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Fioricet is a combination medication consisting of three active ingredients: acetaminophen (also known as paracetamol), butalbital, and caffeine. It is commonly used to treat tension headaches and migraines. Fioricet works by combining the effects of these three ingredients to relieve headache pain and associated symptoms. Acetaminophen helps to reduce pain and fever, butalbital provides muscle relaxation and tension relief, and caffeine helps to enhance the effects of the other ingredients and constrict blood vessels.