General Information of Drug (ID: DMW83TP)

Drug Name
Pimozide
Synonyms
Antalon; Neoperidole; Opiran; Orap; Pimozida; Pimozidum; Primozida; ASTA Medica Brand of Pimozide; Janssen Brand of Pimozide;Orap forte; Pharmascience Brand of Pimozide; P 1793; R 6238; McN-JR 6238; Orap (TN); Pimozida [INN-Spanish]; Pimozidum [INN-Latin]; Primozida [INN-Spanish]; R-6238; McN-JR-6238; Pimozide (JAN/USP/INN); Pimozide [USAN:INN:BAN:JAN]; 1-(1-(4,4-Bis(p-fluorophenyl)butyl)-4-piperidyl)-2-benzimidazolinone; 1-(4,4-Bis(p-fluorophenyl)butyl)-4-(2-oxo-1-benzimidazolinyl)piperidine; 1-[1-[4,4-Bis(4-fluorophenyl)butyl]-4-piperidinyl]-1,3-dihydro-2H-benzimidazol-2-one; 1-[1-[4,4-Bis(p-fluorophenyl)butyl]-4-piperidyl]-2-benzimidazolinone; 1-[1-[4,4-bis(4-Fluorophenyl)butyl]-4-piperidinyl]-1,3-dihydro-2H-benzimidazol-2-one; 1-[4,4-Bis(p-fluorophenyl)butyl]-4-(2-oxo-1-benzimidazolinyl)piperidine; 1-{1-[4,4-bis(4-fluorophenyl)butyl]piperidin-4-yl}-1,3-dihydro-2H-benzimidazol-2-one; 1-{1-[4,4-bis(4-fluorophenyl)butyl]piperidin-4-yl}-2,3-dihydro-1H-1,3-benzodiazol-2-one; 3-[1-[4,4-bis(4-fluorophenyl)butyl]piperidin-4-yl]-1H-benzimidazol-2-one
Indication
Disease Entry ICD 11 Status REF
Schizophrenia 6A20 Approved [1]
Tourette syndrome 8A05.00 Investigative [2]
Therapeutic Class
Antipsychotic Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 1 Molecular Weight (mw) 461.5
Logarithm of the Partition Coefficient (xlogp) 6.3
Rotatable Bond Count (rotbonds) 7
Hydrogen Bond Donor Count (hbonddonor) 1
Hydrogen Bond Acceptor Count (hbondacc) 4
ADMET Property
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 1: high solubility and high permeability [3]
Half-life
The concentration or amount of drug in body reduced by one-half in 29 +/-10 hours [4]
Metabolism
The drug is metabolized via the liver []
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 0.3095 micromolar/kg/day [5]
Water Solubility
The ability of drug to dissolve in water is measured as 0.008 mg/mL [3]
Adverse Drug Reaction (ADR)
ADR Term Variation Related DOT DOT ID REF
Seizures (incl subtypes) Not Available KCNJ3 OTHQG16J [6]
Chemical Identifiers
Formula
C28H29F2N3O
IUPAC Name
3-[1-[4,4-bis(4-fluorophenyl)butyl]piperidin-4-yl]-1H-benzimidazol-2-one
Canonical SMILES
C1CN(CCC1N2C3=CC=CC=C3NC2=O)CCCC(C4=CC=C(C=C4)F)C5=CC=C(C=C5)F
InChI
InChI=1S/C28H29F2N3O/c29-22-11-7-20(8-12-22)25(21-9-13-23(30)14-10-21)4-3-17-32-18-15-24(16-19-32)33-27-6-2-1-5-26(27)31-28(33)34/h1-2,5-14,24-25H,3-4,15-19H2,(H,31,34)
InChIKey
YVUQSNJEYSNKRX-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
16362
ChEBI ID
CHEBI:8212
CAS Number
2062-78-4
DrugBank ID
DB01100
TTD ID
D00KHM
VARIDT ID
DR00484
INTEDE ID
DR1291
ACDINA ID
D00532
Repurposed Drugs (RPD) Click to Jump to the Detailed RPD Information of This Drug

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Dopamine D2 receptor (D2R) TTEX248 DRD2_HUMAN Antagonist [7]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
P-glycoprotein 1 (ABCB1) DTUGYRD MDR1_HUMAN Substrate [8]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [9]
Cytochrome P450 2D6 (CYP2D6) DECB0K3 CP2D6_HUMAN Substrate [10]
Cytochrome P450 1A2 (CYP1A2)
Main DME
DEJGDUW CP1A2_HUMAN Substrate [9]
Cytochrome P450 3A5 (CYP3A5) DEIBDNY CP3A5_HUMAN Substrate [11]
Cytochrome P450 3A7 (CYP3A7) DERD86B CP3A7_HUMAN Substrate [11]

Drug Off-Target (DOT)
DOT Name DOT ID UniProt ID Interaction REF
Apoptosis regulator Bcl-2 (BCL2) OT9DVHC0 BCL2_HUMAN Gene/Protein Processing [12]
G protein-activated inward rectifier potassium channel 1 (KCNJ3) OTHQG16J KCNJ3_HUMAN Drug Response [6]
Potassium voltage-gated channel subfamily H member 2 (KCNH2) OTZX881H KCNH2_HUMAN Gene/Protein Processing [13]
Prolactin (PRL) OTWFQGX7 PRL_HUMAN Gene/Protein Processing [14]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Schizophrenia
ICD Disease Classification 6A20
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Dopamine D2 receptor (D2R) DTT DRD2 2.50E-02 -0.08 -0.49
P-glycoprotein 1 (ABCB1) DTP P-GP 9.39E-02 1.07E-01 2.80E-01
Cytochrome P450 1A2 (CYP1A2) DME CYP1A2 7.36E-01 1.62E-02 1.08E-01
Cytochrome P450 3A5 (CYP3A5) DME CYP3A5 9.96E-01 -3.17E-03 -1.84E-02
Cytochrome P450 2D6 (CYP2D6) DME CYP2D6 7.30E-01 -1.91E-02 -1.41E-01
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 1.04E-02 6.29E-02 3.54E-01
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Pimozide
