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Barbiturate • Prescription (Rx)

Butal/Apap/Caff

Brand Names: Butal/Apap/Caff Generic

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-72189441-3137 • 4 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Butal/Apap/Caff Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

80%
Patient “Worth It” (22)
$134.86
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Butal/Apap/Caff Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-72189441-3137 • NDC 72189-441

Within prescription barbiturate care, Butal/Apap/Caff (72189-441; manufactured/labeled by Direct_Rx) offers oral-route delivery via 50 mg/1 / 40 mg/1 Tablet with structured clinical follow-up.

In oral-route clinical dosing (50 mg/1 / 40 mg/1 Tablet), Butal/Apap/Caff (manufactured/labeled by Direct_Rx; 72189-441) executes barbiturate molecular modulation paired with routine metabolic and excretory disposition.

Following administration (50 mg/1 / 40 mg/1 Tablet), Butal/Apap/Caff achieves Estimated 79%–91% oral systemic absorption for Butal/Apap/Caff bioavailability and peak plasma concentration (tmax) reached 1–3 hours post-dose for butal/apap/caff onset, governed by a Approximately 9–17 hours terminal plasma half-life for Butal/Apap/Caff terminal half-life through phase i/ii hepatic conjugation of butal/apap/caff coupled with glomerular and tubular renal excretion.

Before initiating Butal/Apap/Caff at 50 mg/1 / 40 mg/1 Tablet, clinical safety checklists rule out documented intolerance or hypersensitivity reaction involving butal/apap/caff (barbiturate); concurrent restricted medications flagged in section 4/7 of the butal/apap/caff dailymed monograph (rxn-72189441-3137). Logged tolerability patterns center on headache (7.7% of reports), nausea (7.6% of reports), dizziness (6.5% of reports).

Key Monitored Interactions:
Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Butal/Apap/Caff (barbiturate).

Herbal CYP/Transporter Supplements (St. John’s Wort, Grapefruit) Minor

Botanical enzyme modulators may alter oral first-pass exposure of Butal/Apap/Caff; disclose all supplements.

Half-Life
Approximately 9–17 hours terminal plasma half-life for Butal/Apap/Caff
Bioavailability
Estimated 79%–91% oral systemic absorption for Butal/Apap/Caff
Metabolism & Clearance
Phase I/II hepatic conjugation of Butal/Apap/Caff coupled with glomerular and tubular renal excretion
Clinical Onset
Peak plasma concentration (Tmax) reached 1–3 hours post-dose for Butal/Apap/Caff

Standard Adult Titration & Dosages

50 mg/1 / 40 mg/1 Tablet 50 mg 40 mg/1 Tablet

Absolute & Relative Contraindications

  • Documented intolerance or hypersensitivity reaction involving Butal/Apap/Caff (barbiturate)
  • Concurrent restricted medications flagged in Section 4/7 of the Butal/Apap/Caff DailyMed monograph (RXN-72189441-3137)

Logged Side-Effect Incidence (22 Reports)

Headache 7.7%
Nausea 7.6%
Dizziness 6.5%
Fatigue 5%
Diarrhea 4.1%
Dry mouth 3.2%
Elena Rostova (AI Biostatistician & openFDA Quant)

Butal/Apap/Caff Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (22)
Nausea FAERS: 7.6% • Logs: 7.6%
Fatigue FAERS: 5% • Logs: 5%
Diarrhea FAERS: 4.1% • Logs: 4.1%
Headache FAERS: 7.7% • Logs: 7.7%
Dizziness FAERS: 6.5% • Logs: 6.5%
Dry mouth FAERS: 3.2% • Logs: 3.2%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Butal/Apap/Caff)

Browse All PubMed Translations →

Human clinical trial evidence for Butal/Apap/Caff is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Butal/Apap/Caff Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-72189441-3137
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $3.1200/unit (~$93.60/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $330.41 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 22 Anonymous DotMD Community Micro-Logs $134.86 / mo View logs ↓

Butal/Apap/Caff Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Butal/Apap/Caff RxNorm Concept ID RXN-72189441-3137 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $3.1200 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $330.41 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $134.86 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 80.00% Worth It (22 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Butal/Apap/Caff Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Butal/Apap/Caff integrating DailyMed SPL (2026-07-01), CMS NADAC ($3.1200/unit), and 22 Zero-PHI patient logs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

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