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Drug interactions

Codeine + Lasmiditan

Severity: Moderate

Codeine and Lasmiditan: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Lasmiditan commonly causes dizziness and somnolence and has not been tested with other CNS depressants. Used with codeine, drowsiness and impaired psychomotor performance may be greater.

What this interaction means in plain words

Codeine and Lasmiditan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Codeine belongs to Musculoskeletal; Lasmiditan belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depressant effects; no pharmacokinetic mechanism is established.

What to do

Advise patients not to drive for at least eight hours after lasmiditan and monitor for excess sedation when codeine is also used.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Codeine with Lasmiditan?

MediHelp rates the interaction as moderate. Codeine and Lasmiditan can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Lasmiditan commonly causes dizziness and somnolence and has not been tested with other CNS depressants. Used with codeine, drowsiness and impaired psychomotor performance may be greater.

How serious is the interaction between Codeine and Lasmiditan?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients not to drive for at least eight hours after lasmiditan and monitor for excess sedation when codeine is also used.

What other medicines interact with Codeine?

MediHelp also lists interactions of Codeine with, for example, Alvimopan, Isocarboxazid, Olanzapine / samidorphan. The full list is on the Codeine page.

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