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Butalbital is a barbiturate compound that was first synthesized in the 20th century. While barbiturates are largely replaced by benzodiazepines for the treatment of anxiety and sleep disorders due to their addictive potential and risk of overdose, butalbital remains a viable option for treating specific types of headache disorders. It is primarily prescribed in combination with acetaminophen, aspirin, and sometimes caffeine, enhancing its pain-relieving properties.

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Serious adverse effects can occur, particularly with long-term use, including respiratory depression, dependency, and withdrawal symptoms. It is crucial for users to avoid alcohol, opioids, and other CNS depressants while taking butalbital, as these substances can enhance the sedative effects of the medication, increasing the risk of overdose.

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