Is Fioricet a Controlled Substance

Edmund Murphy
Dr. Kimberly Langdon
Written by Edmund Murphy on 22 February 2022
Medically reviewed by Dr. Kimberly Langdon on 07 June 2024

The Drug Enforcement Administration (DEA) regulates all substances in the U.S. under the Controlled Substances Act (CSA). This includes prescription medications such as Fioricet.

Key takeaways:
  • Fioricet, due to it containing acetaminophen instead of aspirin and the ratio of butalbital to acetaminophen being smaller than that of aspirin (found in Fiorinal), makes it exempt from the Drug Enforcement Administration's Scheduling system.
  • Drugs classified as Schedule III have a lower risk for dependence and addiction but can lead to both if abused.
  • Fioricet is safe when used as prescribed but those that abuse the drug regularly or in high doses may become dependent on the substance and can end up abusing prescriptions and acquiring the drug through illegal means when their prescription ends.

Fioricet controlled substance classification

Products that contain butalbital, caffeine, and aspirin are classified as Schedule III substances under the Controlled Substances Act (CSA)

Fioricet, due to it containing acetaminophen instead of aspirin and the ratio of butalbital to acetaminophen being smaller than that of aspirin (found in Fiorinal), makes it exempt from the Drug Enforcement Administration's Scheduling system. There are a few states, however, that do classify Fioricet as a Schedule III controlled drug, meaning it is not available over-the-counter.

Implications

Drugs classified as Schedule III have a lower risk for dependence and addiction but can lead to both if abused. The butalbital in Fioricet is a sedative barbiturate that when abused in high doses can cause a euphoric effect. 

Fioricet is safe when used as prescribed but those that abuse the drug regularly or in high doses may become dependent on the substance and can end up abusing prescriptions and acquiring the drug through illegal means when their prescription ends. 

If you or someone you know is abusing Fioricet then speak to an addiction specialist near you to find out what treatment is available.

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Resources:

  1. Fioricet: From Legend Drug to Schedule III-Reminders to Pharmacies and Pharmacy Personnel. Retrieved Feb 22, 2022, from

Activity History - Last updated: 07 June 2024, Published date:


Reviewer

Kimberly Langdon M.D. has been contributing to medical fields including mental health and addiction since she retired from medicine; with over 19 years of practicing clinical experience.

Activity History - Medically Reviewed on 15 December 2022 and last checked on 07 June 2024

Medically reviewed by
Dr. Kimberly Langdon

M.D.

Dr. Kimberly Langdon

Reviewer

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