Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart review

Background Lasmiditan is suitable for the acute treatment of migraine in patients who are intolerant or unresponsive to triptans. However, lasmiditan can cause adverse events that affect treatment adherence. The effects of predose food consumption on the development of adverse events after lasmidita...

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Main Authors: Yuu Tatsuoka, Tamae Naruse, Atsushi Shima, Ryosuke Takahashi, Yoshihisa Tatsuoka
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Cephalalgia Reports
Online Access:https://doi.org/10.1177/25158163251355591
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author Yuu Tatsuoka
Tamae Naruse
Atsushi Shima
Ryosuke Takahashi
Yoshihisa Tatsuoka
author_facet Yuu Tatsuoka
Tamae Naruse
Atsushi Shima
Ryosuke Takahashi
Yoshihisa Tatsuoka
author_sort Yuu Tatsuoka
collection DOAJ
description Background Lasmiditan is suitable for the acute treatment of migraine in patients who are intolerant or unresponsive to triptans. However, lasmiditan can cause adverse events that affect treatment adherence. The effects of predose food consumption on the development of adverse events after lasmiditan intake remain unclear. Methods This single-center retrospective study included 23 patients who received both preprandial and postprandial lasmiditan and experienced adverse events. To determine whether meal timing influences these adverse events, we examined the differences in the severity of adverse events between preprandial and postprandial lasmiditan administration using medical records and patient-reported headache diaries. Results All 23 patients experienced adverse events such as somnolence, dizziness, disequilibrium, fatigue, and palpitations following preprandial lasmiditan intake. Postprandial administration of lasmiditan was associated with significantly lower severity and reduced odds of adverse events compared with preprandial administration ( p  < 0.001). Conclusion Our results suggest that postprandial lasmiditan intake may affect the incidence and severity of the adverse events.
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spelling doaj-art-7b95c9fc91fa4e1fa9940e817261cb542025-08-20T02:34:56ZengSAGE PublishingCephalalgia Reports2515-81632025-06-01810.1177/25158163251355591Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart reviewYuu Tatsuoka0Tamae Naruse1Atsushi Shima2Ryosuke Takahashi3Yoshihisa Tatsuoka4 Department of Neurology, Faculty of Medicine, , Kyoto, Japan Department of Neurology, Tatsuoka Neurology Clinic, Kyoto, Japan Department of Human Health Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan Research Administration Center, Kyoto University, Kyoto, Japan Department of Neurology, Tatsuoka Neurology Clinic, Kyoto, JapanBackground Lasmiditan is suitable for the acute treatment of migraine in patients who are intolerant or unresponsive to triptans. However, lasmiditan can cause adverse events that affect treatment adherence. The effects of predose food consumption on the development of adverse events after lasmiditan intake remain unclear. Methods This single-center retrospective study included 23 patients who received both preprandial and postprandial lasmiditan and experienced adverse events. To determine whether meal timing influences these adverse events, we examined the differences in the severity of adverse events between preprandial and postprandial lasmiditan administration using medical records and patient-reported headache diaries. Results All 23 patients experienced adverse events such as somnolence, dizziness, disequilibrium, fatigue, and palpitations following preprandial lasmiditan intake. Postprandial administration of lasmiditan was associated with significantly lower severity and reduced odds of adverse events compared with preprandial administration ( p  < 0.001). Conclusion Our results suggest that postprandial lasmiditan intake may affect the incidence and severity of the adverse events.https://doi.org/10.1177/25158163251355591
spellingShingle Yuu Tatsuoka
Tamae Naruse
Atsushi Shima
Ryosuke Takahashi
Yoshihisa Tatsuoka
Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart review
Cephalalgia Reports
title Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart review
title_full Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart review
title_fullStr Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart review
title_full_unstemmed Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart review
title_short Comparison of the adverse events of preprandial and postprandial lasmiditan intake: A retrospective chart review
title_sort comparison of the adverse events of preprandial and postprandial lasmiditan intake a retrospective chart review
url https://doi.org/10.1177/25158163251355591
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