Compare Topamax vs. Maxalt

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

Qudexy Xr (Topiramate)

Prescription only

Maxalt (Rizatriptan)

Prescription only
Prevents seizures and migraine headaches.

Qudexy Xr (Topiramate) is useful for preventing seizures and migraines, and doesn't require blood tests while you're on it.

4.4/ 7 average rating with 56 reviewsforTopamax
Treats migraine headaches.

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

5.3/ 7 average rating with 26 reviewsforMaxalt
Upsides
  • Used on its own or with other antiepileptic medicines to lower the frequency of seizures, especially for people with tonic-clonic or partial seizures, or Lennox-Gestaut syndrome.
  • Helpful in preventing frequent migraine headaches.
  • Doesn't need routine blood tests.
  • 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
  • Can cause sleepiness, speech problems, tingling sensations, and weight loss.
  • A few people will get kidney stones.
  • Not safe to use if you're pregnant.
  • 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 capsule
  • Pill
  • Dissolving tablet
Price
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$10.2
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$17.04
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Reviews
56 
52%
think this treatment is worth it
50%
think this treatment works well
36%
think this treatment is a hassle

Have you used Qudexy Xr (Topiramate)?

Leave a review
26 
81%
think this treatment is worth it
62%
think this treatment works well
19%
think this treatment is a hassle

Have you used Maxalt (Rizatriptan)?

Leave a review
Side effects
10possible side effects
  • Somnolence
    28%
  • Dizziness
    25%
  • Ataxia
    16%
  • Nervousness
    16%
  • Fatigue
    15%
  • Speech disorders/Related speech problems
    13%
  • Psychomotor slowing
    13%
  • Vision abnormal
    13%
  • Difficulty with memory
    12%
  • Paresthesia
    11%
See more detailed side effects
The Maxalt (Rizatriptan) FDA package insert doesn’t have numbers about how common side effects are.
Risks and warnings
  • Suicidal thoughts or behavior

    History of depression

  • Uncontrolled body temperature

    Children

  • Mental changes due to high ammonia

    History of metabolic disorders

    ...and 1 more risk factors

  • Kidney stones

    Low-carb diet

    ...and 2 more risk factors

  • Withdrawal seizures

    Stopping Qudexy Xr (Topiramate) suddenly

See more detailed risks and warnings
  • Tightening of blood vessels (myocardial angina, ischemia, or infarction)

    History of heart problems

    ...and 5 more risk factors

  • Stroke

    History of heart problems

    ...and 5 more risk factors

  • 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