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Barbiturate withdrawal following Internet purchase of Fioricet.
The Internet can provide vast underground drug information as well as completely unfettered purchases of medications with neurologic consequences. The report focuses on treatment of a patient with acute withdrawal delirium following the abrupt discontinuation of Fioricet, a barbiturate sedative (butalbital) mixed with a non-aspirin pain medication (acetaminophen) and caffeine.
A 37-year-old female was brought to the emergency room after three consecutive grand mal seizures. She had a history of depression and migraine headaches, but not drug abuse. A toxicology screen detected the presence of barbiturates. Her migraine history was periodic recurrences since 21 years of age, but increasing recently. Her self-treatment was massive and prolonged daily ingestion of Fioricet, purchased without a prescription over the Internet. A daily consumption of 15-20 tablets/day ( absolutely overdosage, normally should be 4 tablets per day, Total daily dosage should not exceed 6 tablets ) occurred for the last three months.
The following day, 48 hours after her last ingestion of Fioricet, she became agitated, tachycardic, and had a low-grade temperature. Visual hallucinations, insomnia, diaphoresis, hyperreflexia, and intense psychomotor agitation followed. After various interventional medications, she was cognitively normal on day 5. Treatment with phenobarbital sodium continued throughout her hospitalization and was slowly withdrawn.
Via Internet search engines, numerous merchants supply medications on demand to customers, claiming ¡°no prescription required, because the online pharmacy will provide a quick and easy online doctor¡¯s consultation, free of charge, when you order Fioricet on line.¡± This patient purchased 500 pills/order without difficulty.
Unrestricted access to pharmacological products, such as narcotics, sedatives, or drugs with other psychotropic effects or otherwise habituating or addicting properties, may cause serious adverse effects if used incorrectly. The magnitude of number of drugs available via the Internet creates a proclivity to withdrawal states.
IF you really need fioricet, Tramadol, Carisoprodol, Fioricet, Fioricet Soma, Fioricet Pain. Please consult your doctor. If your doctor sy it is OK for you to order fioricet online, you can order it on following online pharmacy.
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