Serotonin receptor agonist
Reyvow (lasmiditan) is a prescription medicine used to treat migraine attacks quickly in adults. It works by acting on specific serotonin receptors in the brain. It is meant for acute treatment of a migraine happening now, not for preventing migraines from starting in the future.
How it worksReyvow works as a serotonin 1f (5-HT1f) receptor agonist to help treat migraine symptoms.
Brand names:Reyvow
How to take
The recommended dose is 50 mg, 100 mg, or 200 mg taken by mouth as needed. Do not take more than one dose in a 24-hour period.
Take the tablets whole; do not split, crush, or chew them. You can take Reyvow with or without food.
Key warnings
- ·Reyvow can significantly impair your ability to drive or use machinery. Do not drive or operate machinery until at least 8 hours after taking a dose.
- ·Using Reyvow with alcohol or other drugs that slow down the central nervous system may cause extreme sleepiness or sedation.
- ·There is a risk of serotonin syndrome, especially if taken with other drugs that increase serotonin levels.
- ·Using this medication too frequently may lead to medication overuse headaches.
Do not use if
- ·None listed
Side effects
Common
Serious
- ·Driving impairment
- ·Central nervous system depression
- ·Serotonin syndrome
- ·Medication overuse headache
- ·Lowered heart rate
Seek help if
- ·Serotonin syndrome symptoms
- ·Severe dizziness or sedation
- ·Abnormal heart rate
Interactions
- ·Alcohol and other drugs that cause sedation (CNS depressants)
- ·Serotonergic drugs (such as SSRIs, SNRIs, TCAs, MAO inhibitors, trazodone, or dextromethorphan)
- ·Herbal supplements like St. John's Wort
- ·Drugs that lower heart rate (such as propranolol)
Special populations
PregnancyThere is a registry to monitor pregnancy outcomes for women taking Reyvow. There is not enough data to know the exact risks to a developing baby, but animal studies have shown some risks to fetal development.
PediatricThe safety and effectiveness of Reyvow in children have not been established.
GeriatricOlder adults (65+) taking Reyvow may experience dizziness and increases in systolic blood pressure more frequently than younger patients. Doctors should start elderly patients on the lowest possible dose.
Talk to your doctor
Monitor
- ·Heart rate
- ·Driving ability/mental alertness
- ·Symptoms of serotonin syndrome
Questions to ask
- ·Should I avoid certain medications while taking Reyvow?
- ·How long should I wait after taking Reyvow before I can drive?
- ·Is Reyvow safe for me if I have a slow heart rate?
- ·Can I take Reyvow if I am pregnant?
Educational summary derived from FDA labeling, AI-assisted. Not medical advice — consult a healthcare professional. Updated 2026-04-26.
