Skip to main content

Advertisement

Log in

Butalbital-containing agents: Should they be banned? no.

  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

Butalbital compounds are of proven efficacy in the treatment of tension headache. Decades of experience have established their value in the treatment of other mild-to-moderate headaches. Untold numbers of people rely on these medications as their drug of choice or use them when vasoconstrictors, opioids, or nonsteroidal anti-inflammatory agents are contraindicated. The medications are cost-effective with only occasional and minor immediate adverse effects. Their overuse may cause the evolution of episodic primary headaches to chronic daily headaches; however, removal of these agents from the market would reduce the chronic daily headache in the general population by a small fraction of 1%.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References and Recommended Reading

  1. Hobbs WR, Roll TW, Verdoon TA: Hypnotics and sedatives: ethanol. In Goodman and Gilman’s The Pharmacological Basis of Therapeutics, edn 9. Edited by Hardman JG et al. New York: McGraw-Hill; 1996:373–380.

    Google Scholar 

  2. Thorpe P: Controlled and uncontrolled studies on “Fiorinal-PA” for symptomatic relief in tension headache. Med J Aust 1970, 2:180–181.

    PubMed  CAS  Google Scholar 

  3. Friedman AP, DiSerio FJ: Symptomatic treatment of chronically recurring tension headache: a placebocontrolled, multicenter investigation of Fioricet and acetaminophen with codeine. Clin Ther 1987, 10:69–81.

    PubMed  CAS  Google Scholar 

  4. Friedman AP, Boyles WF, Elkind AH, et al.: Fiorinal with codeine in the treatment of tension headache—the contribution of components to the combination drug. Clin Ther 1988, 10:303–315.

    PubMed  CAS  Google Scholar 

  5. Mathew NT, Stubits E, Nigam MP: Transformation of episodic migraine into daily headache: analysis of factors. Headache 1982, 22:66–68.

    Article  PubMed  CAS  Google Scholar 

  6. Scher AI, Stewart WF, Liberman J, Lipton RB: Prevalence of frequent headache in a population sample. Headache 1998, 38:497–506. This population-based study established the prevalence of frequent headaches (more than 180 days per year) and chronic daily headache in the United States.

    Article  PubMed  CAS  Google Scholar 

  7. Steiner TJ, Rose FC: Problems encountered in the assessment of treatment of headache and migraine. In Headache. Problems in Diagnoses and Management. Edited by Hopkins A. Philadelphia: WB Saunders; 1988:322–323.

    Google Scholar 

  8. Solomon S, Newman LC: Episodic tension-type headache. In Wolff’s Headache and Other Head Pain, edn 7. Edited by Silberstein SD et al. New York: Oxford University Press; 2001:238–246. This chapter reviews the clinical features and current pathophysiologic concepts of ETTHs.

    Google Scholar 

  9. Wolff HG: Headache and Other Head Pain. New York: Oxford University Press; 1948:518.

    Google Scholar 

  10. Classification of headache. Ad Hoc Committee on Classification of Headache. JAMA 1962, 179:127-128.

  11. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Headache Classification Committee of the International Headache Society. Cephalalgia 1988, 8(suppl 7):29-34.

  12. Clark WG, Brater DC, Johnson AR: Goth’s Medical Pharmacology, edn 13. St. Louis, MO: Mosby Year Book; 1992:271–274.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Solomon, S. Butalbital-containing agents: Should they be banned? no.. Current Science Inc 6, 147–150 (2002). https://doi.org/10.1007/s11916-002-0011-z

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11916-002-0011-z

Keywords

Navigation