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Quetiapine DM1N62C Major Increased risk of prolong QT interval by the combination of Pimozide and Quetiapine. Schizophrenia [6A20] [15]
Aripiprazole DM3NUMH Moderate Additive anticholinergic effects by the combination of Pimozide and Aripiprazole. Schizophrenia [6A20] [16]
Iloperidone DM6AUFY Major Increased risk of prolong QT interval by the combination of Pimozide and Iloperidone. Schizophrenia [6A20] [15]
Paliperidone DM7NPJS Major Increased risk of prolong QT interval by the combination of Pimozide and Paliperidone. Schizophrenia [6A20] [15]
Molindone DMAH70G Moderate Additive anticholinergic effects by the combination of Pimozide and Molindone. Schizophrenia [6A20] [16]
Amisulpride DMSJVAM Major Increased risk of prolong QT interval by the combination of Pimozide and Amisulpride. Schizophrenia [6A20] [15]
Asenapine DMSQZE2 Major Increased risk of prolong QT interval by the combination of Pimozide and Asenapine. Schizophrenia [6A20] [15]
⏷ Show the Full List of 7 DDI Information of This Drug
Coadministration of a Drug Treating the Disease Different from Pimozide (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Ivosidenib DM8S6T7 Major Increased risk of prolong QT interval by the combination of Pimozide and Ivosidenib. Acute myeloid leukaemia [2A60] [15]
Midostaurin DMI6E0R Major Increased risk of prolong QT interval by the combination of Pimozide and Midostaurin. Acute myeloid leukaemia [2A60] [15]
Idarubicin DMM0XGL Major Increased risk of prolong QT interval by the combination of Pimozide and Idarubicin. Acute myeloid leukaemia [2A60] [15]
Arn-509 DMT81LZ Major Increased risk of prolong QT interval by the combination of Pimozide and Arn-509. Acute myeloid leukaemia [2A60] [15]
Gilteritinib DMTI0ZO Major Increased risk of prolong QT interval by the combination of Pimozide and Gilteritinib. Acute myeloid leukaemia [2A60] [15]
Oliceridine DM6MDCF Major Increased risk of prolong QT interval by the combination of Pimozide and Oliceridine. Acute pain [MG31] [15]
Mepyramine DMB4SFH Moderate Additive anticholinergic effects by the combination of Pimozide and Mepyramine. Allergic/hypersensitivity disorder [4A80-4A8Z] [17]
Phenyltoloxamine DMKAEQW Moderate Additive anticholinergic effects by the combination of Pimozide and Phenyltoloxamine. Allergic/hypersensitivity disorder [4A80-4A8Z] [17]
Ivabradine DM0L594 Major Increased risk of ventricular arrhythmias by the combination of Pimozide and Ivabradine. Angina pectoris [BA40] [15]
Bepridil DM0RKS4 Major Increased risk of prolong QT interval by the combination of Pimozide and Bepridil. Angina pectoris [BA40] [15]
Dronedarone DMA8FS5 Major Increased risk of prolong QT interval by the combination of Pimozide and Dronedarone. Angina pectoris [BA40] [18]
Nifedipine DMSVOZT Major Decreased metabolism of Pimozide caused by Nifedipine mediated inhibition of CYP450 enzyme. Angina pectoris [BA40] [19]
Bedaquiline DM3906J Major Increased risk of prolong QT interval by the combination of Pimozide and Bedaquiline. Antimicrobial drug resistance [MG50-MG52] [15]
Cilostazol DMZMSCT Major Increased risk of prolong QT interval by the combination of Pimozide and Cilostazol. Arterial occlusive disease [BD40] [15]
Posaconazole DMUL5EW Major Decreased metabolism of Pimozide caused by Posaconazole mediated inhibition of CYP450 enzyme. Aspergillosis [1F20] [19]
Levalbuterol DM5YBO1 Moderate Increased risk of prolong QT interval by the combination of Pimozide and Levalbuterol. Asthma [CA23] [20]
Pirbuterol DMI5678 Moderate Increased risk of ventricular arrhythmias by the combination of Pimozide and Pirbuterol. Asthma [CA23] [21]
Lisdexamfetamine DM6W8V5 Major Increased risk of prolong QT interval by the combination of Pimozide and Lisdexamfetamine. Attention deficit hyperactivity disorder [6A05] [15]
Obeticholic acid DM3Q1SM Moderate Decreased metabolism of Pimozide caused by Obeticholic acid mediated inhibition of CYP450 enzyme. Autoimmune liver disease [DB96] [22]
Ofloxacin DM0VQN3 Major Increased risk of prolong QT interval by the combination of Pimozide and Ofloxacin. Bacterial infection [1A00-1C4Z] [15]
Dalfopristin DM4LTKV Major Decreased metabolism of Pimozide caused by Dalfopristin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [23]
Clarithromycin DM4M1SG Major Decreased metabolism of Pimozide caused by Clarithromycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [24]
