It's difficult to get a doctor to prescribe enough of the Esgic, and the Tramadol
, (generic Ultram) so that it can be taken daily as a preventative. I've been reading on here, that most of the Butalbital is being controlled because of the acetaminophen, and the aspirin. Last month, I was given Fiorcet, and I take two of those, with my Alkaselzer, and my Tramadol. The Fiorcet, which is Butalbital, isn't the same as taking the Esgic Plus.