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Important Information
Use caution when driving, operating machinery, or performing other
hazardous activities. Aspirin / carisoprodol / codeine may cause
dizziness or drowsiness. If you experience dizziness or drowsiness,
avoid these activities. • Use alcohol cautiously. Alcohol may increase
drowsiness and dizziness while you are taking aspirin / carisoprodol /
codeine. Also, in combination with aspirin, alcohol can be very damaging
to your stomach. • Watch for bloody, black, or tarry stools or blood in
your vomit. This could mean damage to your stomach. • Never take more of
this medication than is prescribed for you. If your pain is not being
adequately treated, talk to your doctor.
What It Is
• Aspirin is in a class of drugs called salicylates. Aspirin works by
reducing substances in the body that cause pain and inflammation. It is
used to reduce pain, inflammation, and fever. • Carisoprodol is a muscle
relaxant. It works by blocking nerve impulses (or pain sensations) that
are sent to your brain. • Codeine is a pain reliever. Codeine is in a
class of drugs called narcotic analgesics and it works by changing the
way your body feels pain. • Aspirin / carisoprodol / codeine is used,
along with rest and physical therapy, to treat injuries and other
painful muscular conditions. • Aspirin / carisoprodol / may also be used
for purposes other than those listed in this medication guide.
How To Use This Medication
• Take aspirin / carisoprodol / codeine exactly as directed by your
doctor. If you do not understand these directions, ask your pharmacist,
nurse, or doctor to explain them to you. • Take each dose with a full
glass of water. • The maximum amount of aspirin / carisoprodol / codeine
you should take in one day is 1600 mg of carisoprodol, 2600 mg of
aspirin, and 128 mg of codeine (eight tablets). • Store aspirin /
carisoprodol / codeine at room temperature away from moisture and heat.
Cautions
Do not take aspirin / carisoprodol / codeine if you have acute
intermittent porphyria. • Codeine is habit forming and should only be
used under close supervision if you have an alcohol or drug addiction. •
Before taking this medication, tell your doctor if you have · kidney
disease, · liver disease, · an ulcer in your stomach or intestines, · a
bleeding or blood-clotting disorder, · urinary retention, · an enlarged
prostate, · hypothyroidism, · a head injury, or · Addison's disease. •
You may not be able to take aspirin / carisoprodol / codeine, or you may
require a lower dose or special monitoring during treatment if you have
any of the conditions listed above. • It is not known whether aspirin
and aspirin / carisoprodol / codeine will harm an unborn baby. Do not
take aspirin and aspirin / carisoprodol / codeine without first talking
to your doctor if you are pregnant. • It is also not known whether
aspirin and aspirin / carisoprodol / codeine passes into breast milk. Do
not take aspirin and aspirin / carisoprodol / codeine without first
talking to your doctor if you are breast-feeding a baby. • Aspirin /
carisoprodol / codeine is not approved for use in children younger than
12 years of age.
Side Effects
If you experience any of the following serious side effects, stop taking
aspirin / carisoprodol / codeine and seek emergency medical attention: ·
an allergic reaction (difficulty breathing; closing of your throat;
swelling of your lips, tongue, or face; or hives); · paralysis (loss of
feeling) or extreme weakness; · vision loss; · agitation or tremor; ·
red, black, or bloody stools; or · blood in your vomit. • Other, less
serious side effects may be more likely to occur. Continue to take
aspirin / carisoprodol / codeine and talk to your doctor if you
experience · drowsiness or dizziness; · headache; · depression; ·
blurred vision or small pupils; · insomnia; · hiccups; · faint ringing
in the ears; or · nausea, vomiting, or constipation. • Side effects
other than those listed here may also occur. Talk to your doctor about
any side effect that seems unusual or that is especially bothersome.