Sparfloxacin DMB4HCT Major Increased risk of prolong QT interval by the combination of Pimozide and Sparfloxacin. Bacterial infection [1A00-1C4Z] [15]
Gemifloxacin DMHT34O Major Increased risk of prolong QT interval by the combination of Pimozide and Gemifloxacin. Bacterial infection [1A00-1C4Z] [15]
Levofloxacin DMS60RB Major Increased risk of prolong QT interval by the combination of Pimozide and Levofloxacin. Bacterial infection [1A00-1C4Z] [15]
Troleandomycin DMUZNIG Major Decreased metabolism of Pimozide caused by Troleandomycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [24]
Retigabine DMGNYIH Major Increased risk of prolong QT interval by the combination of Pimozide and Retigabine. Behcet disease [4A62] [15]
Cariprazine DMJYDVK Moderate Additive anticholinergic effects by the combination of Pimozide and Cariprazine. Bipolar disorder [6A60] [16]
Erdafitinib DMI782S Moderate Increased metabolism of Pimozide caused by Erdafitinib mediated induction of CYP450 enzyme. Bladder cancer [2C94] [25]
Eribulin DM1DX4Q Major Increased risk of prolong QT interval by the combination of Pimozide and Eribulin. Breast cancer [2C60-2C6Y] [15]
Palbociclib DMD7L94 Moderate Decreased metabolism of Pimozide caused by Palbociclib mediated inhibition of CYP450 enzyme. Breast cancer [2C60-2C6Y] [19]
Bosutinib DMTI8YE Major Increased risk of prolong QT interval by the combination of Pimozide and Bosutinib. Breast cancer [2C60-2C6Y] [15]
Acetylcholine DMDF79Z Moderate Antagonize the effect of Pimozide when combined with Acetylcholine. Cataract [9B10] [26]
PF-04449913 DMSB068 Major Increased risk of prolong QT interval by the combination of Pimozide and PF-04449913. Chronic myelomonocytic leukaemia [2A40] [15]
Umeclidinium DM4E8O9 Moderate Additive anticholinergic effects by the combination of Pimozide and Umeclidinium. Chronic obstructive pulmonary disease [CA22] [27]
Olodaterol DM62B78 Moderate Increased risk of prolong QT interval by the combination of Pimozide and Olodaterol. Chronic obstructive pulmonary disease [CA22] [21]
Vilanterol DMF5EK1 Moderate Increased risk of ventricular arrhythmias by the combination of Pimozide and Vilanterol. Chronic obstructive pulmonary disease [CA22] [20]
Tiotropium DMFDC0Q Moderate Additive anticholinergic effects by the combination of Pimozide and Tiotropium. Chronic obstructive pulmonary disease [CA22] [27]
Revefenacin DMMP5SI Moderate Additive anticholinergic effects by the combination of Pimozide and Revefenacin. Chronic obstructive pulmonary disease [CA22] [27]
Indacaterol DMQJHR7 Moderate Increased risk of ventricular arrhythmias by the combination of Pimozide and Indacaterol. Chronic obstructive pulmonary disease [CA22] [21]
Arformoterol DMYM974 Moderate Increased risk of ventricular arrhythmias by the combination of Pimozide and Arformoterol. Chronic obstructive pulmonary disease [CA22] [21]
Dihydrocodeine DMB0FWL Major Additive CNS depression effects by the combination of Pimozide and Dihydrocodeine. Chronic pain [MG30] [28]
Panitumumab DMQPD1F Major Increased risk of ventricular arrhythmias by the combination of Pimozide and Panitumumab. Colorectal cancer [2B91] [29]
Halothane DM80OZ5 Major Increased risk of prolong QT interval by the combination of Pimozide and Halothane. Corneal disease [9A76-9A78] [15]
Sevoflurane DMC9O43 Major Increased risk of prolong QT interval by the combination of Pimozide and Sevoflurane. Corneal disease [9A76-9A78] [15]
Probucol DMVZQ2M Major Increased risk of prolong QT interval by the combination of Pimozide and Probucol. Coronary atherosclerosis [BA80] [15]
Pasireotide DMHM7JS Major Increased risk of prolong QT interval by the combination of Pimozide and Pasireotide. Cushing syndrome [5A70] [15]
Osilodrostat DMIJC9X Major Increased risk of prolong QT interval by the combination of Pimozide and Osilodrostat. Cushing syndrome [5A70] [15]
MK-8228 DMOB58Q Major Decreased metabolism of Pimozide caused by MK-8228 mediated inhibition of CYP450 enzyme. Cytomegaloviral disease [1D82] [19]
Sertraline DM0FB1J Major Increased risk of prolong QT interval by the combination of Pimozide and Sertraline. Depression [6A70-6A7Z] [30]
Nefazodone DM4ZS8M Major Decreased metabolism of Pimozide caused by Nefazodone mediated inhibition of CYP450 enzyme. Depression [6A70-6A7Z] [19]
Escitalopram DMFK9HG Major Increased risk of prolong QT interval by the combination of Pimozide and Escitalopram. Depression [6A70-6A7Z] [18]
