psychiatric disorder
- Purpura
- Rectal bleeding
- Rickets
- Seizure disorder
- Shock
- Skin rash
- Sleep apnea
- Stevens-johnson syndrome
- Throat constriction
- Thrombocytopenic disorder
- Urticaria
- Wheezing
Less Severe
- Abnormal hepatic function tests
- Agitation
- Anorexia
- Ataxia
- Biliary spasm
- Black tarry stools
- CNS depression
- Complex sleep behavior
- Diarrhea
- Disturbance in thinking
- Drowsy
- Drug dependence
- Dyspepsia
- Epistaxis
- Erectile dysfunction
- Erythema
- Euphoria
- Fatigue
- Flushing
- Gastritis
- Gastrointestinal irritation
- Gingival bleeding
- Hematoma
- Hyperesthesia
- Hyperglycemia
- Hyperkinesis
- Infertility
- Insomnia
- Irritability
- Libido changes
- Nausea
- Nephrotoxicity
- Pruritus of skin
- Scotomata
- Skin rash
- Symptoms of anxiety
- Tachycardia
- Tinnitus
- Tremor
- Vertigo
- Vomiting
Contraindicated
Codeine (analgesic)
Increased risk of CNS and respiratory depression. Contraindicated age < 12 years. Respiratory depression and death reported in CYP2D6 ultra-rapid metabolizers post tonsillectomy or adenoidectomy. Risk increases with obesity, asthma, obstructive sleep apnea or other underlying lung or breathing problem. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
- 1 Day – 12 Years
- 1 Increased risk of CNS and respiratory depression. Contraindicated age < 12 years. Respiratory depression and death reported in CYP2D6 ultra-rapid metabolizers post tonsillectomy or adenoidectomy. Risk increases with obesity, asthma, obstructive sleep apnea or other underlying lung or breathing problem. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
Severe Precaution
Aspirin
Reye syndrome risk with viral illness, fever, and/or flu symptoms.
Safety and effectiveness not established age < 12 years.
Risk of life-threatening respiratory depression, death. Contraindicated post-tonsillectomy and post-adenoidectomy. Avoid in patients with obesity, obstructive sleep apnea, asthma or other underlying breathing problems. Avoid in CYP2D6 ultra-rapid metabolizers. Analgesic use not recommended without prior CYP2D6 testing. Not recommended for cough because benefit does not outweigh risk. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
- 1 Day – 16 Years
- Reye syndrome risk with viral illness, fever, and/or flu symptoms.
- 1 Day – 12 Years
- Reye syndrome risk with viral illness, fever, and/or flu symptoms.
- 12 Years – 18 Years
- Reye syndrome risk with viral illness, fever, and/or flu symptoms.
Butalbital
Reye syndrome risk with viral illness, fever, and/or flu symptoms.
Safety and effectiveness not established age < 12 years.
Risk of life-threatening respiratory depression, death. Contraindicated post-tonsillectomy and post-adenoidectomy. Avoid in patients with obesity, obstructive sleep apnea, asthma or other underlying breathing problems. Avoid in CYP2D6 ultra-rapid metabolizers. Analgesic use not recommended without prior CYP2D6 testing. Not recommended for cough because benefit does not outweigh risk. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
- 1 Day – 16 Years
- Safety and effectiveness not established age < 12 years.
- 1 Day – 12 Years
- Safety and effectiveness not established age < 12 years.
- 12 Years – 18 Years
- Safety and effectiveness not established age < 12 years.
Codeine (analgesic)
Reye syndrome risk with viral illness, fever, and/or flu symptoms.
Safety and effectiveness not established age < 12 years.
