The best replacement for butalbital is phenobarbital.

The best alternatives to butalbital are rated as following:
★★★★★  phenobarbital
★★★  darvocet
★★  midrin
★  imitrex
★  fiorinal

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Speaking about butalbital, one probably shouldn't forget about apap.

Other search terms related to butalbital and their ratings are:
★★★★★ apap
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butalbital
phenobarbital
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