OPC-34712 DMHG57U Moderate Additive anticholinergic effects by the combination of Pimozide and OPC-34712. Depression [6A70-6A7Z] [16]
Clomipramine DMINRKW Major Increased risk of prolong QT interval by the combination of Pimozide and Clomipramine. Depression [6A70-6A7Z] [15]
Doxepin DMPI98T Major Increased risk of prolong QT interval by the combination of Pimozide and Doxepin. Depression [6A70-6A7Z] [15]
Esketamine DMVU687 Moderate Additive CNS depression effects by the combination of Pimozide and Esketamine. Depression [6A70-6A7Z] [19]
Mepenzolate DM8YU2F Moderate Additive anticholinergic effects by the combination of Pimozide and Mepenzolate. Digestive system disease [DE2Z] [16]
Tetrabenazine DMYWQ0O Major Increased risk of prolong QT interval by the combination of Pimozide and Tetrabenazine. Dissociative neurological symptom disorder [6B60] [15]
Deutetrabenazine DMUPFLI Major Increased risk of prolong QT interval by the combination of Pimozide and Deutetrabenazine. Dystonic disorder [8A02] [15]
Ingrezza DMVPLNC Major Increased risk of prolong QT interval by the combination of Pimozide and Ingrezza. Dystonic disorder [8A02] [15]
Stiripentol DMMSDOY Major Decreased metabolism of Pimozide caused by Stiripentol mediated inhibition of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [19]
Rufinamide DMWE60C Moderate Increased metabolism of Pimozide caused by Rufinamide mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [15]
Solifenacin DMG592Q Major Increased risk of prolong QT interval by the combination of Pimozide and Solifenacin. Functional bladder disorder [GC50] [15]
Mirabegron DMS1GYT Major Decreased metabolism of Pimozide caused by Mirabegron mediated inhibition of CYP450 enzyme. Functional bladder disorder [GC50] [18]
Itraconazole DMCR1MV Major Decreased metabolism of Pimozide caused by Itraconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [19]
Miconazole DMPMYE8 Moderate Decreased metabolism of Pimozide caused by Miconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [31]
Sunitinib DMCBJSR Major Increased risk of prolong QT interval by the combination of Pimozide and Sunitinib. Gastrointestinal stromal tumour [2B5B] [15]
Dichlorphenamide DMH7IDQ Major Increased risk of ventricular arrhythmias by the combination of Pimozide and Dichlorphenamide. Glaucoma [9C61] [31]
Telaprevir DMMRV29 Major Decreased metabolism of Pimozide caused by Telaprevir mediated inhibition of CYP450 enzyme. Hepatitis virus infection [1E50-1E51] [19]
Rifapentine DMCHV4I Moderate Increased metabolism of Pimozide caused by Rifapentine mediated induction of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [32]
Fosamprenavir DM4W9B3 Major Decreased metabolism of Pimozide caused by Fosamprenavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [19]
Fostemsavir DM50ILT Major Increased risk of prolong QT interval by the combination of Pimozide and Fostemsavir. Human immunodeficiency virus disease [1C60-1C62] [15]
Saquinavir DMG814N Major Decreased metabolism of Pimozide caused by Saquinavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [19]
Etravirine DMGV8QU Moderate Increased metabolism of Pimozide caused by Etravirine mediated induction of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [33]
Rilpivirine DMJ0QOW Major Increased risk of prolong QT interval by the combination of Pimozide and Rilpivirine. Human immunodeficiency virus disease [1C60-1C62] [15]
Darunavir DMN3GCH Major Decreased metabolism of Pimozide caused by Darunavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [19]
BMS-201038 DMQTAGO Major Decreased metabolism of Pimozide caused by BMS-201038 mediated inhibition of CYP450 enzyme. Hyper-lipoproteinaemia [5C80] [19]
Belladonna DM2RBWK Moderate Additive anticholinergic effects by the combination of Pimozide and Belladonna. Infectious gastroenteritis/colitis [1A40] [16]
Berotralstat DMWA2DZ Moderate Decreased metabolism of Pimozide caused by Berotralstat mediated inhibition of CYP450 enzyme. Innate/adaptive immunodeficiency [4A00] [34]
ITI-007 DMUQ1DO Moderate Additive anticholinergic effects by the combination of Pimozide and ITI-007. Insomnia [7A00-7A0Z] [16]
Polyethylene glycol DM4I1JP Major Increased risk of ventricular arrhythmias by the combination of Pimozide and Polyethylene glycol. Irritable bowel syndrome [DD91] [35]
Phenolphthalein DM5SICT Moderate Increased risk of ventricular arrhythmias by the combination of Pimozide and Phenolphthalein. Irritable bowel syndrome [DD91] [18]
