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Dolmar (Generic Acetaminophen, Butalbital, and Caffeine)

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Why is this medication prescribed?

Dolmar, which is a combination of acetaminophen, butalbital, and caffeine, is typically prescribed to alleviate tension headaches and migraine headaches. Acetaminophen is a pain reliever and fever reducer, butalbital is a barbiturate that helps to relax muscles, and caffeine helps to enhance the effects of acetaminophen.

How should this medicine be used?

As for how to use Dolmar, it’s essential to follow your healthcare provider’s instructions precisely. Typically, it’s taken orally, with or without food, usually every four hours as needed for pain relief. It’s crucial not to exceed the recommended dosage or frequency of use, as acetaminophen overdose can lead to severe liver damage. Additionally, because butalbital is habit-forming, it’s essential not to exceed the prescribed dose or use it for longer than prescribed to avoid dependence or withdrawal symptoms. If you have any questions about how to use Dolmar or concerns about its usage, it’s best to consult your healthcare provider.

Other uses for this medicine

While Dolmar is primarily prescribed for tension headaches and migraines, it may sometimes be used off-label for other types of headaches or pain conditions, but this should only be done under the guidance of a healthcare professional.

What special precautions should I follow?

Special precautions should be observed when taking Dolmar:

  • Allergies: Inform your healthcare provider if you are allergic to acetaminophen, butalbital, caffeine, or any other medications.
  • Medical Conditions: Notify your doctor about any medical conditions you have, especially liver disease, kidney disease, substance abuse disorder, or if you have a history of mental health issues.
  • Pregnancy and Breastfeeding: If you are pregnant or breastfeeding, discuss the risks and benefits of using Dolmar with your doctor.
  • Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are currently taking to avoid potential interactions.
  • Alcohol: Avoid excessive alcohol consumption while taking Dolmar, as it can increase the risk of liver damage and other adverse effects.
  • Driving and Operating Machinery: Butalbital can cause drowsiness and impair your ability to drive or operate machinery. Avoid these activities until you know how Dolmar affects you.
  • Dependency: Butalbital in Dolmar can be habit-forming if used for prolonged periods or at high doses. Follow your doctor’s instructions carefully to minimize the risk of dependence.
  • Withdrawal: Abruptly stopping Dolmar after long-term use may lead to withdrawal symptoms. Your healthcare provider may need to taper your dosage gradually to prevent withdrawal effects.

Always follow your healthcare provider’s instructions and seek medical advice if you experience any concerning symptoms or side effects while taking Dolmar.

What special dietary instructions should I follow?

Special dietary instructions for Dolmar are generally not required. However, it’s essential to maintain a balanced diet and stay hydrated while taking this medication. If you have any specific dietary concerns or questions, consult your healthcare provider for personalized advice.

What should I do if I forget a dose?

If you forget to take a dose of Dolmar, take it as soon as you remember. However, if it’s almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. If you’re unsure about what to do, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Dolmar, like any medication, can cause side effects. Common side effects may include:

  • Drowsiness
  • Dizziness
  • Lightheadedness
  • Sedation
  • Nausea
  • Vomiting
  • Stomach pain
  • Upset stomach
  • Heartburn
  • Trouble sleeping (insomnia)
  • Tremors
  • Restlessness
  • Nervousness
  • Irritability

These side effects are usually temporary and may subside as your body adjusts to the medication. However, if any of these side effects persist or worsen, notify your healthcare provider.

More severe side effects of Dolmar are rare but can occur. These may include:

  • Allergic reactions (rash, itching, swelling of the face, tongue, or throat, severe dizziness, or trouble breathing)
  • Difficulty urinating
  • Mental/mood changes (such as confusion, hallucinations)
  • Fast/irregular heartbeat
  • Signs of liver problems (such as persistent nausea/vomiting, yellowing eyes/skin, severe stomach/abdominal pain)

If you experience any of these serious side effects, seek medical attention immediately.

Additionally, prolonged use of Dolmar may lead to dependence or withdrawal symptoms, especially if it’s used at high doses or for an extended period. To minimize the risk of dependency, follow your healthcare provider’s instructions carefully and avoid prolonged use of Dolmar without medical supervision.

What should I know about storage and disposal of this medication?

When it comes to the storage and disposal of Dolmar:

  • Storage: Keep Dolmar in its original container, tightly closed, and away from moisture, heat, and light. Store it at room temperature, and avoid storing it in the bathroom or kitchen where humidity can affect its potency. Keep it out of reach of children and pets.
  • Disposal: Dispose of unused or expired Dolmar properly according to local regulations. Do not flush medications down the toilet or pour them down the drain unless instructed to do so. Consult your pharmacist or local waste disposal company for guidance on how to dispose of medications safely.

In case of emergency/overdose

  • Seek Medical Help: If you suspect an overdose or experience severe symptoms such as difficulty breathing, loss of consciousness, severe drowsiness, or seizures, call emergency services immediately or go to the nearest emergency room.
  • Poison Control: You can also contact your local poison control center at 1-800-222-1222 for guidance on what to do in case of overdose. Have the bottle of Dolmar with you when you call.

What other information should I know?

  • Regular Monitoring: Your healthcare provider may recommend regular monitoring of your liver function if you’re taking Dolmar long-term, as acetaminophen can affect liver function, especially at higher doses.
  • Avoiding Other Medications: Inform your healthcare provider about all medications, supplements, and herbal products you are taking to avoid potential interactions with Dolmar.
  • Medical Alert: Wear a medical alert bracelet or carry a medical alert card indicating that you are taking Dolmar, especially if you have a history of severe reactions or if you are taking other medications that may interact with it.
  • Follow-up: Attend follow-up appointments with your healthcare provider as recommended to monitor your response to Dolmar and adjust your treatment plan if necessary.

Always consult your healthcare provider or pharmacist if you have any questions or concerns about taking Dolmar or if you experience any unexpected symptoms or side effects.

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