butalbital has been researched along with Tension-Type Headache in 3 studies
butalbital: management of butalbital withdrawal can be simplified by using a phenobarbital-loading protocol; RN given refers to parent cpd
butalbital : A member of the class of barbiturates that is barbituric acid in which the hydrogens at position 5 are substituted by an allyl group and an isobutyl group. Frequently combined with other medicines, such as aspirin, paracetamol and codeine, it is used for treatment of pain and headache.
Tension-Type Headache: A common primary headache disorder, characterized by a dull, non-pulsatile, diffuse, band-like (or vice-like) PAIN of mild to moderate intensity in the HEAD; SCALP; or NECK. The subtypes are classified by frequency and severity of symptoms. There is no clear cause even though it has been associated with MUSCLE CONTRACTION and stress. (International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004: suppl 1)
Excerpt | Relevance | Reference |
---|---|---|
"In the United States analgesic-overuse headache is often caused by butalbital-containing analgesics." | 4.81 | Should butalbital-containing analgesics be banned? Yes. ( Siow, HC; Young, WB, 2002) |
"Over 28 million people suffer with migraine, yet this illness is less than optimally diagnosed and managed." | 2.41 | Do butalbital-containing products have a role in the management of migraine? ( Sarvis, CA; Wenzel, RG, 2002) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 3 (100.00) | 29.6817 |
2010's | 0 (0.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Wenzel, RG | 1 |
Sarvis, CA | 1 |
Solomon, S | 1 |
Young, WB | 1 |
Siow, HC | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Randomized, Double-blind, Double-dummy, Placebo-controlled, Crossover Study to Evaluate the Efficacy of TREXIMET® (Sumatriptan + Naproxen Sodium) vs. Butalbital-containing Combination Medications for the Acute Treatment of Migraine When Administered Dur[NCT00573170] | Phase 3 | 375 participants (Actual) | Interventional | 2008-02-29 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
The PPMQ-R questionnaire was used to assess participant satisfaction with migraine medication; the answers are used to generate a total score and 4 subscales scores for efficacy, functionality, ease-of-use and bothersomeness-of-side effects. The total score was calculated as the average of the efficacy, functionality and ease-of-use subscores. Subscores could range from 0 to 100; higher scores indicate greater satisfaction. (NCT00573170)
Timeframe: At 24 hours after dosing for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | scores on a scale (Mean) |
---|---|
Placebo | 88 |
Treximet | 86 |
Butalbital-containing Combination Medication | 89 |
The PPMQ-R questionnaire was used to assess participant satisfaction with migraine medication; the answers are used to generate a total score and 4 subscales scores for efficacy, functionality, ease-of-use and bothersomeness-of-side effects. The total score was calculated as the average of the efficacy, functionality and ease-of-use subscores. Subscores could range from 0 to 100; higher scores indicate greater satisfaction. (NCT00573170)
Timeframe: At 24 hours after dosing for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | scores on a scale (Mean) |
---|---|
Placebo | 79 |
Treximet | 82 |
Butalbital-containing Combination Medication | 78 |
The PPMQ-R questionnaire was used to assess participant satisfaction with migraine medication; the answers are used to generate a total score and 4 subscales scores for efficacy, functionality, ease-of-use and bothersomeness-of-side effects. The total score was calculated as the average of the efficacy, functionality and ease-of-use subscores. Subscores could range from 0 to 100; higher scores indicate greater satisfaction. (NCT00573170)
Timeframe: At 24 hours after dosing for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | scores on a scale (Mean) |
---|---|
Placebo | 55 |
Treximet | 62 |
Butalbital-containing Combination Medication | 56 |
The PPMQ-R questionnaire was used to assess participant satisfaction with migraine medication; the answers are used to generate a total score and 4 subscales scores for efficacy, functionality, ease-of-use and bothersomeness-of-side effects. The total score was calculated as the average of the efficacy, functionality and ease-of-use subscores. Subscores could range from 0 to 100; higher scores indicate greater satisfaction. (NCT00573170)
Timeframe: At 24 hours after dosing for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | scores on a scale (Mean) |
