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You may not be able to take acetaminophen/butalbital/caffeine, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.
This drug combination is in the FDA pregnancy category C. This means that its effects on an unborn baby are not known. Do not take this medication without first talking to your doctor if you are pregnant. This drug combination passes into breast milk and may harm a nursing infant.
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Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
Botox, also known as Botulinum Toxin Type A, is the brand name of a cosmetic treatment that temporarily diminishes facial lines (wrinkles) between the eyebrows and in other areas. It is a sterile, purified form of the Clostridium botulinum, bacteria that contains the toxin that causes food poisoning. According to the American Society for Aesthetic Plastic Surgery, Botox was the leading nonsurgical cosmetic procedure among both men and women in 2006.
Facial lines are the result of muscle movement (e.g., frowning, squinting) over time. When Botox is injected into facial lines, it temporarily reduces the contractions of the underlying muscles, which, in turn, reduces the appearance of wrinkles.
Botox injections are increasingly being administered by non-medical practitioners. However, the U.S. Food and Drug Administration (FDA) recommends that patients interested in receiving Botox consult a qualified physician (often a dermatologist) because results can vary according to practitioner. The physician will compile a complete medical history, including a list of current medications and allergies, to determine if the patient is a good candidate for Botox injections.
Acetaminophen/butalbital/caffeine has not been approved for use in children younger than 12 years of age.
The issue of drugs can be very confusing to young children. If drugs are so dangerous, then why is the family medicine cabinet full of them? And why do TV, movies, music and advertising often make drug and alcohol use look so cool?
We need to help our kids to distinguish fact from fiction. And it's not too soon to begin. National studies show that the average age when a child first tries alcohol is 11; for marijuana, it's 12. And many kids start becoming curious about these substances even sooner. So let's get started!
Listen carefully
Student surveys reveal that when parents listen to their children's feelings and concerns, their kids feel comfortable talking with them and are more likely to stay drug-free.
Role play how to say "no"
It is important that patients fully comprehend the capabilities and limitations of Botox so they do not have unrealistic expectations going into the procedure. Although Botox can temporarily relax facial lines, it cannot actually erase them.
Before Botox injections are administered, the patient is placed in a slightly raised position on an examination table. The injection sites are cleansed with a nonalcoholic solution, and a topical anesthetic or cold pack may be applied to the skin. The physician then injects the Botox directly into the muscles that cause the facial lines in a predetermined pattern. If a site appears to bleed after injection, pressure may be applied to the affected area.
Botox injection typically causes minimal discomfort, and the entire procedure takes approximately 10 minutes. Results of Botox are typically apparent within three to 10 days of the procedure. Although some individuals with deeper facial lines may require two or three Botox sessions in close proximity, many patients achieve satisfying results in a single session that may last as long as 120 days, according to the FDA.
Botox is also used to treat certain medical conditions, including several muscle disorders (e.g., uncontrolled blinking, lazy eye), cerebral palsy and hyperhidrosis (excessive sweating). Very few risks are associated with Botox injections administered by a qualified physician.
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Role play ways in which your child can refuse to go along with his friends without becoming a social outcast. Try something like this, "Let's play a game. Suppose you and your friends are at Andy's house after school and they find some beer in the refrigerator and ask you to join them in drinking it. The rule in our family is that children are not allowed to drink alcohol. So what could you say?"
How should I take acetaminophen/butalbital/caffeine?
Take acetaminophen/butalbital/caffeine 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. Take acetaminophen/butalbital/caffeine with food or milk if it upsets your stomach.
Never take more acetaminophen/butalbital/caffeine than is prescribed for you. If your pain is not being adequately treated, talk to your doctor.
Store acetaminophen/butalbital/caffeine at room temperature away from moisture and heat.
What happens if I miss a dose?
If your child comes up with a good response, praise him. If he doesn't, offer a few suggestions like, "No, thanks. Let's play with Sony PlayStation instead," or "No thanks. I don't drink beer. I need to keep in shape for basketball."
Encourage choice
Allow your child plenty of opportunity to become a confident decision-maker. An 8-year-old is capable of deciding if she wants to invite lots of friends to her birthday party or just a close pal or two. A 12-year-old can choose whether she wants to go out for chorus or join the school band. As your child becomes more skilled at making all kinds of good choices, both you and she will feel more secure in her ability to make the right decision concerning alcohol and drugs if and when the time arrives.
Provide age-appropriate information
Make sure the information that you offer fits the child's age and stage. When your 6 or 7-year-old is brushing his teeth, you can say, "There are lots of things we do to keep our bodies healthy, like brushing our teeth. But there are also things we shouldn't do because they hurt our bodies, like smoking or taking medicines when we are not sick."
If you are watching TV with your 8 year-old and marijuana is mentioned on a program, you can say, "Do you know what marijuana is? It's a bad drug that can hurt your body." If your child has more questions, answer them. If not, let it go. Short, simple comments said and repeated often enough will get the message across.
Take the missed dose as soon as you remember. Do not take a double dose of this medication. Wait the prescribed amount of time before taking your next dose.
What happens if I overdose?
Seek emergency medical attention.
Symptoms of an acetaminophen/butalbital/caffeine overdose include insomnia, restlessness, tremor, nausea, vomiting, diarrhea, abdominal pain, sweating, seizures, drowsiness, decreased breathing, dizziness or fainting, confusion, an irregular heartbeat, and coma.
You can offer your older child the same message, but add more drug-specific information. For example, you might explain to your 12-year-old what marijuana and crack look like, their street names and how they can affect his body.
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It's okay to say, "We don't allow any drug use and children in this family are not allowed to drink alcohol. The only time that you can take any drugs is when the doctor or Mom or Dad gives you medicine when you're sick. We made this rule because we love you very much and we know that drugs can hurt your body and make you very sick; some may even kill you. Do you have any questions?"
Be a good example
Children will do what you do much more readily than what you say. So try not to reach for a beer the minute you come home after a tough day; it sends the message that drinking is the best way to unwind. Offer dinner guests non-alcoholic drinks in addition to wine and spirits. And take care not to pop pills, even over-the-counter remedies, indiscriminately. Your behavior needs to reflect your beliefs.
Discuss what makes a good friend
What should I avoid while taking acetaminophen/butalbital/caffeine?
Use caution when driving, operating machinery, or performing other hazardous activities. Butalbital will cause drowsiness or dizziness. If you experience drowsiness or dizziness, avoid these activities.There are lots of reasons. Maybe they don't know how dangerous they are. Or maybe they feel bad about themselves or don't know how to handle their problems. Or maybe they don't have parents they can talk to. Why do you think they do it?
Why are some drugs good and some drugs bad for you?