Glycerol phenylbutyrate DMDGRQO Moderate Increased metabolism of Pimozide caused by Glycerol phenylbutyrate mediated induction of CYP450 enzyme. Liver disease [DB90-DB9Z] [15]
Crizotinib DM4F29C Major Increased risk of prolong QT interval by the combination of Pimozide and Crizotinib. Lung cancer [2C25] [15]
Brigatinib DM7W94S Moderate Increased metabolism of Pimozide caused by Brigatinib mediated induction of CYP450 enzyme. Lung cancer [2C25] [36]
PF-06463922 DMKM7EW Moderate Increased metabolism of Pimozide caused by PF-06463922 mediated induction of CYP450 enzyme. Lung cancer [2C25] [37]
Dacomitinib DMOH8VY Major Decreased metabolism of Pimozide caused by Dacomitinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [18]
Osimertinib DMRJLAT Major Increased risk of prolong QT interval by the combination of Pimozide and Osimertinib. Lung cancer [2C25] [15]
Selpercatinib DMZR15V Major Increased risk of prolong QT interval by the combination of Pimozide and Selpercatinib. Lung cancer [2C25] [15]
Halofantrine DMOMK1V Major Increased risk of prolong QT interval by the combination of Pimozide and Halofantrine. Malaria [1F40-1F45] [38]
Hydroxychloroquine DMSIVND Major Increased risk of prolong QT interval by the combination of Pimozide and Hydroxychloroquine. Malaria [1F40-1F45] [15]
Inotuzumab ozogamicin DMAC130 Major Increased risk of prolong QT interval by the combination of Pimozide and Inotuzumab ozogamicin. Malignant haematopoietic neoplasm [2B33] [15]
Idelalisib DM602WT Major Decreased metabolism of Pimozide caused by Idelalisib mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [19]
IPI-145 DMWA24P Major Decreased metabolism of Pimozide caused by IPI-145 mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [19]
Arsenic trioxide DM61TA4 Major Increased risk of prolong QT interval by the combination of Pimozide and Arsenic trioxide. Mature B-cell lymphoma [2A85] [15]
Vemurafenib DM62UG5 Major Increased risk of prolong QT interval by the combination of Pimozide and Vemurafenib. Melanoma [2C30] [15]
LGX818 DMNQXV8 Major Increased risk of prolong QT interval by the combination of Pimozide and LGX818. Melanoma [2C30] [15]
Dabrafenib DMX6OE3 Moderate Increased metabolism of Pimozide caused by Dabrafenib mediated induction of CYP450 enzyme. Melanoma [2C30] [15]
Danazol DML8KTN Major Decreased metabolism of Pimozide caused by Danazol mediated inhibition of CYP450 enzyme. Menstrual cycle bleeding disorder [GA20] [19]
Allopregnanolone DMNLHAC Moderate Additive CNS depression effects by the combination of Pimozide and Allopregnanolone. Mental/behavioural/neurodevelopmental disorder [6E20-6E8Z] [39]
Lasmiditan DMXLVDT Moderate Additive CNS depression effects by the combination of Pimozide and Lasmiditan. Migraine [8A80] [40]
Exjade DMHPRWG Moderate Decreased metabolism of Pimozide caused by Exjade mediated inhibition of CYP450 enzyme. Mineral absorption/transport disorder [5C64] [41]
Flibanserin DM70DTN Moderate Additive CNS depression effects by the combination of Pimozide and Flibanserin. Mood disorder [6A60-6E23] [42]
Panobinostat DM58WKG Major Increased risk of prolong QT interval by the combination of Pimozide and Panobinostat. Multiple myeloma [2A83] [15]
Fingolimod DM5JVAN Major Increased risk of ventricular arrhythmias by the combination of Pimozide and Fingolimod. Multiple sclerosis [8A40] [18]
Ozanimod DMT6AM2 Major Increased risk of prolong QT interval by the combination of Pimozide and Ozanimod. Multiple sclerosis [8A40] [15]
Romidepsin DMT5GNL Major Increased risk of prolong QT interval by the combination of Pimozide and Romidepsin. Mycosis fungoides [2B01] [15]
Fedratinib DM4ZBK6 Major Decreased metabolism of Pimozide caused by Fedratinib mediated inhibition of CYP450 enzyme. Myeloproliferative neoplasm [2A20] [19]
Nilotinib DM7HXWT Major Increased risk of prolong QT interval by the combination of Pimozide and Nilotinib. Myeloproliferative neoplasm [2A20] [15]
Dasatinib DMJV2EK Major Increased risk of prolong QT interval by the combination of Pimozide and Dasatinib. Myeloproliferative neoplasm [2A20] [15]
Phenindamine DMDTC7R Moderate Additive anticholinergic effects by the combination of Pimozide and Phenindamine. Nasopharyngitis [CA00] [16]
Rolapitant DM8XP26 Major Decreased metabolism of Pimozide caused by Rolapitant mediated inhibition of CYP450 enzyme. Nausea/vomiting [MD90] [18]
