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Caffeine 100 mg/Butalbital 60 mg/Ergotamine Tartrate 2 mg/Atropine Sulfate 0.25 mg Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Caffeine
Butalbital
Ergotamine Tartrate
Atropine Sulfate

This is a compounded suppository formulation containing Caffeine 100 mg, Butalbital 60 mg, Ergotamine Tartrate 2 mg, and Atropine Sulfate 0.25 mg. It is designed to be inserted into a body cavity, where it dissolves or melts to release the medication. This formulation is typically used for the treatment of conditions such as migraine, cluster headache, tension headache, menstrual migraine, and postdural puncture headache.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Caffeine
Butalbital
Ergotamine Tartrate
Atropine Sulfate
Suppository
6427079ea64324e3995187cf
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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The Bayview Pharmacy's compounded formulation of Caffeine 100 mg/Butalbital 60 mg/Ergotamine Tartrate 2 mg/Atropine Sulfate 0.25 mg Suppository is a meticulously designed treatment for various health conditions. This unique blend of ingredients is primarily used to alleviate the discomfort of migraine headaches, tension headaches, and other types of headaches.

The combination of Caffeine, Butalbital, Ergotamine Tartrate, and Atropine Sulfate synergistically works to provide relief from pain and other symptoms associated with these conditions. The suppository form of this formulation ensures a swift and straightforward administration. The medication is inserted into a body cavity, typically the rectum or vagina, where it dissolves or melts to release the medication for local or systemic absorption. This method of delivery allows for a more efficient absorption of the medication.

It is crucial to adhere to the instructions provided by your healthcare provider to ensure optimal results. If you have any questions or concerns about this formulation or its administration, please do not hesitate to contact us at Bayview Pharmacy. Our team of compounding pharmacists is always ready to assist and provide the necessary guidance.

Drug Interactions

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This compounded formulation of Caffeine 100 mg/Butalbital 60 mg/Ergotamine Tartrate 2 mg/Atropine Sulfate 0.25 mg Suppository is specifically designed for the treatment of migraine headaches, tension headaches, and cluster headaches. It is crucial to understand that this formulation is not intended for the treatment of other types of headaches, such as sinus headaches, or any other type of pain.

Patients with a history of heart disease, high blood pressure, or any other cardiovascular condition should not use this formulation. Similarly, it is not recommended for patients with a history of glaucoma, asthma, or any other respiratory condition.

Patients should be cautioned against consuming alcohol while using this formulation, as it may heighten the risk of side effects. It is also advised to avoid taking this formulation with other medications, including over-the-counter medications, herbal supplements, or vitamins, as this may increase the risk of interactions.

Side effects of this formulation may include drowsiness, dizziness, or blurred vision. Patients should exercise caution when driving or operating machinery while taking this medication. If any side effects such as nausea, vomiting, or difficulty breathing are experienced, patients should immediately contact their healthcare provider.

If you have any questions about this formulation or its potential interactions with other medications, please do not hesitate to reach out for further information.

How Does it Work

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This compounded formulation of Caffeine 100 mg/Butalbital 60 mg/Ergotamine Tartrate 2 mg/Atropine Sulfate 0.25 mg Suppository is specifically designed to provide relief from migraine headaches, tension headaches, and cluster headaches. Each component of this formulation plays a crucial role in alleviating the symptoms associated with these conditions.

Caffeine, a well-known stimulant, works by reducing inflammation and constricting blood vessels, thereby helping to alleviate the pain associated with headaches. Butalbital, a sedative, aids in muscle relaxation and pain reduction, providing a calming effect. Ergotamine Tartrate, a vasoconstrictor, assists in reducing the size of the blood vessels in the brain, which can help to alleviate the pressure and pain associated with headaches. Lastly, Atropine Sulfate, an anticholinergic, works to reduce the intensity of the headache, providing further relief.

When using this suppository formulation, it is essential to follow your healthcare provider's instructions. The suppository should be inserted into the rectum and left in place for at least 30 minutes to allow for optimal absorption of the medication into the bloodstream. During this time, the medication will begin to take effect, providing relief from your headache symptoms. It is important to note that this formulation should not be used more than twice a day and should not be used for more than two consecutive days.

If you have any questions or concerns about this formulation or its use, please do not hesitate to reach out to us at Bayview Pharmacy.

Frequently Asked Questions

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What is this compounded formulation of Caffeine/Butalbital/Ergotamine Tartrate/Atropine Sulfate Suppository?

This is a compounded medication that combines Caffeine, Butalbital, Ergotamine Tartrate, and Atropine Sulfate in a suppository form. It is a solid dosage form that is inserted into a body cavity, typically the rectum or vagina, where it dissolves or melts to release the medication for local or systemic absorption.

What is the purpose of this medication?

This medication is typically used to treat conditions like migraines, tension headaches, and other types of pain. The combination of these specific medications can help to alleviate symptoms by affecting different aspects of the pain response.

How should I use this medication?

This medication is typically inserted into the rectum or vagina. It should be used as directed by your healthcare provider. Always wash your hands before and after use.

What are the potential side effects of this medication?

Side effects can vary depending on the individual and the specific medications involved. Common side effects can include dizziness, drowsiness, nausea, and dry mouth. If you experience any severe or persistent side effects, contact your healthcare provider immediately.

Can I take this medication if I am pregnant or breastfeeding?

Always consult with your healthcare provider before taking any medication if you are pregnant or breastfeeding. They will be able to provide you with the most accurate and up-to-date information.

Can I use this medication with other medications?

Always inform your healthcare provider of any other medications you are currently taking, including over-the-counter medications and supplements. Some medications may interact with this compounded formulation, which could affect its effectiveness or increase the risk of side effects.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take two doses at the same time or extra doses.

How should I store this medication?

Store this medication at room temperature, away from heat and direct light. Do not freeze. Keep out of the reach of children and pets.

What should I do in case of an overdose?

If you suspect an overdose, contact a healthcare provider or poison control center immediately. Symptoms of an overdose may include severe drowsiness, confusion, and difficulty breathing.

Can I drink alcohol while using this medication?

Alcohol may increase the risk of certain side effects and can potentially interfere with the effectiveness of the medication. It is generally recommended to avoid or limit alcohol consumption while using this medication. Always consult with your healthcare provider for more specific advice.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Caffeine 100 mg/Butalbital 60 mg/Ergotamine Tartrate 2 mg/Atropine Sulfate 0.25 mg Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

As needed