PrescriptionGiant is a FREE prescription savings program that can save you up to 75% on your prescriptions with or without insurance!

Quala Cet (Generic Acetaminophen, Butalbital, and Caffeine)

Actual product appearance may differ slightly.

Click the CARD below to print or take a screenshot on your mobile phone or tablet. There is no need to download another app!

If you would like to personalize your card enter your full name in the member name field below the card at this link and click the Update button.

Why is this medication prescribed?

Acetaminophen, Butalbital, and Caffeine is a combination medication commonly prescribed for the treatment of tension headaches and migraines. Acetaminophen is a pain reliever and fever reducer. Butalbital is a barbiturate that helps relax muscle contractions associated with tension headaches. Caffeine is included to enhance the effectiveness of the other ingredients and help alleviate headache symptoms.

How should this medicine be used?

It’s important to follow your doctor’s or pharmacist’s instructions regarding the use of Acetaminophen, Butalbital, and Caffeine, as dosage and frequency may vary depending on individual circumstances. However, here are some general guidelines:

  • Take the medication orally, usually with a full glass of water.
  • It can be taken with or without food, but if it causes stomach upset, taking it with food may help.
  • Do not exceed the recommended dosage or take it more frequently than prescribed.
  • If you miss a dose, take it as soon as you remember, but do not double up on doses.

Other uses for this medicine

Acetaminophen, Butalbital, and Caffeine is primarily prescribed for the treatment of tension headaches and migraines. However, it’s important to note that healthcare providers may sometimes prescribe medications for off-label uses, meaning for conditions or symptoms not specifically approved by regulatory authorities. If you have been prescribed this medication, it is likely for the intended purpose of treating headaches, but your healthcare provider is the best person to clarify its specific use in your case.

What special precautions should I follow?

Regarding special precautions, here are some important considerations:

  • Allergies: Inform your healthcare provider if you are allergic to any of the ingredients in Acetaminophen, Butalbital, and Caffeine or if you have experienced allergic reactions to similar medications in the past. An allergic reaction can manifest as rash, itching, swelling, severe dizziness, or difficulty breathing.
  • Medical Conditions: Before taking this medication, discuss your medical history with your healthcare provider, especially if you have or have had:
    • Liver disease
    • Kidney disease
    • Alcoholism or substance abuse
    • Porphyria (a genetic enzyme disorder)
    • Respiratory disorders
    • Mood disorders or depression
    • History of dependence or addiction to drugs or alcohol
  • Pregnancy and Breastfeeding: Acetaminophen, Butalbital, and Caffeine may not be suitable for use during pregnancy, particularly in the third trimester, as it could harm the unborn baby. It may also pass into breast milk and could have adverse effects on a nursing infant. Consult your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding before using this medication.
  • Interactions with Other Medications: Inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins. Certain medications, such as sedatives, tranquilizers, antidepressants, and medications that affect liver enzymes, may interact with Acetaminophen, Butalbital, and Caffeine, potentially leading to adverse effects or reduced effectiveness.
  • Dependence and Addiction: Butalbital, one of the ingredients in this combination medication, belongs to the barbiturate class of drugs and has the potential for dependence and addiction. Therefore, it is essential to use this medication exactly as prescribed and for the prescribed duration. Do not increase the dose or use it more frequently than instructed by your healthcare provider.

What special dietary instructions should I follow?

Acetaminophen, Butalbital, and Caffeine do not typically have specific dietary restrictions. However, it’s generally recommended to take the medication with a full glass of water to ensure proper absorption and minimize the risk of stomach upset. If you find that taking it with food helps prevent stomach discomfort, you can take it with a meal or a light snack.

What should I do if I forget a dose?

If you forget a dose of Acetaminophen, Butalbital, and Caffeine, take it as soon as you remember. However, if it is close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one, as this can increase the risk of side effects. If you have any concerns or questions about missed doses, it’s always best to consult your healthcare provider or pharmacist for guidance. They can provide specific instructions based on your situation.

What side effects can this medication cause?

Acetaminophen, Butalbital, and Caffeine may cause certain side effects, although not everyone experiences them. Here are some potential side effects associated with this medication:

  • Common side effects:
    • Drowsiness
    • Dizziness
    • Lightheadedness
    • Sedation
    • Upset stomach or nausea
    • Vomiting
    • Stomach pain
    • Dry mouth
  • Less common side effects:
    • Feeling anxious or restless
    • Confusion
    • Excitability
    • Tremors
    • Trouble sleeping (insomnia)
    • Increased urination
    • Rash or itching
  • Serious side effects (rare but possible):
    • Allergic reactions: Symptoms may include hives, itching, swelling (face, tongue, throat), severe dizziness, or difficulty breathing. Seek immediate medical attention if you experience any signs of an allergic reaction.
    • Liver problems: Acetaminophen, one of the ingredients in this medication, can rarely cause liver damage. Seek medical help if you notice symptoms such as yellowing of the skin or eyes (jaundice), dark urine, or persistent abdominal pain.
    • Blood disorders: Rarely, this medication may cause blood disorders such as agranulocytosis (severe decrease in certain types of white blood cells) or thrombocytopenia (low platelet count). Contact your healthcare provider if you experience unusual bleeding, easy bruising, or signs of infection (e.g., fever, sore throat).

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

Here’s some information regarding the storage, disposal, emergency/overdose procedures, and additional important details about Acetaminophen, Butalbital, and Caffeine:


  • Store the medication at room temperature, away from moisture and heat.
  • Keep it out of reach of children and pets to prevent accidental ingestion.


  • Dispose of unused or expired medication properly to prevent misuse. Follow local guidelines or consult your pharmacist for specific instructions on medication disposal.
  • Do not flush the medication down the toilet unless instructed to do so, as it may contaminate water sources. Instead, consider medication take-back programs or use drug deactivation pouches or kits if available.

In case of emergency/overdose

  • In case of an emergency or suspected overdose, call your local emergency services immediately or go to the nearest emergency room.
  • If possible, provide the medical professionals with details about the medication ingested, dosage, and the time it was taken.

What other information should I know?

  • Keep track of your medication usage to ensure you do not exceed the recommended dosage or frequency.
  • Avoid consuming alcohol while taking Acetaminophen, Butalbital, and Caffeine, as it can intensify the sedative effects and increase the risk of side effects.
  • Inform your healthcare provider about all the medications, supplements, or herbal products you are taking to prevent potential interactions.
  • If you have any questions or concerns about the medication, its usage, or any associated side effects, consult your healthcare provider or pharmacist for clarification.

Remember, the information provided here is general, and it’s important to follow the specific instructions provided by your healthcare provider or pharmacist for your individual situation. They can provide personalized guidance based on your medical history and needs.

Copyright © 2023