Cyclizine DM9G7BS Moderate Additive anticholinergic effects by the combination of Pimozide and Cyclizine. Nausea/vomiting [MD90] [16]
Metoclopramide DMFA5MY Major Additive antidopaminergic effects by the combination of Pimozide and Metoclopramide. Nausea/vomiting [MD90] [43]
Bupropion DM5PCS7 Major Decreased metabolism of Pimozide caused by Bupropion mediated inhibition of CYP450 enzyme. Nicotine use disorder [6C4A] [18]
Entrectinib DMMPTLH Major Increased risk of prolong QT interval by the combination of Pimozide and Entrectinib. Non-small cell lung cancer [2C25] [15]
Lorcaserin DMG6OYJ Major Decreased metabolism of Pimozide caused by Lorcaserin mediated inhibition of CYP450 enzyme. Obesity [5B80-5B81] [18]
Polythiazide DMCH80F Major Increased risk of ventricular arrhythmias by the combination of Pimozide and Polythiazide. Oedema [MG29] [29]
Levomethadyl Acetate DM06HG5 Major Increased risk of prolong QT interval by the combination of Pimozide and Levomethadyl Acetate. Opioid use disorder [6C43] [15]
Lofexidine DM1WXA6 Major Increased risk of prolong QT interval by the combination of Pimozide and Lofexidine. Opioid use disorder [6C43] [15]
Olaparib DM8QB1D Moderate Decreased clearance of Pimozide due to the transporter inhibition by Olaparib. Ovarian cancer [2C73] [19]
Rucaparib DM9PVX8 Major Increased risk of prolong QT interval by the combination of Pimozide and Rucaparib. Ovarian cancer [2C73] [15]
Oxymorphone DM65AGJ Major Additive CNS depression effects by the combination of Pimozide and Oxymorphone. Pain [MG30-MG3Z] [44]
Dezocine DMJDB0Y Major Additive CNS depression effects by the combination of Pimozide and Dezocine. Pain [MG30-MG3Z] [44]
Flavoxate DMKV4NL Moderate Additive anticholinergic effects by the combination of Pimozide and Flavoxate. Pain [MG30-MG3Z] [16]
Triclabendazole DMPWGBR Major Increased risk of prolong QT interval by the combination of Pimozide and Triclabendazole. Parasitic worm infestation [1F90] [15]
Pergolide DM14MAE Moderate Additive CNS depression effects by the combination of Pimozide and Pergolide. Parkinsonism [8A00] [45]
Opicapone DM1BKA6 Moderate Additive CNS depression effects by the combination of Pimozide and Opicapone. Parkinsonism [8A00] [45]
Levodopa DMN3E57 Moderate Antagonize the effect of Pimozide when combined with Levodopa. Parkinsonism [8A00] [45]
Pimavanserin DMR7IVC Major Increased risk of prolong QT interval by the combination of Pimozide and Pimavanserin. Parkinsonism [8A00] [15]
Bromocriptine DMVE3TK Moderate Antagonize the effect of Pimozide when combined with Bromocriptine. Parkinsonism [8A00] [45]
Orphenadrine DMW542E Moderate Additive anticholinergic effects by the combination of Pimozide and Orphenadrine. Parkinsonism [8A00] [16]
Abametapir DM2RX0I Moderate Decreased metabolism of Pimozide caused by Abametapir mediated inhibition of CYP450 enzyme. Pediculosis [1G00] [46]
Methylscopolamine DM5VWOB Moderate Additive anticholinergic effects by the combination of Pimozide and Methylscopolamine. Peptic ulcer [DA61] [16]
Macimorelin DMQYJIR Major Increased risk of prolong QT interval by the combination of Pimozide and Macimorelin. Pituitary gland disorder [5A60-5A61] [47]
Lefamulin DME6G97 Major Increased risk of prolong QT interval by the combination of Pimozide and Lefamulin. Pneumonia [CA40] [15]
Lonafarnib DMGM2Z6 Major Decreased metabolism of Pimozide caused by Lonafarnib mediated inhibition of CYP450 enzyme. Premature ageing appearance [LD2B] [19]
Degarelix DM3O8QY Major Increased risk of prolong QT interval by the combination of Pimozide and Degarelix. Prostate cancer [2C82] [15]
ABIRATERONE DM8V75C Major Decreased metabolism of Pimozide caused by ABIRATERONE mediated inhibition of CYP450 enzyme. Prostate cancer [2C82] [18]
Enzalutamide DMGL19D Major Increased risk of prolong QT interval by the combination of Pimozide and Enzalutamide. Prostate cancer [2C82] [15]
Relugolix DMK7IWL Major Increased risk of prolong QT interval by the combination of Pimozide and Relugolix. Prostate cancer [2C82] [15]
Bicalutamide DMZMSPF Major Decreased metabolism of Pimozide caused by Bicalutamide mediated inhibition of CYP450 enzyme. Prostate cancer [2C82] [19]
Levomepromazine DMIKFEL Major Increased risk of prolong QT interval by the combination of Pimozide and Levomepromazine. Psychotic disorder [6A20-6A25] [15]
Neupro DMHEAB1 Moderate Antagonize the effect of Pimozide when combined with Neupro. Restless legs syndrome [7A80] [45]
