Is Butalbital with acetaminophen and caffeine (Fiorinal) considered a controlled substance?

Butalbital with acetaminophen and caffeine, commonly known as Fiorinal, is classified as a controlled substance due to the presence of butalbital, which is a barbiturate. Barbiturates are substances that have a high potential for abuse and dependence, which is why they are regulated under the Controlled Substances Act. In many states, including Ohio, Fiorinal is classified as a Schedule III controlled substance because it contains a combination of both a narcotic (though acetaminophen is not a narcotic) and a barbiturate. As a result, any prescription for this medication must comply with state and federal regulations regarding controlled substances, including limitations on refills and requirements for proper record-keeping.

The classification reflects both the potential for misuse and the need for careful prescribing practices to mitigate the risk of abuse or dependence in patients. This framework helps ensure that medications like Fiorinal are prescribed judiciously while providing access for those who legitimately need them for conditions like tension headaches or migraines.