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Data updated: Jun 28, 2026

BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE (butalbital) · ABLE

Pain Approved 2003-08-21

Butalbital, Acetaminophen, and Caffeine capsules, USP 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: FDA Label
1
Indication
--
Phase 3 Trials
22
Years on Market

Details

Status
Prescription
First Approved
2003-08-21
Routes
Oral
Dosage Forms
Capsule

Companies

BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE Approval History

2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2003 to 2003
Aug 2003 ORIGINAL
Update

What BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE Treats

1 indications

BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE is approved for 1 conditions since its original approval in 2003. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Tension Headache
Source: FDA Label

BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE 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; ACETAMINOPHEN; CAFFEINE; CODEINE Competitive Set

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Active Pipeline

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE FDA Label Details

Indications & Usage

Butalbital, Acetaminophen, and Caffeine capsules, USP 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.

⚠️ 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 acetamino...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.