Drug Interactions
Many drugs can increase the effects of aspirin / carisoprodol / codeine
and lead to heavy sedation. Before taking this medication, tell your
doctor if you are taking any of the following medicines: ·
antihistamines such as brompheniramine (Dimetane, Bromfed, others),
chlorpheniramine (Chlor-Trimeton, Teldrin, others), azatadine (Optimine),
clemastine (Tavist), and many others; · narcotics (pain killers) such as
meperidine (Demerol), morphine (MS Contin, MSIR, others), propoxyphene (Darvon,
Darvocet), hydrocodone (Lorcet, Vicodin), oxycodone (Percocet, Percodan),
fentanyl (Duragesic), and codeine (Fiorinal, Fioricet, Tylenol #3,
others); · sedatives such as phenobarbital (Solfoton, Luminal),
amobarbital (Amytal), and secobarbital (Seconal); · phenothiazines such
as chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine (Serentil),
perphenazine (Trilafon), prochlorperazine (Compazine), thioridazine (Mellaril),
and trifluoperazine (Stelazine); or · antidepressants such as doxepin (Sinequan),
imipramine (Tofranil), nortriptyline (Pamelor), fluoxetine (Prozac),
paroxetine (Paxil), sertraline (Zoloft), phenelzine (Nardil), and
tranylcypromine (Parnate). • Aspirin will decrease the effects of some
drugs. Tell your doctor and pharmacist that you are taking aspirin /
carisoprodol / codeine if any of the following drugs have been
prescribed for you: · probenecid (Benebid) and sulfinpyrazone (Anturane);
· angiotensin-converting-enzyme (ACE) inhibitors used to treat high
blood pressure and other heart conditions such as benazepril (Lotensin),
captopril (Capoten), and enalapril (Vasotec); · other commonly used ACE
inhibitors, including fosinopril (Monopril), lisinopril (Prinivil,
Zestril), moexipril (Univasc), quinapril (Accupril), and ramipril (Altace);
and · beta-blockers used to treat high blood pressure and other heart
conditions such as acebutolol (Sectral), metoprolol (Lopressor),
propranolol (Inderal), atenolol (Tenormin), and carteolol (Cartrol). •
Other over-the-counter and prescription drugs may increase the effects
of aspirin and cause dangerous side effects: · oral anticoagulants such
as warfarin (Coumadin); · nonsteroidal anti-inflammatory drugs (NSAIDs)
such as ibuprofen (Motrin, Rufen, others), ketoprofen (Orudis, Oruvail),
and naproxen (Anaprox, Naprosyn, Aleve) · other commonly used NSAIDs,
including diclofenac (Voltaren, Cataflam), etodolac (Lodine), fenoprofen
(Nalfon), flurbiprofen (Ansaid), indomethacin (Indocin), ketorolac (Toradol),
nabumetone (Relafen), oxaprozin (Daypro), piroxicam (Feldene), sulindac
(Clinoril), and tolmetin (Tolectin); · other salicylates (forms of
aspirin) such as salsalate (Disalcid), choline salicylate, and magnesium
salicylate; · bismuth subsalicylate in drugs such as Pepto-Bismol; and ·
calcium supplements and antacids. • Other drugs that should not be
combined with aspirin and carisoprodol include · steroids such as
prednisone (Deltasone), · oral antidiabetic drugs such as glipizide (Glucotrol)
and glyburide (Micronase, Diabeta), · alcohol, · lithium (Lithobid,
Eskalith, others), and · cyclosporine (Sandimmune). • Drugs other than
those listed here may also interact with aspirin / carisoprodol /
codeine. Talk to your doctor and pharmacist before taking any
prescription or over-the-counter medicines.
Missed Dosage
Take the missed dose as soon as you remember. However, if it is almost
time for your next dose, skip the missed dose and take only your next
regularly scheduled dose. Do not take a double dose of this medication.
Keep your doses at least 4 hours apart from one another.
If You Take Too Much
Seek emergency medical attention. • Symptoms of an aspirin /
carisoprodol / codeine overdose include headache; ringing in the ears;
dim vision, small pupils; nausea; vomiting; diarrhea; sweating;
increased thirst; low blood pressure (weakness, fainting, confusion);
decreased breathing; and unconsciousness.
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