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Aspirin, butalbital, and caffeine are three active ingredients combined in a medication commonly known as Fiorinal. This combination is typically prescribed for the treatment of tension headaches and migraines. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that helps to reduce pain and inflammation. Butalbital is a barbiturate that works as a central nervous system depressant, helping to relax muscles and relieve tension. Caffeine acts as a stimulant and may enhance the effectiveness of the other ingredients. Together, these medications provide a combination of pain relief, muscle relaxation, and improved alertness, making Fiorinal effective for managing headaches.