What is the Pill with Imprint West Ward 787?
The blue, round pill with the imprint "West-ward 787" is identified as a combination prescription drug containing Acetaminophen (325 mg), Butalbital (50 mg), and Caffeine (40 mg) [1.2.1, 1.2.3]. This medication is often known by brand names such as Fioricet [1.2.2]. It is classified as an analgesic combination and is primarily prescribed for the relief of tension headaches, also known as muscle contraction headaches [1.2.1, 1.2.6].
It is critical to distinguish this medication from others with similar numbers. For instance, pills marked "PLIVA 787" are the antibiotic azithromycin, and "TEVA 787" is the beta-blocker atenolol [1.2.4]. Always verify a medication's identity with a pharmacist or doctor.
How Each Ingredient Works
This medication's effectiveness comes from its three active components working together [1.2.2, 1.2.5]:
- Butalbital: This is a barbiturate, a class of drugs that acts as a central nervous system depressant. It helps to decrease anxiety and cause relaxation and sleepiness, which can alleviate the muscle tension associated with headaches [1.2.2, 1.2.7].
- Acetaminophen: A widely used analgesic (pain reliever) and antipyretic (fever reducer). It works by blocking the production of certain chemicals in the brain called prostaglandins, which are involved in signaling pain [1.2.2, 1.2.5].
- Caffeine: This is a central nervous system stimulant. In this combination, it is thought to enhance the pain-relieving effects of acetaminophen. It may also help by constricting blood vessels in the head, which can reduce excess blood flow associated with some headaches [1.2.2, 1.2.5].
Primary Uses and Efficacy
The main FDA-approved use for this combination medication is for the symptomatic relief of tension headaches [1.2.6]. While it can be effective, it is often not considered a first-line treatment. This is because butalbital is a barbiturate that can be habit-forming and has the potential for abuse [1.2.2, 1.2.6]. Furthermore, frequent use of this medication can lead to a condition known as medication-overuse headache, or rebound headache, where the headaches become more frequent or worsen [1.2.2].
Important Warnings and Precautions
Before and during treatment with West Ward 787, several critical factors must be considered:
- Dependence and Withdrawal: Because it contains the barbiturate butalbital, this medication can be habit-forming. Long-term use can lead to physical dependence, and stopping the medication abruptly can cause withdrawal symptoms like seizures or hallucinations [1.2.2, 1.2.7].
- Acetaminophen Toxicity: Acetaminophen can cause severe liver damage if taken in large doses. Patients should not take other medications containing acetaminophen (such as Tylenol) while using this drug to avoid an accidental overdose [1.2.2].
- Drowsiness and Dizziness: The medication commonly causes drowsiness and dizziness. Patients should avoid driving, operating heavy machinery, or performing other tasks that require mental alertness until they know how the drug affects them [1.2.5].
- Controlled Substance Status: The classification of Fioricet and its generics as a controlled substance varies by state. While it is on a DEA list of exempted products, some states regulate it more strictly due to the butalbital content [1.2.2].
- Pregnancy and Breastfeeding: The safety of this medication during pregnancy and breastfeeding is not well established. It may pose risks to a developing fetus and can pass into breast milk [1.2.2].
Drug and Substance Interactions
Combining West Ward 787 with other substances can be dangerous. Key interactions include:
- Alcohol and Other CNS Depressants: Combining with alcohol, opioids, or other sedatives can dangerously increase drowsiness and slow breathing.
- Other Caffeine Sources: Limit intake of coffee, tea, and other caffeinated products to avoid nervousness, shakiness, and a fast heart rate [1.2.2].
- MAOIs: Monoamine oxidase inhibitors, a class of antidepressants, can have serious interactions with this medication [1.2.5].
Comparison of Headache Medications
| Medication | Type | Primary Use | Key Considerations |
|---|---|---|---|
| West Ward 787 | Barbiturate, Analgesic, Caffeine | Tension Headaches | Prescription only; Risk of dependence and rebound headaches [1.2.2, 1.2.6] |
| Ibuprofen (Advil) | NSAID | Mild to moderate pain, inflammation | Over-the-counter; Can cause stomach upset and kidney issues with overuse [1.2.1] |
| Naproxen (Aleve) | NSAID | Mild to moderate pain, inflammation | Over-the-counter; Longer-lasting than ibuprofen but has similar risks [1.2.1] |
| Sumatriptan (Imitrex) | Triptan | Migraine Headaches | Prescription only; Targets specific migraine pathways, not for tension headaches. |
Conclusion
The pill with the imprint West Ward 787 is a potent combination medication of acetaminophen, butalbital, and caffeine, prescribed for tension headaches. While it can provide effective relief, its use is accompanied by significant risks, including the potential for dependence, medication-overuse headaches, and serious side effects from its components. It must be used exactly as prescribed and with full awareness of its warnings and interactions. Patients should always consult their healthcare provider to determine if this medication is the right choice for their condition and to understand how to use it safely.
