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Almotriptan vs. Naratriptan

Almotriptan is a type of migraine medication called a triptan. It treats migraine with or without aura in adults and certain children age 12 to 17 years. Its brand name Axert has been discontinued, so almotriptan is now only available as a generic. Almotriptan is a tablet that's swallowed whole when a migraine starts. You can take another tablet at least 2 hours later if the medication doesn't completely relieve your migraine. Side effects include sleepiness and headache.

• Treatment of migraine attacks in adults with a history of migraine with or without aura
• Treatment of migraine pain in children age 12 to 17 years with a history of migraine with or without aura that lasts 4 hours or more

Adults:

• Nausea (1-2%)
• Dry mouth (1%)
• "Pins and needles" feeling in the arms or legs (1%)

Children age 12 years and older:

• Sleepiness (up to 5%)
• Dizziness (3-4%)
• Nausea (1-3%)
• Vomiting (up to 2%)
• Headache (1-2%)
• "Pins and needles" feeling in the arms or legs (1%)

• Heart attack, chest pain (angina), and irregular heart rhythm
• Stroke or other brain injury
• Extreme narrowing of blood vessels
• Serotonin syndrome
• Worse headaches if you take almotriptan too often
• High blood pressure
• Serious allergic reaction

Naratriptan is a triptan that's used to treat migraines with or without aura in adults. While the brand name Amerge is no longer available, there's a generic version that you can get by prescription. Naratriptan is a tablet that's swallowed whole once, typically as a single dose. But you can take the medication again 4 hours later if the first dose didn't work to relieve your migraine. Side effects aren't common, but it might make you nauseous, sleepy, or dizzy.

• Treatment of migraine attacks with or without aura in adults

• Nausea (up to 5%)

• Heart problems and high blood pressure
• Stroke or other brain injury
• Extreme narrowing of blood vessels
• Worsened headaches if naratriptan is taken too often
• Serotonin syndrome