Compare Tenex vs. Maxalt

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Tenex (Guanfacine)

Prescription only

Maxalt (Rizatriptan)

Prescription only
Treats ADHD and lowers blood pressure.

Tenex (Guanfacine) can be used to treat both blood pressure and ADHD, but it's not recommended as a first-line treatment for either problem.

Treats migraine headaches.

Maxalt (Rizatriptan) is great for relieving short migraines, but doesn't work as well for long-lasting headaches.

3.8/ 5 average rating with 26 reviewsforMaxalt
Upsides
  • The same medication treats two different things, high blood pressure and attention deficit hyperactivity disorder (ADHD).
  • It's not a "controlled medication".
  • Used to control ADHD when stimulant medications haven't worked or can't be used due to other medical problems.
  • Available as a generic medication, so it should be more affordable than other options.
  • Triptans like Maxalt (Rizatriptan) are considered the first-choice treatment to relieve moderate to severe migraine-type headaches.
  • It can also be used to treat tension-type headaches.
  • Not all triptans work the same way for people, so you can try multiple ones to find the right medication for you.
  • You don't need to drink water with the orally disintegrating tablet for it to work, so this could be a good medication for people who can't keep water down when they have a migraine.
Downsides
  • Doesn't control ADHD as well as stimulants do, so it's used as a second-line medication.
  • Not a preferred drug to control blood pressure.
  • Can't be stopped suddenly, especially for blood pressure, since the blood pressure can dramatically increase.
  • Maxalt (Rizatriptan) doesn’t prevent migraines or tension headaches, but only works once the headache starts.
  • It can cause rebound headaches if it’s used too often.
  • You need to wait at least 2 hours after your first dose to take a second dose.
  • May not be the best choice if you have long, drawn-out headaches. Ask your doctor about other triptans that can last longer than Maxalt (Rizatriptan).
  • Not a good choice if you have heart disease or if you’re pregnant or breast-feeding.
Used for
Dosage forms
  • Pill
  • Extended release
  • Pill
  • Dissolving tablet
Price
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Reviews
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26 reviews so far
81%
saidit'sworth it
62%
saiditworked well
19%
saidit'sa big hassle

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Side effects
7possible side effects
  • Dry Mouth
    10%
  • Somnolence
    10%
  • Headache
    7%
  • Fatigue
    5%
  • Any side effect
    5%
  • Asthenia
    3%
  • Dizziness
    2%
See more detailed side effects
The Maxalt (Rizatriptan) FDA package insert doesn’t have numbers about how common side effects are.
Risks and risk factors
  • Sedation
    • Taking other medications that cause sedation or sleepiness
  • Rebound high blood pressure
    • Stopping Tenex (Guanfacine) suddenly to treat high blood pressure
See more detailed risks and warnings
  • Tightening of blood vessels (myocardial angina, ischemia, or infarction)
    • History of heart problems
    • High blood pressure
    • High cholesterol
    • Diabetes
    • Being overweight or obese
    • Smoking
  • Stroke
    • History of heart problems
    • High blood pressure
    • High cholesterol
    • Diabetes
    • Being overweight or obese
    • Smoking
  • Stomach bleeding
  • Serotonin syndrome
    • Patients taking SSRIs and SNRIs
  • High blood pressure
    • History of high blood pressure
  • Seizures
    • History of seizures
  • Phenylketonuria (PKU)
    • Phenylketonuria (PKU)
See more detailed risks and warnings