When you get sick, the drugs the doctor gives you will help you get better. But if you take these drugs when you're healthy, they can make you sick. Also, there are some drugs, like marijuana or crack, that are never good for you. To be safe, never ever take any drugs unless Mom, Dad or the doctor says it's okay.
Since peer pressure is so important when it comes to kids' involvement with drugs and alcohol, it makes good sense to talk with your children about what makes a good friend. To an 8-year-old you might say, "A good friend is someone who enjoys the same games and activities that you do and who is fun to be around." 11 to 12-year-olds can understand that a friend is someone who shares their values and experiences, respects their decisions and listens to their feelings. Once you've gotten these concepts across, your children will understand that "friends" who pressure them to drink or smoke pot aren't friends at all. Additionally, encouraging skills like sharing and cooperation -- and strong involvement in fun, healthful activities (such as team sports or scouting) -- will help your children make and maintain good friendships as they mature and increase the chance that they'll remain drug-free.
Build self-esteem
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Kids who feel good about themselves are much less likely than other kids to turn to illegal substances to get high.

As parents, we can do many things to enhance our children's self-image. Here are some pointers:

Avoid sleeping pills, antihistamines, sedatives, and tranquilizers except under the supervision of your doctor. These may also make you drowsy.
Avoid alcohol. Alcohol taken during therapy with acetaminophen and butalbital can be very damaging to your liver and can increase drowsiness and dizziness.

Check the acetaminophen content of other over-the-counter and prescription products while taking this medication. You should not exceed 4 grams (4000 mg) of acetaminophen per day.
* Offer lots of praise for any job well done.
* If you need to criticize your child, talk about the action, not the person. If your son gets a math problem wrong, it's better to say, "I think you added wrong. Let's try again."
* Assign do-able chores. A 6-year-old can bring her plate over to the sink after dinner; a 12-year-old can feed and walk the dog after school. Performing such duties and being praised for them helps your child feel good about himself.
* Spend one-on-one time with your youngster. Setting aside at least 15 uninterrupted minutes per child per day to talk, play a game, or take a walk together, lets her know you care.
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Repeat the message. Information and lessons about drugs are important enough to repeat frequently. So be sure to answer your children's questions as often as they ask them to initiate conversation whenever the opportunity arises.
If you suspect a problem, seek help
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While kids under age 12 rarely develop a substance problem, it can -- and does -- happen. If your child becomes withdrawn, loses weight, starts doing poorly in school, turns extremely moody, has glassy eyes -- or if the drugs in your medicine cabinet seem to be disappearing too quickly -- talk with your child and reach out to any one of the organizations listed here. You'll be helping your youngster to a healthier, happier future.
Questions & Answers
Why do people take bad or illegal drugs?
Avoid taking too much caffeine. Check the caffeine content of other over-the-counter and prescription products as well as beverages (coffee, tea, and colas) while taking this medication

Acetaminophen/butalbital/caffeine side effects

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