Risk of life-threatening respiratory depression, death. Contraindicated post-tonsillectomy and post-adenoidectomy. Avoid in patients with obesity, obstructive sleep apnea, asthma or other underlying breathing problems. Avoid in CYP2D6 ultra-rapid metabolizers. Analgesic use not recommended without prior CYP2D6 testing. Not recommended for cough because benefit does not outweigh risk. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
- 1 Day – 16 Years
- Risk of life-threatening respiratory depression, death. Contraindicated post-tonsillectomy and post-adenoidectomy. Avoid in patients with obesity, obstructive sleep apnea, asthma or other underlying breathing problems. Avoid in CYP2D6 ultra-rapid metabolizers. Analgesic use not recommended without prior CYP2D6 testing. Not recommended for cough because benefit does not outweigh risk. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
- 1 Day – 12 Years
- Risk of life-threatening respiratory depression, death. Contraindicated post-tonsillectomy and post-adenoidectomy. Avoid in patients with obesity, obstructive sleep apnea, asthma or other underlying breathing problems. Avoid in CYP2D6 ultra-rapid metabolizers. Analgesic use not recommended without prior CYP2D6 testing. Not recommended for cough because benefit does not outweigh risk. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
- 12 Years – 18 Years
- Risk of life-threatening respiratory depression, death. Contraindicated post-tonsillectomy and post-adenoidectomy. Avoid in patients with obesity, obstructive sleep apnea, asthma or other underlying breathing problems. Avoid in CYP2D6 ultra-rapid metabolizers. Analgesic use not recommended without prior CYP2D6 testing. Not recommended for cough because benefit does not outweigh risk. With any opioid, access to naloxone for emergency reversal can mitigate risk from accidental ingestion/overdose.
Management or Monitoring Precaution
Caffeine
Caution in infants with seizure disorder, cardiovascular disease, renal impairment, or hepatic impairment.
Adverse CNS effects (e.g. insomnia, restlessness, nervousness, and mild delirium) may be more severe in children.
- 1 Day – 364 Days
- Caution in infants with seizure disorder, cardiovascular disease, renal impairment, or hepatic impairment.
- Adverse CNS effects (e.g. insomnia, restlessness, nervousness, and mild delirium) may be more severe in children.
- 1 Years – 13 Years
- Caution in infants with seizure disorder, cardiovascular disease, renal impairment, or hepatic impairment.
- Adverse CNS effects (e.g. insomnia, restlessness, nervousness, and mild delirium) may be more severe in children.
Aspirin (>150Mg)
- Severity Level:
1
- Additional Notes: No fda category; not recommended especially in 3rd trimester or near term
Butalbital
- Severity Level:
C
- Additional Notes: Case report of neonatal withdrawal seizures with butalbital combo product
Caffeine
- Severity Level:
C
- Additional Notes: Reports of miscarriage,poor fetal growth possibly assoc w/high doses of caffeine
Codeine
- Severity Level:
C
- Additional Notes: Neonatal withdrawal/resp.depress. w/chronic or high dose; small teratogenic risk
Contraindicated
Aspirin (>150Mg)
One report of metabolic acidosis; risk of reye's synd in viral illness.
Cns/respiratory depression,apnea possible;Caution w/ fast cyp2D6 metabolizer
General | Excretion Potential | Effect on Infant | Notes |
Drug should not be given to breast feeding mothers | Excreted | Drug shown to have adverse effect | One report of metabolic acidosis; risk of reye's synd in viral illness. |
Codeine
One report of metabolic acidosis; risk of reye's synd in viral illness.
Cns/respiratory depression,apnea possible;Caution w/ fast cyp2D6 metabolizer
General | Excretion Potential | Effect on Infant | Notes |
Drug should not be given to breast feeding mothers | Excreted | Drug shown to have adverse effect | Cns/respiratory depression,apnea possible;Caution w/ fast cyp2D6 metabolizer |
Precaution Exists
Butalbital
Possibility of central nervous system depression in nursing infant.
High doses may cause hyperactivity and wakefulness in infant.
General | Excretion Potential | Effect on Infant | Notes |
Evaluate use carefully | Excreted | Drug shown to have adverse effect | Possibility of central nervous system depression in nursing infant. |
Caffeine
Possibility of central nervous system depression in nursing infant.
High doses may cause hyperactivity and wakefulness in infant.
General | Excretion Potential | Effect on Infant | Notes |
Evaluate use carefully | Excreted | Drug shown to have adverse effect | High doses may cause hyperactivity and wakefulness in infant. |
No Known Risk
None
General | Excretion Potential | Effect on Infant | Notes |
None |
Contraindicated
None
Precaution Exists
Butalbital
General-Not recommended in the elderly due to sedation which may predispose to falls. May exacerbate depression. Renal-Renal excretion may increase adverse events with renal impairment. Monitor renal function.
