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Butalbital is a prescription barbiturate medication commonly used as part of combination treatments for tension headaches and certain migraine-related pain. It works by depressing the central nervous system, helping relax muscle tension and reduce the feeling of pressure or stress that contributes to headache discomfort. Because of its sedative effect, Butalbital can cause drowsiness, dizziness, light-headedness, and slowed coordination, so activities requiring alertness should be avoided after taking it. It is often combined with ingredients like acetaminophen or caffeine to enhance pain relief, but taking it alone or in high doses can increase the risk of dependence, overuse headaches, or sedation-related side effects. Butalbital should never be mixed with alcohol or other sedatives, as this can dangerously enhance its effects. Due to its potential for misuse, it is meant for short-term, medically supervised use only to safely manage acute headache pain.