Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Rizatriptan (Maxalt) and Ergotamine (Ergomar) are both used to treat migraines, but they have some key differences. Rizatriptan (Maxalt) is a triptan that works by tightening blood vessels and lowering inflammation in the brain. It is available as a generic and comes in both oral and orally disintegrating tablet (ODT) forms. Ergotamine (Ergomar), on the other hand, is an ergot derivative that also tightens blood vessels but works more slowly and lasts longer. It is taken sublingually (under the tongue) and does not have a generic form. Rizatriptan (Maxalt) can be used by children ages 6 and older, while Ergotamine (Ergomar) is not typically a first-choice medication and is not recommended for children. Both medications can cause severe side effects, such as the risk of poor blood flow to the hands and feet. Ergotamine is not safe for use during pregnancy, while the safety of using Rizatriptan during pregnancy is unknown. Both medications should not be used together or within 24 hours of each other due to the risk of serious side effects.
Rizatriptan (Maxalt)
Ergomar (ergotamine)
Rizatriptan (Maxalt)
Ergomar (ergotamine)
Summary of Maxalt vs. Ergotamine
Summary for Triptan
Prescription only
Rizatriptan (Maxalt) is used to treat migraines with or without aura in people ages 6 years and older. Rizatriptan (Maxalt) is available as a lower-cost generic tablet and an orally disintegrating tablet (ODT) that's placed on the tongue. Common side effects include dizziness, headache, and sleepiness. It can interact with antidepressants and other similar migraine medications.
Summary for Ergot derivative
Prescription only
Ergomar (ergotamine) treats migraines. It's an ergot medication. It works by lessening inflammation in the brain and calming certain parts of the brain. Ergomar (ergotamine) is a brand-name medication that comes as sublingual tablets for adults. You place it under the tongue to dissolve as soon as you feel like you're about to have a migraine or headache. Side effects include nausea and vomiting.
Indications of Maxalt vs. Ergotamine
Indications for
•Treatment of migraine attacks with or without aura in people ages 6 years and older