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Fioricet is primarily prescribed for the treatment of tension headaches. It works by combining the pain-relieving effects of acetaminophen with the muscle relaxation effects of butalbital. Caffeine is included to help increase the effectiveness of the acetaminophen and improve its absorption.It's important to use Fioricet exactly as prescribed by a healthcare professional. Taking too much acetaminophen can lead to liver damage, so it's crucial to avoid taking additional acetaminophen-containing medications while using Fioricet.