HA- Nonopioid analgesic/barbiturate DI

Question 1

Nonopioid analgesic/barbituates used in migraine treatment

Answer 1

Butalbital/APAP/caffeine
Butalbital/ASA/caffeine

Question 2

Butalbital/APAP/caffeine brand name

Answer 2

Fiorcet

Question 3

Butalbital/ASA/caffeine brand name

Answer 3

Fiornal

Question 4

Fiorcet and Fiornal indication

Answer 4

Tension HAs, but also used in migraine

Question 5

Dosing for Fiorcet

Answer 5

1 tablet or capsule contains:
50mg butalbital
300–325mg APAP
40mg caffeine

Question 6

Dosing for Fiornal

Answer 6

Same as Fiorcet, but with 325mg of ASA instead

Question 7

Side effects of Fiorcet and Fiornal

Answer 7

CNS depression, stomach upset

Question 8

What should you counsel patients on if they get a script for Fiorinal or Fioricet?

Answer 8

MEDICATION OVERUSE HA

Question 9

BBW for Fiorcet

Answer 9

HEPATOTOXICITY (due to APAP)

Question 10

Which of the following is a control: Fiorcet or Fiorinal?

Answer 10

Fiorinal- it’s a CIII!

Question 11

When you add codeine to Fiorcet or Fiornal, what control is it?

Answer 11

CIII

Question 12

When to use nonopioid analgesics/barbiturates in migraine treatment

Answer 12

RESERVE AS A LAST-RESORT/LAST-LINE OPTION