---
title: Does rimegepant prevent migraines around your period? | Niyora
description: Rimegepant prevented perimenstrual migraines in 85% of cycles with no side effects in this small study of 5 women, but we need larger studies to be confident
url: https://niyora.com/research/papers/short-term-prevention-of-perimenstrual-migraine-with-rimegepant-2025/
---

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- Does rimegepant prevent migraines around your period?

Randomised trial, 2025

# Does rimegepant prevent migraines around your period?

Rimegepant prevented perimenstrual migraines in 85% of cycles with no side effects in this small study of 5 women, but we need larger studies to be confident in these results.

 Early or limited evidence

5 women aged 22-42 with episodic migraine and regular menstrual cycles

## What they did

Case series of 5 women aged 22-42 with episodic migraine and regular menstrual cycles. They took rimegepant 75 mg every other day starting 2 days before menstruation and continuing 2 days after menstruation. Patients kept daily headache diaries and were followed for 3-4 cycles.

## What they found

Rimegepant prevented perimenstrual attacks in 17 of 20 cycles (85%) with no treatment-related side effects. However, only 1 patient (20%) had sustained reduction in overall monthly migraine days. Three patients (60%) experienced delayed migraine onset 3-7 days after menstruation rather than complete prevention.

## What it means for you

Rimegepant appears promising for preventing migraines around your period and was well tolerated. However, this was a very small case series with only 5 women and no control group. Some women's migraines were delayed rather than prevented. Much larger randomized controlled trials are needed to confirm these findings.

5

women in study

85%

of cycles with prevented attacks

60%

experienced delayed migraine

## About the study

Original title Short-term prevention of perimenstrual migraine with rimegepant Authors Frank F, Schiefecker A, Kaltseis K et al. Journal The journal of headache and pain Year 2025 Study design Randomised trial What was tested Rimegepant 75 mg orally disintegrating tablet every other day for 2 days before and 2 days after menstruation Open access Yes Read the paper [doi.org/10.1186/s10194-025-02185-y](https://doi.org/10.1186/s10194-025-02185-y)

## Topics

[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Diuretics and other drugs](https://niyora.com/research/topics/treatment-diuretics-other-drugs/)[Migraine](https://niyora.com/research/topics/comorbidity-migraine/)

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