Maxalt side effects
Using Maxalt (rizatriptan) for a migraine? Good — it can stop a headache fast. But like any medicine, it can cause side effects. This short guide tells you what’s common, what’s serious, and what to do if something feels wrong.
Common reactions — what you might feel
Most people only get mild, short-lived effects. Typical ones include dizziness, drowsiness, tiredness, dry mouth, nausea, and a strange tingling or numbness in hands or feet. Some people notice tightness or pressure in the chest, neck, or jaw that feels odd but isn’t always dangerous. These usually start soon after taking the tablet and fade within a few hours.
If any of these side effects bother you, don’t stop the medicine right away — call your doctor or pharmacist first. They can suggest dose changes or other options.
Serious signs — act fast
Some reactions are rare but need urgent care. Stop the medicine and seek emergency help if you get: severe chest pain, shortness of breath, sudden weakness or numbness on one side, slurred speech, fainting, very fast heartbeat, or fainting. These could be signs of heart problems, stroke, or other serious issues.
Watch for symptoms of serotonin syndrome if you take antidepressants (SSRIs, SNRIs): high fever, shaking, confusion, fast heartbeat, or muscles that won’t stop twitching. This is uncommon but can be dangerous. Also avoid taking Maxalt within 24 hours of ergot-type drugs and do not use it if you’ve taken a monoamine oxidase inhibitor (MAOI) in the last 14 days.
People with known heart disease, uncontrolled high blood pressure, or risk factors for coronary artery disease usually should not take triptans without a heart check. If you have chest pain after taking Maxalt, get emergency care right away.
A specific drug note: if you’re taking propranolol, your rizatriptan dose should be lower. Doctors often recommend 5 mg instead of 10 mg, with a maximum of 15 mg in 24 hours when propranolol is used.
Pregnant or breastfeeding? Data are limited. Talk with your doctor to weigh benefits and risks before taking Maxalt.
Practical tips: take Maxalt as soon as your migraine starts (not on a schedule), don’t exceed the recommended dose, avoid alcohol until you know how it affects you, and don’t drive if you feel dizzy or drowsy. Keep a note of how you react to each dose — that helps your clinician pick the best plan.
If you’re unsure whether a symptom is serious, call your doctor or local emergency number. Better safe than guessing when it comes to heart or neurologic symptoms.
Want to switch meds or need help managing side effects? Bring a log of your headaches and reactions to your next visit — it makes decisions faster and safer.
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