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ASPIRIN, CAFFEINE, AND DIHYDROCODEINE BITARTRATE  - aspirin, caffeine and dihydrocodeine bitartrate capsule 
Caraco Pharmaceutical Laboratories, Ltd

Aspirin, Caffeine, and Dihydrocodeine Bitartrate Capsules, USP
CIII
Rx only

DESCRIPTION

Each aspirin, caffeine, and dihydrocodeine bitartrate capsule, USP contains 356.4 mg aspirin, 30 mg caffeine, and 16 mg drocode (dihydrocodeine) bitartrate (Warning–may be habitforming).

The inactive ingredients present are alginic acid, cellulose, D&C Red 28, FD&C Blue 1, gelatin, iron oxides, stearic acid, and titanium dioxide.

CLINICAL PHARMACOLOGY

Dihydrocodeine is a semisynthetic narcotic analgesic, related to codeine, with multiple actions qualitatively similar to those of codeine; the most prominent of these involve the central nervous system and organs with smooth-muscle components. The principal action of therapeutic value is analgesia.

Aspirin, caffeine, and dihydrocodeine bitartrate capsule also contains the nonnarcotic antipyretic-analgesic, aspirin.

INDICATIONS & USAGE

For the relief of moderate to moderately severe pain.

CONTRAINDICATIONS

Hypersensitivity to dihydrocodeine, codeine, or aspirin.

WARNINGS

Salicylates should be used with extreme caution in the presence of peptic ulcer or coagulation abnormalities.

Drug Dependence

Dihydrocodeine can produce drug dependence of the codeine type and therefore has the potential of being abused. Psychic dependence, physical dependence, and tolerance may develop upon repeated administration of dihydrocodeine, and it should be prescribed and administered with the same degree of caution appropriate to the use of other oral narcotic-containing medications. Like other narcotic-containing medications, dihydrocodeine is subject to the provisions of the Federal Controlled Substances Act.

Usage in Ambulatory Patients

Dihydrocodeine may impair the mental and/or physical abilities required for the performance of potentially hazardous tasks, such as driving a car or operating machinery. The patient using aspirin, caffeine, and dihydrocodeine bitartrate capsule should be cautioned accordingly.

Interactions with other Central Nervous System Depressants

Patients receiving other narcotic analgesics, general anesthetics, tranquilizers, sedative-hypnotics, or other CNS depressants (including alcohol) concomitantly with aspirin, caffeine, and dihydrocodeine bitartrate capsule may exhibit an additive CNS depression. When such combined therapy is contemplated, the dose of one or both agents should be reduced.

Usage in Pregnancy

Reproduction studies have not been performed in animals. There is no adequate information on whether this drug may affect fertility in human males and females or has a teratogenic potential or other adverse effect on the fetus.

Usage in Children

Preparations containing aspirin should be kept out of the reach of children. Aspirin, caffeine, and dihydrocodeine bitartrate capsule is not recommended for patients 12 years of age and under. Since there is no experience in children who have received this drug, safety and efficacy in children have not been established.

PRECAUTIONS

Aspirin, caffeine, and dihydrocodeine bitartrate capsule should be given with caution to certain patients, such as the elderly or debilitated.

Drug Interactions

The CNS-depressant effects of aspirin, caffeine, and dihydrocodeine bitartrate capsule may be additive with that of other CNS depressants. See “WARNINGS.”

Aspirin may enhance the effects of anticoagulants and inhibit the uricosuric effects of uricosuric agents.

Geriatric Use

Clinical studies of aspirin, caffeine, and dihydrocodeine bitartrate capsule did not include sufficient numbers of subjects aged 65 and over to determine whether elderly subjects respond differently from younger subjects.

In general, dose selection for an elderly patient should be cautious, starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.

ADVERSE REACTIONS

The most frequently observed reactions include lightheadedness, dizziness, drowsiness, sedation, nausea, vomiting, constipation, pruritus, and skin reactions.

DOSAGE & ADMINISTRATION

Dosage should be adjusted according to the severity of the pain and the response of the patient. Aspirin, caffeine, and dihydrocodeine bitartrate capsule is given orally. The usual adult dose is two capsules every 4 hours as needed for pain.

HOW SUPPLIED

Aspirin, caffeine, and dihydrocodeine bitartrate capsules, USP are blue and gray, marked “CP” and “419”, supplied in:
Bottles of 100 capsules; NDC 57664-419-88

Store at room temperature, approx. 25°C (77°F).

Keep tightly closed.

Dispense in tight container.

                                                   
carco

Manufactured by:                                                                                                 C.S. No.:8004T02
Mikart, Inc.                                                                                                             Rev. 07/12
Atlanta, Georgia 30318                                                                                        Code 990C00

 
Distributed by:
Caraco Pharmaceutical Laboratories, Ltd.
1150 Elijah McCoy Drive
Detroit, MI 48202
www.caraco.com

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 57664-419-88

100 Capsules

CIII

Aspirin, Caffeine, and Dihydrocodeine Bitartrate Capsules, USP

Each capsule contains: 356.4 mg aspirin, 30 mg caffeine and 16 mg drocode (dihydrocodeine) bitartrate (Warning–may be habit-forming).

SEALED FOR YOUR PROTECTION

Rx Only

Caraco Pharmaceutical Laboratories, Ltd.

Principal Display Panel Text for Carton Label

ASPIRIN, CAFFEINE, AND DIHYDROCODEINE BITARTRATE 
aspirin, caffeine, and dihydrocodeine bitartrate  capsule
Product Information
Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 57664-419
Route of Administration ORAL DEA Schedule CIII    
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ASPIRIN (ASPIRIN) ASPIRIN 356.4 mg
CAFFEINE (CAFFEINE) CAFFEINE 30 mg
DIHYDROCODEINE BITARTRATE ( DIHYDROCODEINE ) DIHYDROCODEINE BITARTRATE 16 mg
Inactive Ingredients
Ingredient Name Strength
ALGINIC ACID  
CELLULOSE, MICROCRYSTALLINE  
D&C RED NO. 28  
FD&C BLUE NO. 1  
GELATIN  
FERROSOFERRIC OXIDE  
STEARIC ACID  
TITANIUM DIOXIDE  
Product Characteristics
Color BLUE, GRAY Score no score
Shape CAPSULE Size 19mm
Flavor Imprint Code CP;419
Contains     
Packaging
# NDC Package Description Multilevel Packaging
1 57664-419-88 100 CAPSULE In 1 BOTTLE None

Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
NDA AUTHORIZED GENERIC NDA011483 10/01/2023

Labeler - Caraco Pharmaceutical Laboratories, Ltd (146974886)
Establishment
Name Address ID/FEI Operations
Mikart, Inc 030034847 MANUFACTURE
Revised: 08/2012Caraco Pharmaceutical Laboratories, Ltd