Hi, I am 75 now. I have had a chronic tension headache (99% in left temple area) since a neck injury in 1974. Fioricet has been the most effective therapy for me over 30 years. I was able to stop this Rx back in the 90 s for about 2 years. I have been on 2x/day Fioricet. I have learned to pay attention to an onset and therefore take a dose just before the headache breaks out. If not, a headache can last for many hours and I use ice packs that do help. My new internist scolded me this week telling me I may already have liver disease (not showing on any blood test). She wants me off Fioricet and Rx Meloxicam just to see if this is more beneficial. I would like to NOT have to take anything. I have been noticing lack of energy, fatigue (suddenly falling asleep during the early evening) and occasional nausea. These new symptoms over the past 6 months may be telling me Fioricet is toxic for me. I live in Palm Desert, Calif. Moved from LA 12 years ago. There is a paucity of excellent medical care and neurologists who specialize in prescribing for headaches. And I haven t been able to find a psychiatrist who treats this. I am a licensed psychologist and thought I was always being conservative about taking medications. Being older I am on a 10mg statin, synthroid, and zantac for acid reflex. I would appreciate your feedback and/or referrals. Thank you, Beverly