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Butalbital is a prescription barbiturate used to treat tension headaches and migraines, often in combination with other medications like acetaminophen or caffeine. It works by depressing the central nervous system, helping to relieve pain and reduce the severity of headache symptoms. Butalbital is commonly found in combination products (e.g., Fioricet or Fiorinal), and it helps relax muscles and reduce anxiety associated with tension headaches.