Should butalbital-containing analgesics be banned? Yes.

@article{Young2002ShouldBA,
  title={Should butalbital-containing analgesics be banned? Yes.},
  author={William B. Young and Hua Chiang Siow},
  journal={Current Pain and Headache Reports},
  year={2002},
  volume={6},
  pages={151-155}
}
In the United States analgesic-overuse headache is often caused by butalbital-containing analgesics. These agents can cause physical and psychological dependency, and dangerous withdrawal syndromes. Butalbital-containing analgesics have already been banned in several European countries. They are proven effective in tension-type headache, but not in migraine; there are many alternative treatments for migraine and tension-type headache. In the 20 years since analgesic overuse headache was widely… 
Medication overuse headache
TLDR
The newly available data on medication overuse headache may provide the basis for future consensus guidelines for the management of this condition.
Tension-type headache with medication overuse: Pathophysiology and clinical implications
TLDR
Because TTH with MOH carries the worst prognosis, more clinical studies focusing on the complex interaction and treatments of TTH and MOH are needed.
Chronic Daily Headache: Ten Steps for Primary Care Providers to Regain Control
TLDR
Chronic daily headache affects 2% to 4% of the North American and European population, although chronification of migraine and the occurrence of central sensitization in tension headache are the most common.
Current and emerging treatment options for migraine and other primary headache disorders
TLDR
The state-of-the-art methods for the abortive and prophylactic treatment of tension-type headache, migraine and cluster headache are reviewed.
Past, Present, and Future Prospects of Medication‐Overuse Headache Classification
TLDR
The last revision has eliminated the need to prove that the disorder is caused by drugs, that is, the headache improves after cessation of medication overuse, and the classification of MOH as a secondary headache has therefore been modified, too.
Migraine Headache Misconceptions: Barriers to Effective Care
TLDR
It is demonstrated that migraine is a neurologic process of the trigeminovascular system, of which vascular effects are secondary, and the overreliance on “pain killer” drugs such as butalbital‐containing products and the continued underutilization of migraine‐specific drugs need to be addressed.
Acute Care Treatment of Migraine.
TLDR
A wide variety of acute care options to treat migraine are available, and others will soon be and will herein be described in further detail.
Optimizing migraine therapy: evidence-based and patient-centered care
TLDR
Patients with significant migraine-induced debilitation, as assessed by tools, such as the Migraine Disability Assessment Scale or the Headache Impact Test, are prescribed migraine-specific agents from the onset of therapy, thereby avoiding the inherent failures of step care.
Why Do Migraineurs Abuse Butalbital‐Containing Combination Analgesics?
(Headache 2010;50:1194‐1197)
Pediatric migraine prescription patterns at a large academic hospital.
TLDR
The findings support recent data regarding choices of medication in the pediatric population and additionally support current studies and future investigation into controlled trials in the Pediatrics population.
...
1
2
...

References

SHOWING 1-10 OF 45 REFERENCES
Butalbital in the Treatment of Headache: History, Pharmacology, and Efficacy
TLDR
Butalbital‐containing analgesics may be effective as backup medications or when other medications are ineffective or cannot be used, but their use should be limited and carefully monitored.
The Association Between Analgesic Abuse and Headache — Coincidental or Causal?
TLDR
The withdrawal of non-narcotic analgesics in patients with chronic headache is reported to reduce symptoms, but in these cases alternative or prophylactic medication has also been given, which may have led to the improvement.
Analgesic Rebound Headache
TLDR
Analgesic rebound headache is an often unrecognized clinical syndrome in which the frequent and excessive use of analgesics by chronic headache sufferers perpetuates and vvorsens head pain rather than relieves it.
Abrupt outpatient withdrawal of medication in analgesic-abusing migraineurs
TLDR
46 migraineurs with secondary chronic daily headache were treated for medication abuse as outpatients by abrupt withdrawal of the offending drugs, and analgesic intake had become intermittent and appropriate to the original occasional migraine episodes.
Treatment of the barbiturate abstinence syndrome *
TLDR
The prolonged elimination of phenobarbital prevents the reappearance of withdrawal symptoms and, since repeated doses are not required, results in less manipulative drug‐seeking behaviour.
Drug-Induced Headache — Does a Critical Dosage Exist?
TLDR
The patients’ histories show a gradual increase in frequency and dose of drug intake, eventually ending in daily administration of high dosages, and it is unknown whether the daily intake itself or the drug dosage plays the crucial role.
Comparison of Butorphanol Nasal Spray and Fiorinal With Codeine in the Treatment of Migraine
TLDR
This double‐blind, parallel‐group, outpatient study compared butorphanol nasal spray 1 mg followed in 1 hour by an optional second 1‐mg dose with the orally administered analgesic, Fiorinal with Codeine to provide rapid relief of migraine pain.
Analgesic-induced chronic headache: long-term results of withdrawal therapy
TLDR
Migraine prophylaxis through beta-blocking agents and calcium channel antagonists was more efficient after drug-withdrawal therapy and patients who originally suffered from migraine, superimposed on the daily headache, also experienced a significant improvement in the frequency of the migraines and their intensity.
Non-migrainous headache for the evaluation of oral analgesics.
TLDR
It is concluded that the non-migrainous headache model is a practical, reproducible and sensitive method for the investigation of the acute efficacy of analgesics.
Headache As a Model for Assessing Mild Analgesic Drugs
TLDR
It is concluded that the headache model is a practicable, reliable, and sensisive method for the evaluation of the effectiveness of mild analgesic drugs.
...
1
2
3
4
5
...