It's not only the risk of CNS depression but alcohol and acetaminophen together are toxic to the liver.
A very good point. I focused on the butalbital and forgot to mention the acetaminophen and caffeine, and their dangers.
I wonder if the alcohol is actually contributing to your panic attacks and headaches? Maybe try cutting down in that. If that doesn’t help definitely let you doctor know the med isn’t working. Firocet is really hit or miss with headaches IME
Definitely +1 on TPD's first sentence. I know back when I was drinking, headaches were MUCH more often, prevalent and severe. Alcohol is a major causative factor for headaches. Of course I was a careless idiot (i still knew better back then.....I just didn't care), just kept throwing back pills I knew were harmful in combination with alcohol to treat the headaches, then carried on drowning myself with ungodly amounts of drink.
When I stopped, after awhile, I definitely noticed a reduction in my headaches...not so sure whether I noticed any/much difference in panic, but thinking back on it, I THINK there was probably a reduction.....although, during my drinking years, the panic attacks happened much more often when I WASN'T drinking.
Regardless, I too, DEFINITELY, ABSOLUTELY, 110% highly recommend you cut down on your alcohol consumption...I have VERY LITTLE doubt that you'll benefit greatly and see at least some reduction in symptoms (and without taking an additional drug to do so!).
As for Fioricet being hit or miss.....I don't really know, I haven't looked much into statistics for the general public or other people (though it does make sense seeing as there are many different kinds of headaches, many different causes, and therefore, certain treatments will help certain people depending on the person and the circumstances of their condition), but for me, I had a fair bit of success with it.....though not so much with the regular version....I needed a variation (which was a godsend for me personally)- Fiorinal #3. Same basic combination of substances: butalbital, caffeine (both at same dosages as regular Fioricet), but with aspirin instead of acetaminophen, and codeine in addition- 4 in 1 capsule). That shit typically works wonders for me....of course abuse temptation could be a bit high though. The shit can get ya pretty sloppy (and noticeably so) if you dose enough....but barbs really aren't safe to abuse.....even relatively weak ones like butalbital.
Point is, my personal experience of treatment with this family of pharmaceuticals is very good. YMMV.
-PA