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Pimozide

An antipsychotic used to suppress severe tics in Tourette's disorder.

Clinical information

Common uses

  • severe motor and phonic tics in Tourette's disorder, after standard treatment fails

Common side effects

  • dizziness
  • tremor
  • blurred vision
  • increased salivation
  • weight changes

Cautions

  • can prolong the heart's QT interval — ECGs needed; sudden deaths reported
  • risk of tardive dyskinesia (potentially irreversible movement disorder)
  • neuroleptic malignant syndrome (fever, rigidity) is a medical emergency
  • not for simple tics or with heart rhythm problems

Interactions

  • clarithromycin, erythromycin and other macrolides (contraindicated)
  • azole antifungals such as ketoconazole (contraindicated)
  • HIV protease inhibitors such as ritonavir (contraindicated)
  • citalopram, escitalopram, sertraline, paroxetine (contraindicated)
  • other QT-prolonging drugs (do not combine)
  • alcohol and sedatives (added drowsiness)

Pregnancy: only if benefit clearly outweighs risk

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, pimozide label, setid 4e954fc2-fdff-486c-beb6-2b8ace717081 (accessed 2026-08-16)

Approved brands & formulations1

Brand nameDosage formStrengthImporterCategory
PimozideTablet2 mgMFDA designated importers with Pre Authorization approval before importhospital
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