---|---|
Placebo | 55 |
Treximet | 61 |
Butalbital-containing Combination Medication | 56 |
Average time until participants took any medication to treat their migraine pain or symptoms within 48 hours after they took the first dose of study medication (placebo, Treximet, or butalbital-containing combination medication) for the first migraine attack treated. Participants were asked not to take rescue for at least 2 hours after they took the study medication (placebo, Treximet, or butalbital-containing combination medication) for that attack. Participants took rescue medication if they felt they needed it. (NCT00573170)
Timeframe: From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | hours (Mean) |
---|---|
Placebo | 12.00 |
Treximet | 17.07 |
Butalbital-containing Combination Medication | 20.15 |
Average time until participants took any medication to treat their migraine pain or symptoms within 48 hours after they took the first dose of study medication (placebo, Treximet, or butalbital-containing combination medication) for their second migraine attack treated in the study. Participants were asked not to take rescue for at least 2 hours after they took the study medication (placebo, Treximet, or butalbital-containing combination medication) for that attack. Participants took rescue medication if they felt they needed it. (NCT00573170)
Timeframe: From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | hours (Mean) |
---|---|
Placebo | 8.29 |
Treximet | 20.90 |
Butalbital-containing Combination Medication | 16.70 |
Average time until participants took any medication to treat their migraine pain or symptoms within 48 hours after they took the first dose of study medication (placebo, Treximet, or butalbital-containing combination medication) for their third migraine attack treated in the study. Participants were asked not to take rescue for at least 2 hours after they took the study medication (placebo, Treximet, or butalbital-containing combination medication) for that attack. Participants took rescue medication if they felt they needed it. (NCT00573170)
Timeframe: From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | hours (Mean) |
---|---|
Placebo | 6.69 |
Treximet | 20.77 |
Butalbital-containing Combination Medication | 9.44 |
SPF 2-24 hours is defined for all participants as having no pain at 2 hours post-dose and without the return of any pain or the use of any rescue medication (any medication taken after the first dose of study medication for any migraine pain or symptoms) from 2-24 hours. (NCT00573170)
Timeframe: From 2 to 24 hours post-dose. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) |
---|---|
Placebo | 10 |
Treximet | 26 |
Butalbital-containing Combination Medication | 18 |
The PPMQ-R questionnaire was used to assess participant satisfaction with migraine medication; the answers are used to generate a total score and 4 subscales scores for efficacy, functionality, ease-of-use and bothersomeness-of-side effects. The total score was calculated as the average of the efficacy, functionality and ease-of-use subscores. Subscores could range from 0 to 100; higher scores indicate greater satisfaction. (NCT00573170)
Timeframe: At 24 hours after dosing for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | scores on a scale (Mean) |
---|---|
Placebo | 63 |
Treximet | 68 |
Butalbital-containing Combination Medication | 63 |
"Clinical disability for each participant was assessed using the CDQ. This scale uses one question to assess ability to perform normal or usual activities. Responses are recorded on a 5-point scale, where 1 is normal/not impaired, 2 is mildly impaired, 3 is moderately impaired, 4 is severely impaired, and 5 is 'required bedrest." (NCT00573170)
Timeframe: At dosing and at 2, 4, 6 and 8 hours after dosing of each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | ||||
---|---|---|---|---|---|
At dose time | 2 hours | 4 hours | 6 hours | 8 hours | |
Butalbital-containing Combination Medication | 10 | 29 | 50 | 60 | 60 |
Placebo | 9 | 19 | 59 | 76 | 77 |
Treximet | 8 | 33 | 62 | 77 | 83 |
Overall cognition was assessed with a composite score (range 0-9) called the Performance Index, as derived from the number of correct responses per minute on subtests of the Mental Efficiency Workload Test (MEWT) cognitive battery. For a particular participant, lower scores indicate a negative impact, or worsened, general cognition; higher scores indicate improved cognition. (NCT00573170)
