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Fixed-dose combination

Acetaminophen and Butalbital

Also known as acetaminophen, butalbital
Available on requestControlled substance
Presentations
6
Brands
2
Manufacturers
2
Available from stock
0

Acetaminophen and Butalbital is a fixed-dose combination medicine indicated for the relief of the symptom complex of tension (or muscle contraction) headache. It is available as tablets and capsules for oral use. MedsAcross supplies Acetaminophen and Butalbital for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Barbiturate
US FDA first approval
Approved
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet, Capsule
Fixed-dose combination of
Acetaminophen, Butalbital
Identifiers
RxCUI 214178Q48561426

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Butalbital and acetaminophen capsules are indicated for the relief of the symptom complex of tension (or muscle contraction) headache. Evidence supporting the efficacy and safety of this combination product in the treatment of multiple recurrent headaches is unavailable. Caution in this regard is required because butalbital is habit-forming and potentially abusable.

Source: US FDA prescribing information

Dosing overview

One to two capsules every four hours. Total daily dosage should not exceed six capsules. Extended and repeated use of these products is not recommended because of the potential for physical dependence.

Source: US FDA prescribing information

Contraindications

This product is contraindicated under the following conditions: • Hypersensitivity or intolerance to any component of this product. • Patients with porphyria.

Source: US FDA prescribing information

Warnings and precautions

BOXED WARNING HEPATOTOXICITY Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4000 milligrams per day, and often involve more than one acetaminophen containing product. Butalbital is habit-forming and potentially abusable. Consequently, the extended use of this product is not recommended. Hepatotoxicity Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4000 milligrams per day, and often involve more than one acetaminophen-containing product.

Source: US FDA prescribing information

Side effects

Frequently Observed The most frequently reported adverse reactions are drowsiness, lightheadedness, dizziness, sedation, shortness of breath, nausea, vomiting, abdominal pain, and intoxicated feeling. Infrequently Observed All adverse events tabulated below are classified as infrequent. Central Nervous: headache, shaky feeling, tingling, agitation, fainting, fatigue, heavy eyelids, high energy, hot spells, numbness, sluggishness, seizure. Mental confusion, excitement or depression can also occur due to intolerance, particularly in elderly or debilitated patients, or due to overdosage of butalbital. Autonomic Nervous: dry mouth, hyperhidrosis. Gastrointestinal: difficulty swallowing, heartburn, flatulence, constipation. Cardiovascular: tachycardia. Musculoskeletal: leg pain, muscle fatigue. Genitourinary: diuresis.

Source: US FDA prescribing information

Interactions

The CNS effects of butalbital may be enhanced by monoamine oxidase (MAO) inhibitors. Butalbital and acetaminophen may enhance the effects of: other narcotic analgesics, alcohol, general anesthetics, tranquilizers such as chlordiazepoxide, sedative-hypnotics, or other CNS depressants, causing increased CNS depression.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

6 presentations of Acetaminophen and Butalbital, sorted by availability.

MedicineActive ingredientManufacturerRegisterAvailability
Acetaminophen and Butalbital 325 mg/50 mg tabletOralGeneric nameAcetaminophen and Butalbital—US FDAAvailable on request
Acetaminophen and Butalbital 300 mg/50 mg tabletOralGeneric nameAcetaminophen and Butalbital—US FDAAvailable on request
Acetaminophen and Butalbital 300 mg/50 mg capsuleOralGeneric nameAcetaminophen and Butalbital—US FDAAvailable on request
Acetaminophen and Butalbital 325 mg/25 mg tabletOralGeneric nameAcetaminophen and Butalbital—US FDAAvailable on request
Allzital 325 mg/25 mg tabletOralAcetaminophen and ButalbitalLarken LaboratoriesUS FDAAvailable on request
Tencon 325 mg/50 mg tabletOralAcetaminophen and ButalbitalEl Dorado DistributorsUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAApprovedDrugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Acetaminophen and Butalbital available for export from India?

Yes, on request. MedsAcross lists 6 presentations of Acetaminophen and Butalbital and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Acetaminophen and Butalbital have?

The catalogue lists 2 brand names for Acetaminophen and Butalbital, including Allzital, Tencon.

Does Acetaminophen and Butalbital need cold chain shipping?

No listed presentation of Acetaminophen and Butalbital is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

References

  1. butalbital and acetaminophen prescribing information (Granules India). U.S. National Library of Medicine, DailyMed. Retrieved 8 October 2026

Request Acetaminophen and Butalbital for export supply

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