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Drug interactions

Lasmiditan + Paliperidone

Severity: Minor

Lasmiditan and Paliperidone: minor 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 inhibits intestinal P-glycoprotein in vitro, and paliperidone is a P-gp substrate, so paliperidone exposure could rise. The clinical significance is uncertain and likely modest.

What this interaction means in plain words

Lasmiditan and Paliperidone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Lasmiditan belongs to Central Nervous System; Paliperidone belongs to Central Nervous System.

Evidence level: Low

Why it happens

Possible inhibition of P-glycoprotein efflux by lasmiditan, increasing paliperidone absorption.

What to do

No routine change is needed. Monitor for increased paliperidone adverse effects such as sedation, orthostasis or extrapyramidal symptoms after lasmiditan use.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Lasmiditan with Paliperidone?

MediHelp rates the interaction as minor. Lasmiditan and Paliperidone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Lasmiditan inhibits intestinal P-glycoprotein in vitro, and paliperidone is a P-gp substrate, so paliperidone exposure could rise. The clinical significance is uncertain and likely modest.

How serious is the interaction between Lasmiditan and Paliperidone?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine change is needed. Monitor for increased paliperidone adverse effects such as sedation, orthostasis or extrapyramidal symptoms after lasmiditan use.

What other medicines interact with Paliperidone?

MediHelp also lists interactions of Paliperidone with, for example, Ibutilide, Pimozide, Vandetanib. The full list is on the Paliperidone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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