IMPORTANT: This is intended to supplement, not replace, the judgment of your doctor or pharmacist. It should not be assumed that the drug is appropriate or effective for you. Consult your doctor before using this drug. BUTALBITAL/ACETAMINOPHEN/CAFFEINE - ORAL (byou-TAL-bih-tall/uh-seet-uh-MEE-no-fen/kaff-EEN) BRAND NAME(S): Esgic, Fioricet USES: This medication is a pain reliever and sedative. It is used to relieve mild to moderate pain and tension headaches. HOW TO USE: Take this medication with food or milk. Take as prescribed. Do not increase your dose without approval. SIDE EFFECTS: May cause dizziness, drowsiness and sleeping disturbances as your body adjusts to the medication. If symptoms persist, inform your doctor. PRECAUTIONS: Tell your doctor if you have a history of liver disease, substance dependence, mental conditions, heart disease, or intestinal ulcers. Acetaminophen may cause liver damage.