Headache
"I am surprised that a pain management specialist would give this drug as a first choice.  The entire Triptan line starting with the first drug exclusively for migraine headaches, Imitrex, is available for migraine headaches.  Any Triptan that is administered and results are felt within 15-20 minutes, also prove that the headache is a migraine.  Headache epidemiology is quite complex and the migraine may be masking a tension headache or vice versa.  Fioricet with codeine has a place in tension headaches, but not really in most true migraines.  I take this drug, or another like it, after I take Maxalt (one of the triptan drugs), if there is still pain left after the Maxalt has relieved the migraine aspect of the headache. In that case it is a 10."