Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 04-11-2013, 08:32 PM #1
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Question Anybody Know About Butalbital?

I was prescribed Butalbital/Acetaminophen/Caff Tabs for my Headaches.I tried it once and landed insomnia I believe but not for sure.Any feedback is appreciated greatly.
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What Happened: In 2011 I was in a MVA
.


Symptoms: Physical: I am always cold in any season!!I cannot tolerate anything pressure on my head(sun glasses,hats)longer then a hour,Lock jaw/Displaced TMJ, Dropsey, Hands go numb, Arms go numb, back of head numb (when asleep),Muscle spasms in face & upper body,migraines, concentration headaches, dizziness, nausea, neck and back trauma (from accident), tinnitus, extreme light sensitivity, noise sensitivity, EXTREME fatigue, impaired vestibular system, balance off, Pupils NEVER equal, disrupted sleep cycles,speech problems.

Cognitive: Cognitive Behavior, Brain fog, impulsivity, speech problems, word finding problems, slowed processing speeds, impaired visual memory, impaired complex attention

Emotional: Unable to handle stress or overstimulation without getting extremely irritable or angry, easily overstimulated, MAJOR depression, major anxiety, Panic attacks

Treatment so far: Treatment for PCS,PTSD,Depression & panic,Vestibular therapy, Physical therapy, Vitamin Schedule,Walking,No Dairy, No eggs, No caffeine, No artificial coloring, Sleep with 2 pillows, Very little sugars consumed, Eat healthy,No alcohol, Medications, limit stress and overstimulation.

~*~Learn to treasure yourself and your Divinity. Be willing to accept yourself completely. Be yourself, be graceful, be kind, be wild, be weird ... be true to yourself~*~
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Old 04-11-2013, 08:44 PM #2
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Butalbital is a barbiturate. It is also know as fioricet. It is combined with caffeine, Tylenol and sometimes codeine. It helps for tension headaches. Helps to relax the muscles. Should make you pretty drowsy. Barbiturate's are total downers and are stronger then benzo's. Be careful to take this medication only as prescribed. Many people commit suicide by taking barbiturates as they can stop you from breathing in excess doses. Should help for your headaches. I know you get a lot of tension in your neck and face.
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Had MVA in 2006 resulting in post concussive syndrome manifested by cognitive impairment, chronic pain/ fatigue. Chronic pain of head, neck, back, left leg.
Other problems include REM sleep behavior disorder, nocturnal frontal lobe epilepsy, chronic migraines associated with nausea/vertigo, episodes of passing out, hypoglycemia, liver dysfunction (had accidental overdose of acetaminophen in 2009) had liver and kidney failure, hernia, degenerative disc disease with compression of nerve root, PTSD, and other problems associated with functioning problems from traumatic brain injury (light, sound sensitive, easily overloaded, easily distracted, cannot focus, anxiety problems etc.)
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Old 04-11-2013, 09:28 PM #3
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Shocked Basically What I want to know lol

Thanks Brain~Is it another medicine that needs tapering when discontinuing use?
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What Happened: In 2011 I was in a MVA
.


Symptoms: Physical: I am always cold in any season!!I cannot tolerate anything pressure on my head(sun glasses,hats)longer then a hour,Lock jaw/Displaced TMJ, Dropsey, Hands go numb, Arms go numb, back of head numb (when asleep),Muscle spasms in face & upper body,migraines, concentration headaches, dizziness, nausea, neck and back trauma (from accident), tinnitus, extreme light sensitivity, noise sensitivity, EXTREME fatigue, impaired vestibular system, balance off, Pupils NEVER equal, disrupted sleep cycles,speech problems.

Cognitive: Cognitive Behavior, Brain fog, impulsivity, speech problems, word finding problems, slowed processing speeds, impaired visual memory, impaired complex attention

Emotional: Unable to handle stress or overstimulation without getting extremely irritable or angry, easily overstimulated, MAJOR depression, major anxiety, Panic attacks

Treatment so far: Treatment for PCS,PTSD,Depression & panic,Vestibular therapy, Physical therapy, Vitamin Schedule,Walking,No Dairy, No eggs, No caffeine, No artificial coloring, Sleep with 2 pillows, Very little sugars consumed, Eat healthy,No alcohol, Medications, limit stress and overstimulation.

~*~Learn to treasure yourself and your Divinity. Be willing to accept yourself completely. Be yourself, be graceful, be kind, be wild, be weird ... be true to yourself~*~
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Old 04-11-2013, 09:50 PM #4
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The combination you describe is brand named Fiorinal, another is Fioricet; a generic is Prenalin, and there are others.

