Butalbital, aspirin, and caffeine and Nabumetone interaction

Butalbital, aspirin, and caffeine and Nabumetone: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Butalbital, aspirin, and caffeine label · effective 2026-05-11

Major

Patients with the syndrome of nasal polyps, angioedema and bronchospastic reactivity to aspirin or other nonsteroidal anti-inflammatory drugs.

Contraindicationsby drug classView label on DailyMed

From the Nabumetone label · effective 2026-01-01

Major

Nabumetone tablets should not be given to patients who have experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs.

Contraindicationsnames Butalbital, aspirin, and caffeineView label on DailyMed
Major

This symptom complex typically occurs in asthmatic patients who experience rhinitis with or without nasal polyps, or who exhibit severe, potentially fatal bronchospasm after taking aspirin or other NSAIDs (see CONTRAINDICATIONS and PRECAUTIONS , General , Preexisting Asthma ).

Warningsnames Butalbital, aspirin, and caffeineView label on DailyMed
Moderate

There is no consistent evidence that concurrent use of aspirin mitigates the increased risk of serious CV thrombotic events associated with NSAID use.

Warningsnames Butalbital, aspirin, and caffeineView label on DailyMed
Moderate

The concurrent use of aspirin and an NSAID, such as Nabumetone, increases the risk of serious gastrointestinal (GI) events [see WARNINGS ] .

Warningsnames Butalbital, aspirin, and caffeineView label on DailyMed
Moderate

Aspirin: When nabumetone tablets are administered with aspirin, its protein binding is reduced, although the clearance of free nabumetone is not altered.

Drug interactionsnames Butalbital, aspirin, and caffeineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.