New patients seen during eleven months were questioned about intake of narcotics or common analgesics with barbiturates prescribed for the treatment of headache. Out of 2,369 new patients, 62 received both medications frequently for at least six months. Thirty-eight patients were taking a combination of common analgesics and butalbital for 0.5 to 40 years. Eight were dependent; six physically addicted, two psychologically dependent and two were abusers. Seventeen patients were taking codeine and six, propoxyphene for 0.5 to 35 years. No addictions occurred, but there were two codeine and one propoxyphere abuser. There is danger of dependency and abuse in patients with chronic headaches.