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Does Xiidra cause headaches?

Medically reviewed by Leigh Ann Anderson, PharmD. Last updated on April 16, 2025.

Official Answer by Drugs.com

Headaches can occur when you use Xiidra, but it’s not listed as one of the most common side effects. In clinical studies, headaches occurred in 1% to 5% of patients (1 to 5 out of every 100 patients).

Other side effects reported in 1% to 5% of patients were eye redness, teary or watery eyes, eye discharge, eye discomfort, itchy eyes and sinusitis.

The most common side effects with Xiidra eye drops, occurring in 5% to 25% of patients are:

Can dry eye disease occur with migraines?

In studies, an increased frequency of dry eye disease has been found to occur in patients with migraine, which might suggest that migraine headaches are related to dry eye disease. According to the researchers, some migraine attacks may be aggravated in the presence of dry eye syndrome.

In this observational study, researchers compared a group of 33 patients with migraine headache to 33 patients without migraines (the control group). Significant differences (<0.05) in dry eye scores were found between the patients with migraine and the control subjects.

Another large population-based case-control study of 72,969 patients, the odds of having dry eye disease with a diagnosis of migraine headaches was at least 20% higher than that of individuals without a diagnosis of migraine headaches.

Related questions

What causes dry eye disease?

Chronic dry eye is a long-lasting (chronic )disease that cannot be cured but your symptoms can be controlled. It can be caused by:

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References
  • Xiidra [package insert].East Hanover, New Jersey: Novartis Pharmaceuticals Corporation, 2019. https://www.novartis.us/sites/www.novartis.us/files/xiidra.pdf
  • Haber SL, Benson V, Buckway CJ, Gonzales JM, Romanet D, Scholes B. Lifitegrast: a novel drug for patients with dry eye disease. Ther Adv Ophthalmol. 2019;11:2515841419870366. Published 2019 Aug 22. doi:10.1177/2515841419870366
  • Koktekir, B. E., Celik, G., Karalezli, A., & Kal, A. (2012, December). Dry eyes and migraines: Is there really a correlation? 31(12), 1414-1416 Cornea, https://www.ncbi.nlm.nih.gov/pubmed/22710496
  • Ismail OM, Poole ZB, Bierly SL, et al. Association Between Dry Eye Disease and Migraine Headaches in a Large Population-Based Study. JAMA Ophthalmol. 2019;137(5):532–536. doi:10.1001/jamaophthalmol.2019.0170

Read next

Can dry eye syndrome cause blindness​?

Dry eye syndrome does not usually cause blindness, but untreated severe cases can lead to corneal damage, scarring, and vision impairment. While complete blindness from dry eye is extremely rare, early treatment with medications and supportive care can prevent serious complications and protect your vision.

Continue reading

How much is Xiidra without insurance?

Xiidra (lifitegrast 5%) costs around $748 for a 30-day prescription if you are paying cash using an online coupon. Xiidra is an eye drop used for the treatment of the signs and symptoms of dry eye disease. Continue reading

Can Restasis and Xiidra be used together?

Only use Xiidra and Restasis together if your doctor has recommended this treatment. Both drugs are used to treat dry eye disease and inflammation and you would not usually need to combine them. Both Xiidra and Restasis can be linked with similar side effects such as eye burning, stinging and irritation. Continue reading

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