It is used to break the Acute Tension, and / or Migrainous Headaches, only to be used 4 and sometimes per some Neurology schedules 5 times max daily pills; and only for those times when you have an Acute Headache.

It should not be used other than on those times when you have an Acute Headache, not regular daily schedule usage.

Barbituates are not meant to be used daily, in a fashion like Prozac, Pristiq, etc.

If they are used daily, a tolerance builds and they become useless and more and more dosings become needed, and addiction is a hazard. Then withdrawal problems will arise.
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Current: Changes of more insomnia, new reviews with findings of more Depression, tremors, vertigo, tinnitus, loss of focus, fatigue; SSDI - accepted on Depression, Cognitive Deficits; Seizures ruled out, mTBI changes including cognitive slowing/lapses.
Medication update: Topamax 200mg twice daily it seems to minimize daily headaches to a 1-2/10 quality(I still know they are there); and acute headaches erupt without warnings.
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Old 04-13-2013, 10:38 AM #5
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Hi. Not that you need anymore information about Butalbital, but I used it a lot for menstrual migraines for years. Yes, it's the caffeine that will interfere with your sleep. The caffeine is good for the headache because it expedites it into your bloodstream and also provides vaso-constriction to lessen the pain.
The barbiturate (sp) effect works great for relaxing spasms in your head (that's my personal experience). Extra information: I've taken two tabs when I had serious headache and have repeated dose at 3 hours. I wouldn't push it beyond that though. My neurologist actually suggested that. You can also take Tylenol with Fiornal (nor Fiorcet!!) because they are different medications. Of course nobody would ever, ever suggest alchohol with this type of med but I allowed myself one drink while on it and even though I felt a little more drowsy I was not in danger-just in case you are out for dinner or something. I think it can be an addictive drug so be judicious when using it. But as I said I got relief from it like no other med so don't deny yourself the right to feel pain free.
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Old 04-13-2013, 10:58 AM #6
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One other thing that I think is important, is that barbiturates, will act on the metabolizing enzymes in the liver and affect the metabolism of other drugs you might be taking.

This is one reason they are not used much anymore. They used to be very very common.

Here is a drugchecker:
http://www.drugs.com/drug-interactions/butalbital.html

more:
http://en.wikipedia.org/wiki/Butalbital

The tertiary headache speciality clinics where I am have a limit
of dosing for these products containing acetaminophen and caffeine (Fioricet and Esgic), for 2 days a week only. Otherwise patients may develop MOH... Medication Overuse Headaches.

So just be prudent with this drug.
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Old 04-13-2013, 06:57 PM #7
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I never had a problem with rebound from Butalbital and I used it a lot. I did feel like I could've gotten addicted but once the drug cleared my system after a few days I forgot about it. There is so much caution about rebound from Butalibital it scares people into not using it. I had migraines so bad that I finally just ignored all the warnings and took what I needed to keep going. Now I don't get them anymore and I am fine!
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Old 04-14-2013, 12:14 PM #8
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Thanks for the responses. I only take this medication on a REALLY REALLY BAD day of headaches.I am trying to stay at a very min manor.I try to just stick with my antidepressant in the morning and my benzo at night. I have very strong control mind when it comes to taking medication now. I am really scared to be honest with medications now. I am scared because they all have so many warnings and I just choose to stay away from this medicine unless absolute needed.
__________________
What Happened: In 2011 I was in a MVA
.


Symptoms: Physical: I am always cold in any season!!I cannot tolerate anything pressure on my head(sun glasses,hats)longer then a hour,Lock jaw/Displaced TMJ, Dropsey, Hands go numb, Arms go numb, back of head numb (when asleep),Muscle spasms in face & upper body,migraines, concentration headaches, dizziness, nausea, neck and back trauma (from accident), tinnitus, extreme light sensitivity, noise sensitivity, EXTREME fatigue, impaired vestibular system, balance off, Pupils NEVER equal, disrupted sleep cycles,speech problems.

Cognitive: Cognitive Behavior, Brain fog, impulsivity, speech problems, word finding problems, slowed processing speeds, impaired visual memory, impaired complex attention

Emotional: Unable to handle stress or overstimulation without getting extremely irritable or angry, easily overstimulated, MAJOR depression, major anxiety, Panic attacks

Treatment so far: Treatment for PCS,PTSD,Depression & panic,Vestibular therapy, Physical therapy, Vitamin Schedule,Walking,No Dairy, No eggs, No caffeine, No artificial coloring, Sleep with 2 pillows, Very little sugars consumed, Eat healthy,No alcohol, Medications, limit stress and overstimulation.

~*~Learn to treasure yourself and your Divinity. Be willing to accept yourself completely. Be yourself, be graceful, be kind, be wild, be weird ... be true to yourself~*~
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