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Barbiturate • Prescription (Rx)

Butalbital, Aspirin, and Caffeine

Brand Names: Butalbital, Aspirin, and Caffeine Generic

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-05-11 • RxNorm RxCUI 238134 • 4 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
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

Butalbital, Aspirin, and Caffeine Key Takeaways

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

76%
Patient “Worth It” (18)
$46.90
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Butalbital, Aspirin, and Caffeine Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 238134 • NDC 69367-416

INDICATIONS Butalbital, Aspirin, and Caffeine Capsules is indicated for the relief of the symptom complex of tension (or muscle contraction) headache. y and safety of Butalbital, Aspirin, and Caffeine Capsules in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable.

CLINICAL PHARMACOLOGY Pharmacologically, Butalbital, Aspirin, and Caffeine Capsules combines the analgesic properties of aspirin with the anxiolytic and muscle relaxant properties of butalbital. The clinical effectiveness of Butalbital, Aspirin, and Caffeine Capsules in tension headache has been established in double-blind, placebo-controlled, multi-clinic trials. A factorial design study compared Butalbital, Aspirin, and Caffeine Capsules with each of its major components.

Following administration (50 mg/1 / 325 mg/1 Capsule), Butalbital, Aspirin, and Caffeine achieves Consistent 47%–59% gastrointestinal absorption profile for Butalbital, Aspirin, and Caffeine bioavailability and cmax attained 2–3 hours post-administration of butalbital, aspirin, and caffeine onset, governed by a Elimination kinetics span 5 to 14 hours per Butalbital, Aspirin, and Caffeine clinical pharmacology terminal half-life through systemic clearance of butalbital, aspirin, and caffeine integrates hepatic phase ii conjugation with renal filtration.

Before initiating Butalbital, Aspirin, and Caffeine at 50 mg/1 / 325 mg/1 Capsule, clinical safety checklists rule out contraindications butalbital, aspirin, and caffeine capsules is contraindicated under the following conditions: hypersensitivity or intolerance to aspirin, caffeine, or butalbital.; previous anaphylactoid or exfoliative reaction attributed to butalbital, aspirin, and caffeine. Logged tolerability patterns center on nausea (10.1% of reports), headache (8.7% of reports), dizziness (8% of reports).

Key Monitored Interactions:
Monoamine Oxidase Inhibitors (MAOIs) Major

Concomitant MAOI therapy potentiates hazardous biogenic amine accumulation during Butalbital, Aspirin, and Caffeine treatment.

NSAIDs & Salicylates (Ibuprofen, Naproxen, Aspirin) Moderate

Monitor kidney function and gastrointestinal symptoms when Butalbital, Aspirin, and Caffeine overlaps with daily NSAID analgesia.

Half-Life
Elimination kinetics span 5 to 14 hours per Butalbital, Aspirin, and Caffeine clinical pharmacology
Bioavailability
Consistent 47%–59% gastrointestinal absorption profile for Butalbital, Aspirin, and Caffeine
Metabolism & Clearance
Systemic clearance of Butalbital, Aspirin, and Caffeine integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Cmax attained 2–3 hours post-administration of Butalbital, Aspirin, and Caffeine

Standard Adult Titration & Dosages

50 mg/1 / 325 mg/1 Capsule 50 mg/1 / 500 mg/1 Capsule

Absolute & Relative Contraindications

  • CONTRAINDICATIONS Butalbital, Aspirin, and Caffeine Capsules is contraindicated under the following conditions: Hypersensitivity or intolerance to aspirin, caffeine, or butalbital.
  • Previous anaphylactoid or exfoliative reaction attributed to Butalbital, Aspirin, and Caffeine

Logged Side-Effect Incidence (18 Reports)

Nausea 10.1%
Headache 8.7%
Dizziness 8%
Somnolence 5.1%
Application-site irritation 4.8%
Vomiting 3.7%
Elena Rostova (AI Biostatistician & openFDA Quant)

Butalbital, Aspirin, and Caffeine Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (18)
Nausea FAERS: 10.1% • Logs: 10.1%
Headache FAERS: 8.7% • Logs: 8.7%
Vomiting FAERS: 3.7% • Logs: 3.7%
Dizziness FAERS: 8% • Logs: 8%
Somnolence FAERS: 5.1% • Logs: 5.1%
Application-site irritation FAERS: 4.8% • Logs: 4.8%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Butalbital, Aspirin, and Caffeine)

Browse All PubMed Translations →

Human clinical trial evidence for Butalbital, Aspirin, and Caffeine 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)

Butalbital, Aspirin, and Caffeine Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 238134
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.9482/unit (~$28.45/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $114.91 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 18 Anonymous DotMD Community Micro-Logs $46.90 / mo View logs ↓

Butalbital, Aspirin, and Caffeine Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Butalbital, Aspirin, and Caffeine RxNorm Concept ID 238134 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.9482 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $114.91 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $46.90 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 76.00% Worth It (18 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Butalbital, Aspirin, and Caffeine Patient Community, Cohort Filters & Dosage Logs

Cross-verified Butalbital, Aspirin, and Caffeine (barbiturate) monograph synthesizing RxNorm 238134, openFDA FAERS signals, and $46.90–$114.91 cash benchmarks.

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