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Fioricet: Clinical Results
The following paragraphs about Fioricet are by Teri Robert at About.com's Migraine/Headache Section. Medications containing butalbital, aspirin, acetaminophen, and/or caffeine [Fioricet] are used by many "headachers" for tension-type headache (TTH) and Migraine. They have been shown to be effective in placebo-controlled trials conducted with TTH patients, but have not been studied in placebo-controlled trials with Migraineurs.
The use of analgesics containing Butalbital [Fioricet] is controversial. Fioricet is banned in Germany, and expert advisory panels elsewhere have warned of their potential for abuse. Some experts warn that butalbital is likely to lead to rebound headache and/or dependence and question whether their benefit outweighs these problems. Teri Robert's comment: "Butalbital-containing analgesics [Fioricet] may be effective as backup medications or when other medications are ineffective or cannot be used. Because of concerns about overuse, medication-overuse headache, and withdrawal, Fioricet use should be limited and carefully monitored."
Fioricet summary Fioricet is effective for tension-type headaches, but there are no clinical trials for Fioricet relative to migraine headaches. User comments suggest that Fioricet can be helpful with migraines, but the results are mixed. Fioricet has its share of negative qualities. First is the rebound headaches, which many Fioricet users have reported. Second is the potential for addiction. Germany has taken measures to ban Fioricet and any drug containing butalbital. In contrast, Fioricet is legal in the United States and is not controlled by the DEA.
#2
Frequently Asked Questions" - Fioricet These comments are made for the
purpose of discussion and should NOT be used as recommendations for or against
therapies or other treatments. An individual patient is always advised to
consult their own physician. Question: I used to take Fioricet for my headaches
for about 3 years. I recently had to switch doctors, and he immediately
took me off Fioricet and gave me Midrin. He said that the fioricet was addictive.
I have not experienced any withdrawal symptoms. Is this information correct?
Is the Midrin safer? Answer: In terms of addiction yes. But, if you only
take it occasionally Fioricet has less addiction potential than most "pure"
narcotics.
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Fioricet, a strong, non-narcotic pain reliever and relaxant, is prescribed for
the relief of tension headache symtoms caused by muscle contractions in
the head, neck, and shoulder area. It combines a sedative barbiturate (butalbital),
a non-aspirin pain reliever (acetaminophen), and caffeine.
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