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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Fioricet safe for the treatment of migraine?

Hello ~ my doctor prescribed butalbital/acetaminophen/caff tabs for migraines. I normally take Rizatriptan. Wants me to start with the Fioricet following the Rizatriptan if doesn t work. I understand the Fioricet is for tension not migraine headaches. I ve read the side effects and don t know whether to take the Fioricet or not. What do you suggest. I have an appointment with a neurologist in 4 months for further prognosis. Thank you.
Fri, 24 Aug 2018
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General & Family Physician 's  Response
Hello,

Caffeine and Paracetamol are initial choice for acute migraine attack. However, if it is not relieved then other NSAIDS can be tried like Ibuprofen or Diclofenac. If still headache is not relieved then triptans (Rizatriptan) are the last reserved options.

For prophylaxis (prevention of further attacks) beta blockers, calcium channel blockers are the option which can be started in single drug lower dose and titrated upwards. Please get these drugs prescribed from nearby physician.

Hope I have answered your query. Let me know if I can assist you further.
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Is Fioricet safe for the treatment of migraine?

Hello, Caffeine and Paracetamol are initial choice for acute migraine attack. However, if it is not relieved then other NSAIDS can be tried like Ibuprofen or Diclofenac. If still headache is not relieved then triptans (Rizatriptan) are the last reserved options. For prophylaxis (prevention of further attacks) beta blockers, calcium channel blockers are the option which can be started in single drug lower dose and titrated upwards. Please get these drugs prescribed from nearby physician. Hope I have answered your query. Let me know if I can assist you further.