Voxelotor DMCS6M5 Major Decreased metabolism of Pimozide caused by Voxelotor mediated inhibition of CYP450 enzyme. Sickle-cell disorder [3A51] [19]
Larotrectinib DM26CQR Major Decreased metabolism of Pimozide caused by Larotrectinib mediated inhibition of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [19]
Armodafinil DMGB035 Minor Increased metabolism of Pimozide caused by Armodafinil mediated induction of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [48]
LEE011 DMMX75K Major Increased risk of prolong QT interval by the combination of Pimozide and LEE011. Solid tumour/cancer [2A00-2F9Z] [15]
Vandetanib DMRICNP Major Increased risk of prolong QT interval by the combination of Pimozide and Vandetanib. Solid tumour/cancer [2A00-2F9Z] [15]
Triptorelin DMTK4LS Major Increased risk of prolong QT interval by the combination of Pimozide and Triptorelin. Solid tumour/cancer [2A00-2F9Z] [15]
Pitolisant DM8RFNJ Major Increased risk of prolong QT interval by the combination of Pimozide and Pitolisant. Somnolence [MG42] [15]
Telavancin DM58VQX Major Increased risk of prolong QT interval by the combination of Pimozide and Telavancin. Staphylococcal/streptococcal disease [1B5Y] [15]
Fostamatinib DM6AUHV Moderate Decreased metabolism of Pimozide caused by Fostamatinib mediated inhibition of CYP450 enzyme. Thrombocytopenia [3B64] [49]
Brilinta DMBR01X Moderate Decreased metabolism of Pimozide caused by Brilinta mediated inhibition of CYP450 enzyme. Thrombosis [DB61-GB90] [15]
Lenvatinib DMB1IU4 Major Increased risk of prolong QT interval by the combination of Pimozide and Lenvatinib. Thyroid cancer [2D10] [15]
Cabozantinib DMIYDT4 Major Increased risk of prolong QT interval by the combination of Pimozide and Cabozantinib. Thyroid cancer [2D10] [15]
Trimeprazine DMEMV9D Major Increased risk of prolong QT interval by the combination of Pimozide and Trimeprazine. Vasomotor/allergic rhinitis [CA08] [15]
Acrivastine DMTIGA0 Moderate Additive anticholinergic effects by the combination of Pimozide and Acrivastine. Vasomotor/allergic rhinitis [CA08] [16]
Propafenone DMPIBJK Major Increased risk of prolong QT interval by the combination of Pimozide and Propafenone. Ventricular tachyarrhythmia [BC71] [15]
Flecainide DMSQDLE Major Increased risk of prolong QT interval by the combination of Pimozide and Flecainide. Ventricular tachyarrhythmia [BC71] [15]
Amiodarone DMUTEX3 Major Increased risk of prolong QT interval by the combination of Pimozide and Amiodarone. Ventricular tachyarrhythmia [BC71] [15]
⏷ Show the Full List of 161 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Calcium stearate E00244 15324 lubricant
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Pimozide 1 mg tablet 1 mg Oral Tablet Oral
Pimozide 2 mg tablet 2 mg Oral Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 90).
2 Pimozide FDA Label
3 BDDCS applied to over 900 drugs
4 Trend Analysis of a Database of Intravenous Pharmacokinetic Parameters in Humans for 1352 Drug Compounds
5 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
6 ADReCS-Target: target profiles for aiding drug safety research and application. Nucleic Acids Res. 2018 Jan 4;46(D1):D911-D917. doi: 10.1093/nar/gkx899.
7 [The benzamides tiapride, sulpiride, and amisulpride in treatment for Tourette's syndrome]. Nervenarzt. 2007 Mar;78(3):264, 266-8, 270-1.
8 Human intestinal transporter database: QSAR modeling and virtual profiling of drug uptake, efflux and interactions. Pharm Res. 2013 Apr;30(4):996-1007.
9 Identification and characterization of human cytochrome P450 isoforms interacting with pimozide. J Pharmacol Exp Ther. 1998 May;285(2):428-37.
10 The influence of the CYP3A4*22 polymorphism and CYP2D6 polymorphisms on serum concentrations of aripiprazole, haloperidol, pimozide, and risperidone in psychiatric patients. J Clin Psychopharmacol. 2015 Jun;35(3):228-36.
11 Drug Interactions Flockhart Table
12 The Ca(2+) channel antagonists mibefradil and pimozide inhibit cell growth via different cytotoxic mechanisms. Mol Pharmacol. 2002 Aug;62(2):210-9. doi: 10.1124/mol.62.2.210.
13 Automated tight seal electrophysiology for assessing the potential hERG liability of pharmaceutical compounds. Assay Drug Dev Technol. 2004 Oct;2(5):497-506. doi: 10.1089/adt.2004.2.497.
14 Prolactin monitoring of haloperidol and pimozide treatment in children with Tourette's syndrome. Biol Psychiatry. 1996 Nov 15;40(10):1044-50. doi: 10.1016/0006-3223(95)00596-X.