Timeframe: At time of dosing, and at 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | scores on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Dose time | 2 hours | 4 hours | 6 hours | 8 hours | 24 hours | 48 hours | |
Butalbital-containing Combination Medication | 7.30 | 7.27 | 7.38 | 7.34 | 7.33 | 7.61 | 7.69 |
Placebo | 7.36 | 7.33 | 7.44 | 7.38 | 7.45 | 7.66 | 7.78 |
Treximet | 7.29 | 7.37 | 7.50 | 7.43 | 7.33 | 7.82 | 7.88 |
"Participant alertness was evaluated with the 7-point modified SS scale, where 1 is feeling active, vital, alert, wide awake, 2 is still functioning at high levels, but not peak; able to concentrate, 3 is awake, but relaxed; responsive but not fully alert, 4 is somewhat foggy, let down, 5 is foggy, losing interest in remaining awake, 6 is sleepy, woozy, fighting sleep, prefer to lie down, and 7 is no longer fighting sleep, sleep onset soon, having dream like thoughts." (NCT00573170)
Timeframe: Dose time, 2, 4, 6, 8, 24 and 48 hours post-dose. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | units on a scale (Mean) | ||||||
---|---|---|---|---|---|---|---|
Dose time, n=318, 316, 304 | 2 hours, n=275, 268, 251 | 4 hours, n=249, 240, 234 | 6 hours, n=215, 219, 210 | 8 hours, n=195, 195, 186 | 24 hours, n=252, 258, 241 | 48 hours, n=215, 240, 218 | |
Butalbital-containing Combination Medication | 4.00 | 3.88 | 3.91 | 3.82 | 3.91 | 2.78 | 2.60 |
Placebo | 3.94 | 3.88 | 3.75 | 3.78 | 3.85 | 2.73 | 2.56 |
Treximet | 3.97 | 3.87 | 3.67 | 3.75 | 3.81 | 2.80 | 2.72 |
Number of participants who took any medication to treat their migraine pain or symptoms within 48 hours after they took the first dose of study medication (placebo, Treximet, or butalbital-containing combination medication) for that attack. Participants were asked not to take rescue for at least 2 hours after they took the study medication (placebo, Treximet, or butalbital-containing combination medication) for that attack. Participants took rescue medication if they felt they needed it. (NCT00573170)
Timeframe: From dose time through 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||
---|---|---|---|---|
Use of 1st rescue < 2 hours post-dose | Use of 1st rescue (investigational medication) | Use of 2nd rescue (investigational medication) | Use of other rescue (not investigational med.) | |
Butalbital-containing Combination Medication | 25 | 203 | 121 | 8 |
Placebo | 25 | 234 | 114 | 6 |
Treximet | 19 | 158 | 79 | 5 |
Complete symptom-free is defined as migraine-free, neck pain-free, and sinus pain-free without the use of any rescue medication prior to the defined time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hours | 4 hours | 6 hours | 8 hours | 24 hours | 48 hours | |
Butalbital-containing Combination Medication | 21 | 36 | 38 | 38 | 74 | 62 |
Placebo | 13 | 19 | 27 | 29 | 43 | 47 |
Treximet | 29 | 68 | 67 | 68 | 95 | 86 |
Migraine-free is defined as pain-free with no migraine-associated symptoms (nausea, vomiting, photophobia [sensitivity to light], and phonophobia [sensitivity to sound]) with use of any rescue medication before the defined time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hours | 4 hours | 6 hours | 8 hours | 24 hours | 48 hours | |
Butalbital-containing Combination Medication | 22 | 37 | 39 | 40 | 75 | 65 |
Placebo | 14 | 20 | 28 | 29 | 46 | 48 |
Treximet | 33 | 74 | 70 | 73 | 101 | 90 |
Pain-Free is defined as having no pain and without the use of any rescue medication from the time of the initial dose of study medication for a particular migraine attack until the defined time point at 2, 4, 6, 8, 24 or 48 hours post-dose. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hours post-dose | 4 hours post-dose | 6 hours post-dose | 8 hours post-dose | 24 hours post-dose | 48 hours post-dose | |
Butalbital-containing Combination Medication | 26 | 39 | 40 | 42 | 78 | 66 |
Placebo | 16 | 21 | 29 | 30 | 48 | 51 |
Treximet | 45 | 86 | 78 | 79 | 104 | 93 |
Pain relief is defined as having no or mild pain and no use of rescue medication after dosing in those participants who had moderate or severe pain at dosing. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hours post-dose | 4 hours post-dose | 6 hours post-dose | 8 hours post-dose | 24 hours post-dose | 48 hours post-dose | |
Butalbital-containing Combination Medication | 114 | 90 | 66 | 61 | 88 | 71 |
Placebo | 76 | 51 | 48 | 46 | 62 | 54 |
Treximet | 148 | 124 | 107 | 97 | 127 | 99 |