General-Consider adding naloxone Rx. Pulmonary-Life threatening respiratory depression risk with high doses, cachexia, or debilitation due to altered pharmacokinetics (poor fat stores, muscle wasting, or altered clearance). Monitor closely at initiation and dose titration. Neuro/Psych-Risk for increased confusion and delirium. May increase fall risk. Avoid treatment with 3 or more CNS active drugs. Gastrointestinal-Constipation risk. Urogenital-Urinary retention risk.
Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
Increased Risk / Adverse Effects | Y | Y | N | Y | N | N |
BEERS: Y HEDIS: Y STOPP: Y
Codeine
General-Not recommended in the elderly due to sedation which may predispose to falls. May exacerbate depression. Renal-Renal excretion may increase adverse events with renal impairment. Monitor renal function.
General-Consider adding naloxone Rx. Pulmonary-Life threatening respiratory depression risk with high doses, cachexia, or debilitation due to altered pharmacokinetics (poor fat stores, muscle wasting, or altered clearance). Monitor closely at initiation and dose titration. Neuro/Psych-Risk for increased confusion and delirium. May increase fall risk. Avoid treatment with 3 or more CNS active drugs. Gastrointestinal-Constipation risk. Urogenital-Urinary retention risk.
Organ / System | HEP | REN | CARD | ENDO | NEURO / PSYCH | PULM |
Increased Risk / Adverse Effects | N | Y | Y | Y | Y | N |
BEERS: Y HEDIS: N STOPP: Y
No Known Risk
None
- Codeine has a risk for abuse and addiction, which can lead to overdose and death. Codeine may also cause severe, possibly fatal, breathing problems. To lower your risk, your doctor should have you take the smallest dose of codeine that works, and take it for the shortest possible time.<br /><br />See also How to Use section for more information about addiction. The risk for severe breathing problems is higher when you start this medication and after a dose increase, or if you take the wrong dose/strength. Taking this medication with alcohol or other drugs that can cause drowsiness or breathing problems may cause very serious side effects, including death.<br /><br />Also, other medications can affect the removal of codeine from your body, which may affect how codeine works. Be sure you know how to take this medication and what other drugs you should avoid taking with it. See also Drug Interactions section.<br /><br />Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, unusual lightheadedness, severe drowsiness/dizziness, difficulty waking up. Keep this medicine in a safe place to prevent theft, misuse, or abuse. If someone accidentally swallows this medication, get medical help right away.<br /><br /> Children younger than 12 years should not use products that contain codeine. Children between 12 and 18 years old should not use codeine after certain surgeries (including tonsil/adenoid removal). Also, codeine use is not recommended for children between 12 and 18 years old who are obese or have breathing problems.<br /><br />Some children are more sensitive to codeine and have had very serious (rarely fatal) breathing problems such as slow/shallow breathing (see also Side Effects section). Talk with your doctor or pharmacist about the risks and benefits of this medication.
Tension-type headache | |
G44.2 | Tension-type headache |
G44.20 | Tension-type headache, unspecified |
G44.201 | Tension-type headache, unspecified, intractable |
G44.209 | Tension-type headache, unspecified, not intractable |
G44.21 | Episodic tension-type headache |
G44.211 | Episodic tension-type headache, intractable |
G44.219 | Episodic tension-type headache, not intractable |
G44.22 | Chronic tension-type headache |
G44.221 | Chronic tension-type headache, intractable |
G44.229 | Chronic tension-type headache, not intractable |
0-9 | A-Z |
---|---|
G44.2 | Tension-type headache |
G44.20 | Tension-type headache, unspecified |
G44.201 | Tension-type headache, unspecified, intractable |
G44.209 | Tension-type headache, unspecified, not intractable |
G44.21 | Episodic tension-type headache |
G44.211 | Episodic tension-type headache, intractable |
G44.219 | Episodic tension-type headache, not intractable |
G44.22 | Chronic tension-type headache |
G44.221 | Chronic tension-type headache, intractable |
G44.229 | Chronic tension-type headache, not intractable |