Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Rizatriptan (Maxalt) and Fioricet (butalbital/acetaminophen/caffeine) are both used to treat headaches, but they work differently and are used for different types of headaches. Rizatriptan is a triptan that treats migraines by tightening blood vessels and reducing inflammation. It is available as a generic and comes in tablet and orally disintegrating tablet (ODT) forms. Fioricet, on the other hand, is a combination medication used for tension headaches. It contains a barbiturate (butalbital), an analgesic (acetaminophen), and caffeine. Fioricet can be habit-forming and is controlled in some states, whereas rizatriptan is not a controlled substance. Rizatriptan is typically taken as needed for migraines, while Fioricet is taken every 4 hours as needed for tension headaches. Both medications can cause drowsiness and dizziness, but Fioricet has a risk of misuse and dependence. Additionally, Fioricet can cause liver damage due to acetaminophen, especially if taken with other acetaminophen-containing medications or alcohol.
Rizatriptan (Maxalt)
Fioricet
Rizatriptan (Maxalt)
Fioricet
Summary of Maxalt vs. Fioricet
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 Barbiturate / Analgesic / Adenosine antagonist
Prescription only
Fioricet is a combination medication containing butalbital, acetaminophen, and caffeine. It's taken by mouth as needed, typically every 4 hours, to treat tension headaches. But it's not a first-choice option because it can become habit-forming and can worsen headaches if taken too frequently. In addition, Fioricet can cause side effects, such as sleepiness and dizziness. It's available as pills and an oral syrup.
Indications of Maxalt vs. Fioricet
Indications for
•Treatment of migraine attacks with or without aura in people ages 6 years and older