"I have been using Fiorinal With Codeine for over 15 years as I get PMS headaches and occiptical neuralgia headaches which start in the back of my head. I have tried several antidepressants as well as Vicodin. Fiorinal 3 with codeine is the only headache medication that helps with my fibromyalgia, migraine headaches PMS Headaches as it contains aspirin instead of tylenol which works a lot better for the constriction that occurs with intense headaches . It also does not give me any bad side affects"