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Maxalt (Generic)

Maxalt (Rizatriptan) is prescribed for the treatment of a migraine attack with or without the presence of an aura (visual disturbances, usually sensations of halos or flickering lights, which precede an attack). It cuts headaches short, but will not prevent attacks.

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Uses

Rizatriptan is prescribed for the treatment of a migraine attack with or without the presence of an aura (visual disturbances, usually sensations of halos or flickering lights, which precede an attack). It cuts headaches short, but will not prevent attacks.
Rizatriptan should be used only for typical migraine headaches. It is not recommended for any other type of headache, or for unusual types of migraine such as hemiplegic or basilar migraine.

How to take

This drug is taken by mouth as directed for migraine attacks. Dosage is based on your medical condition and response. If no relief occurs after the first dose, consult your MD or pharmacist. Doses are generally separated by at least 2 hours

Side effects

Drowsiness, dizziness, dry mouth, nausea, or headache may occur. If these effects persist or worsen, notify your doctor promptly. Unlikely but report promptly: mental/mood changes, chest pain, neck/jaw discomfort. Very unlikely but report promptly: irregular or fast heartbeat, unusual weakness, vision changes, cold/tingling/numb hands or feet, stomach pain, bloody diarrhea, fainting or unsteadiness. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

Precaution

Before taking rizatriptan, tell your doctor or pharmacist if you are allergic to it; or to other "triptan" migraine drugs; or if you have any other allergies. Before using this medication, tell your doctor or pharmacist if you have risk factors for heart disease including: high cholesterol level, high blood pressure, diabetes, smoking history, family history of heart disease or stroke, obesity. Caution is also recommended in women after menopause or after removal of the ovaries, and men over 40 years old because of an increased risk for undiagnosed heart disease. Before taking this medication, tell your doctor or pharmacist your medical history, especially of certain blood circulation disorders (e.g., Raynaud's syndrome), heart or blood vessel disease/stroke, kidney disease, liver disease, intestinal disease. Limit alcohol intake, as it may aggravate drug side effects. Caution is advised when performing tasks requiring alertness (e.g., driving), as this drug may cause drowsiness or dizziness. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug is excreted into breast milk. Consult your doctor before breast-feeding.

Drug interactions

The following drugs may boost or add to the effect of Rizatriptan and should never be combined with it:

Drugs classified as MAO inhibitors, including the antidepressants Marplan, Nardil, and Parnate
Ergot-containing drugs such as Cafergot, D.H.E. Injection, and Migranal Nasal Spray
Other drugs in the Rizatriptan family, including Amerge, Imitrex, and Zomig
Certain other drugs may also interact with Rizatriptan. Check with your doctor before combining it with the following:

Fluoxetine (Prozac)
Fluvoxamine (Luvox)
Paroxetine (Paxil)
Propranolol (Inderal)
Sertraline (Zoloft)

Missed dose

Rizatriptan is not for regular use. Take it only during a migraine attack.

Storage

Store at room temperature between 59 and 86 degrees F (between 15 and 30 degrees C) away from moisture and sunlight. Do not store in the bathroom. Keep away from children and pets.