Generic Name: BUTALBITAL/ACETAMINOPHEN - ORAL
Pronounced: (bue-TAL-bi-tal/a-SEET-a-MIN-oh-fen)

Marten-Tab Oral Precautions

See also Warning section.

Before taking this medication, tell your doctor or pharmacist if you are allergic to acetaminophen or butalbital; or to other barbiturates (e.g., phenobarbital); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have:

• severe breathing problems (e.g., bronchopneumonia)
• a certain enzyme disorder (porphyria)

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

• liver disease
• kidney disease
• personal or family history of regular use/abuse of drugs/alcohol
• mental/mood disorders
• abdominal/intestinal problems

This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.

Before having surgery, tell your doctor or dentist that you are using this medication.

Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug.

During pregnancy, this medication should be used only when clearly needed. Using it for long periods or in high doses near the expected delivery date is not recommended because of possible harm to the unborn baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have used this medication for an extended time may have withdrawal symptoms such as irritability, abnormal/persistent crying, vomiting, seizures, or diarrhea. Tell your doctor immediately if you notice any of these symptoms in your newborn.

This drug passes into breast milk and could have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

Marten-Tab Oral Side Effects

See also Warning section.

Nausea, vomiting, abdominal pain, lightheadedness, dizziness, or drowsiness may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

To lower your risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

• shortness of breath
• mental/mood changes
• fainting
• seizure
• fast heartbeat

Tell your doctor immediately if any of these rare but very serious side effects occur:

• signs of infection (e.g., fever, persistent sore throat)
• easy bruising/bleeding

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

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