Rizatriptan

What it is

Rizatriptan is a fast-acting triptan with an orally disintegrating tablet that melts on the tongue — useful when swallowing is hard or water is not at hand.

In comparisons it tends to work slightly faster than sumatriptan tablets, so it is a frequent second choice when the first triptan is too slow.

FDA-approved uses

• Acute migraine with or without aura (adults and children 6+)

Our doctors prescribe for approved uses. Any other use is a decision made only by your doctor, for you, after evaluation.

How it is taken

One dose at onset; a second dose may be taken after two hours if needed, up to the daily limit. People taking propranolol use a lower dose.

What to expect

Pain relief within one to two hours; dizziness, drowsiness, tingling and dry mouth are the usual side effects.

Who should not take it

• Coronary artery disease or prior stroke
• Uncontrolled high blood pressure
• Use within 24 hours of another triptan or an ergot
• MAO inhibitors within two weeks

Questions we hear