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Fioricet remains a valuable option for the treatment of tension headaches when other therapies have proven ineffective. Its combination of acetaminophen, butalbital, and caffeine provides a synergistic approach to pain relief and muscle relaxation, targeting multiple aspects of headache pathology. However, healthcare providers must carefully assess each patient's medical history, monitor for adverse effects, and educate patients about proper use to mitigate the risks associated with Fioricet therapy. By implementing evidence-based prescribing practices and patient-centered care, clinicians can optimize therapeutic outcomes while promoting safe and effective pain management for individuals suffering from tension headaches.