15 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
16 Cohen MA, Alfonso CA, Mosquera M. Development of urinary retention during treatment with clozapine and meclizine [published correction appears in Am J Psychiatry 1994 Jun;151(6):952]. Am J Psychiatry. 1994;151(4):619-620. [PMID: 8147469]
17 Kulik AV, Wilbur R "Delirium and stereotypy from anticholinergic antiparkinson drugs." Prog Neuropsychopharmacol Biol Psychiatry 6 (1982): 75-82. [PMID: 7202232]
18 Canadian Pharmacists Association.
19 Cerner Multum, Inc. "Australian Product Information.".
20 Product Information. Arcapta Neohaler (indacaterol). Novartis Pharmaceuticals, East Hanover, NJ.
21 Bengtsson B, Fagerstrom PO "Extrapulmonary effects of terbutaline during prolonged administration." Clin Pharmacol Ther 31 (1982): 726-32. [PMID: 7042176]
22 Product Information. Ocaliva (obeticholic acid). Intercept Pharmaceuticals, Inc., New York, NY.
23 Flockhart DA, Drici MD, Kerbusch T, et al "Studies on the mechanism of a fatal clarithromycin-pimozide interaction in a patient with tourette syndrome." J Clin Psychopharmacol 20 (2000): 317-24. [PMID: 10831018]
24 Amsden GW "Macrolides versus azalides: a drug interaction update." Ann Pharmacother 29 (1995): 906-17. [PMID: 8547740]
25 Product Information. Balversa (erdafitinib). Janssen Products, LP, Horsham, PA.
26 Multum Information Services, Inc. Expert Review Panel.
27 Cole JM, Sheehan AH, Jordan JK "Concomitant use of ipratropium and tiotropium in chronic obstructive plmonary disease." Ann Pharmacother 46 (2012): 1717-21. [PMID: 23170031]
28 US Food and Drug Administration "FDA warns about serious risks and death when combining opioid pain or cough medicines with benzodiazepines requires its strongest warning.".
29 Product Information. Orap Tablets (pimozide). Gate Pharmaceuticals, Sellersville, PA.
30 Alderman J "Coadministration of sertraline with cisapride or pimozide: an open-label, nonrandomized examination of pharmacokinetics and corrected QT intervals in healthy adult volunteers." Clin Ther 27 (2005): 1050-63. [PMID: 16154484]
31 Dresser GK, Spence JD, Bailey DG "Pharmacokinetic-pharmacodynamic consequences and clinical relevance of cytochrome P450 3A4 inhibition." Clin Pharmacokinet 38 (2000): 41-57. [PMID: 10668858]
32 Product Information. Priftin (rifapentine). Hoechst Marion-Roussel Inc, Kansas City, MO.
33 Product Information. Intelence (etravirine). Ortho Biotech Inc, Bridgewater, NJ.
34 Product Information. Orladeyo (berotralstat). BioCryst Pharmaceuticals Inc, Durham, NC.
35 Hill AG, Parry BR "Hypokalaemia following bowel cleansing with sodium phosphate." N Z Med J 109 (1996): 347. [PMID: 8862361]
36 Product Information. Alunbrig (brigatinib). Ariad Pharmaceuticals Inc, Cambridge, MA.
37 Product Information. Lorbrena (lorlatinib). Pfizer U.S. Pharmaceuticals Group, New York, NY.
38 Abernethy DR, Wesche DL, Barbey JT, et al. "Stereoselective halofantrine disposition and effect: concentration-related QTc prolongation." Br J Clin Pharmacol 51 (2001): 231-7. [PMID: 11298069]
39 Product Information. Zulresso (brexanolone). Sage Therapeutics, Inc., Cambridge, MA.
40 Product Information. Reyvow (lasmiditan). Lilly, Eli and Company, Indianapolis, IN.
41 Product Information. Exjade (deferasirox). Novartis Pharmaceuticals, East Hanover, NJ.
42 Product Information. Addyi (flibanserin). Sprout Pharmaceuticals, Raleigh, NC.
43 Bateman DN, Rawlins MD, Simpson JM "Extrapyramidal reactions with metoclopramide." Br Med J (Clin Res Ed) 291 (1985): 930-2. [PMID: 3929968]
44 US Food and Drug Administration "FDA warns about serious risks and death when combining opioid pain or cough medicines with benzodiazepines requires its strongest warning.".
45 Mims RB, Scott CL, Modebe O, Bethune JE "Inhibition of L-dopa-induced growth hormone stimulation by pyridoxine and chlorpromazine." J Clin Endocrinol Metab 40 (1975): 256-9. [PMID: 1117978]
46 Product Information. Xeglyze (abametapir topical). Dr. Reddy's Laboratories Inc, Upper Saddle River, NJ.
47 Product Information. Macrilen (macimorelin). Aeterna Zentaris, Charleston, SC.
48 Doherty MM, Charman WN "The mucosa of the small intestine: how clinically relevant as an organ of drug metabolism?" Clin Pharmacokinet 41 (2002): 235-53. [PMID: 11978143]
49 Product Information. Tavalisse (fostamatinib). Rigel Pharmaceuticals, South San Francisco, CA.