The number of participants with no pain and relief of nausea in those participants for whom nausea was present at dose time. Participants using rescue medication were removed from the participants with relief group for all subsequent timed assessments, regardless of pain and associated symptom evaluations at the specified time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hrs post-dose | 4 hrs post-dose | 6 hrs post-dose | 8 hrs post-dose | 24 hrs post-dose | 48 hrs post-dose | |
Butalbital-containing Combination Medication | 8 | 8 | 8 | 9 | 30 | 28 |
Placebo | 5 | 6 | 8 | 9 | 15 | 20 |
Treximet | 13 | 28 | 32 | 29 | 39 | 41 |
The number of participants with no pain and relief of phonophobia in those participants for whom phonophobia was present at dose time. Participants using rescue medication were removed from the participants with relief group for all subsequent timed assessments, regardless of pain and associated symptom evaluations at the specified time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hrs post-dose | 4 hrs post-dose | 6 hrs post-dose | 8 hrs post-dose | 24 hrs post-dose | 48 hrs post-dose | |
Butalbital-containing Combination Medication | 15 | 24 | 30 | 30 | 61 | 52 |
Placebo | 11 | 15 | 21 | 21 | 33 | 34 |
Treximet | 25 | 57 | 49 | 57 | 79 | 71 |
The number of participants with no pain and relief of photophobia in those participants for whom photophobia was present at dose time. Participants using rescue medication were removed from the participants with relief group for all subsequent timed assessments, regardless of pain and associated symptom evaluations at the specified time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hrs post-dose | 4 hrs post-dose | 6 hrs post-dose | 8 hrs post-dose | 24 hrs post-dose | 48 hrs post-dose | |
Butalbital-containing Combination Medication | 16 | 23 | 27 | 32 | 24 | 20 |
Placebo | 11 | 16 | 22 | 21 | 35 | 38 |
Treximet | 30 | 64 | 54 | 61 | 84 | 81 |
The number of participants with no pain and relief of vomiting in those participants for whom vomiting was present at dose time. Participants using rescue medication were removed from the participants with relief group for all subsequent timed assessments, regardless of pain and associated symptom evaluations at the specified time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hrs post-dose | 4 hrs post-dose | 6 hrs post-dose | 8 hrs post-dose | 24 hrs post-dose | 48 hrs post-dose | |
Butalbital-containing Combination Medication | 0 | 0 | 1 | 1 | 3 | 2 |
Placebo | 1 | 1 | 1 | 0 | 3 | 3 |
Treximet | 0 | 1 | 2 | 1 | 3 | 2 |
The number of participants with no pain and relief of neck pain in those participants for whom neck pain was present at dose time. Participants using rescue medication were removed from the participants with relief group for all subsequent timed assessments, regardless of pain and associated symptom evaluations at the specified time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hrs post-dose | 4 hrs post-dose | 6 hrs post-dose | 8 hrs post-dose | 24 hrs post-dose | 48 hrs post-dose | |
Butalbital-containing Combination Medication | 14 | 22 | 19 | 29 | 44 | 37 |
Placebo | 4 | 7 | 12 | 16 | 20 | 26 |
Treximet | 19 | 43 | 39 | 38 | 51 | 46 |
The number of participants with no pain and relief of sinus/facial pain in those participants for whom sinus/facial pain was present at dose time. Participants using rescue medication were removed from the participants with relief group for all subsequent timed assessments, regardless of pain and associated symptom evaluations at the specified time point. (NCT00573170)
Timeframe: At 2, 4, 6, 8, 24, and 48 hours post-dose for each attack treated with study medication. All 3 migraine attacks were to have been treated within 19 weeks of randomization (when study medication was dispensed).
Intervention | participants (Number) | |||||
---|---|---|---|---|---|---|
2 hrs post-dose | 4 hrs post-dose | 6 hrs post-dose | 8 hrs post-dose | 24 hrs post-dose | 48 hrs post-dose | |
Butalbital-containing Combination Medication | 9 | 17 | 15 | 16 | 30 | 24 |
Placebo | 5 | 4 | 10 | 8 | 13 | 15 |
Treximet | 14 | 35 | 29 | 28 | 38 | 40 |
3 reviews available for butalbital and Tension-Type Headache
Article | Year |
---|---|
Do butalbital-containing products have a role in the management of migraine?
Topics: Analgesics; Barbiturates; Drug Combinations; Drug Utilization; Humans; Migraine Disorders; Practice | 2002 |
Butalbital-containing agents: should they be banned? No.
Topics: Barbiturates; Controlled Clinical Trials as Topic; Drug Therapy, Combination; Humans; Legislation, D | 2002 |
Should butalbital-containing analgesics be banned? Yes.
Topics: Barbiturates; Headache; Humans; Legislation, Drug; Tension-Type Headache | 2002 |