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A MyMigraineTeam Member asked a question 💭
Elberon, NJ
June 17
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A MyMigraineTeam Member

Janes: I don’t like Dr’s that don’t prescribe pain meds for Migraines. They obviously don’t know what a Migraine feels like. They should be able to give you something for pain. Sorry if I offended you,

June 23
A MyMigraineTeam Member

Have new doctor and started Aimovig 3 months ago ( so 3 injections) still get migraines but seem less intense. Dr doesn’t like Fiorcet any suggestions for pain I can ask him?

June 17
A MyMigraineTeam Member

Tried the Nurtec made me ill. Nit in Fiorset any more. Started Ajovy not sure if it’s worth it yet

September 10
A MyMigraineTeam Member

My neurologist won't prescribe pain meds, he prescribed Nurtec to resolve pain; it works most of the time.

June 18
MyMigraineTeam

Yes, that concern is worth taking seriously! Fioricet contains butalbital, a barbiturate, combined with caffeine and acetaminophen. While it can relieve migraine pain short-term, it comes with some real cautions.

One of the biggest concerns is medication overuse headache (MOH) — sometimes called a "rebound headache." This Show Full Answer

Yes, that concern is worth taking seriously! Fioricet contains butalbital, a barbiturate, combined with caffeine and acetaminophen. While it can relieve migraine pain short-term, it comes with some real cautions.

One of the biggest concerns is medication overuse headache (MOH) — sometimes called a "rebound headache." This happens when pain relievers are used too frequently, and the medication itself starts triggering more headaches. A common warning sign is needing migraine medicine on 10 or more days per month for several months.

Here are some key things to keep in mind about Fioricet:

- It is not approved by the FDA specifically for migraines
- It carries a risk of dependence due to the butalbital component
- Overuse can lead to more frequent headaches, not fewer
- Many neurologists and headache specialists prefer other treatments with stronger evidence

If Fioricet has been a go-to option, it may be worth having an honest conversation with a doctor about whether a different acute treatment or a preventive migraine treatment might be a better fit long-term.

June 17

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