Is Butalbital with acetaminophen and caffeine (Fioricet) classified as a controlled substance?

Butalbital with acetaminophen and caffeine, commonly known as Fioricet, is not classified as a controlled substance at the federal level in the United States. While butalbital is a barbiturate and can be associated with potential for abuse, the combination product that includes acetaminophen and caffeine has not been designated as a controlled substance by the Drug Enforcement Administration (DEA). Instead, it is categorized as a prescription medication, which means it requires a prescription for dispensing but does not carry the additional regulations that pertain to controlled substances. This is important for both prescribing and dispensing practices, as it affects record-keeping requirements and limits on refills.

It's also worth noting that state laws can vary, and while Fioricet is not a controlled substance federally, some states may have different regulations. Nonetheless, in Ohio, it remains unclassified as a controlled substance, aligning with federal guidelines.