environment | March 20, 2026

What is pimozide used to treat?

What is pimozide used to treat?

What is pimozide? Pimozide works by changing the actions of chemicals in the brain. Pimozide is used in people with Tourette’s syndrome. Pimozide suppresses the physical (motor) and vocal (phonic) symptoms of tics when these symptoms interfere with daily life function.

Does pimozide cause depression?

Pimozide has occasionally been associated with depression [3,4]. In a double-blind, placebo-controlled study in seven men with developmental stuttering but no psychiatric illness, four developed marked depressive symptoms during pimozide treatment for 6 weeks; their symptoms abated soon after drug withdrawal [5].

Is pimozide safe?

Pimozide can cause a serious heart problem. Your risk may be higher if you also use certain other medicines for infections, asthma, heart problems, high blood pressure, depression, mental illness, cancer, malaria, or HIV. Using pimozide with other drugs that make you drowsy can worsen this effect.

What type of drug is pimozide?

Pimozide is an antipsychotic used to manage debilitating motor and phonic tics in patients with Tourette’s Disorder.

Who makes pimozide?

Pimozide (sold under the brand name Orap) is an antipsychotic drug of the diphenylbutylpiperidine class. It was discovered at Janssen Pharmaceutica in 1963….Pimozide.

Clinical data
Legal statusAU : S4 (Prescription only) US : ℞-only
Pharmacokinetic data
Bioavailability40-50%
MetabolismCYP3A4, CYP1A2 and CYP2D6

How do you take pimozide?

Pimozide comes as a tablet to take by mouth. It is usually taken once a day at bedtime or two or more times a day. Take pimozide at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand.

How does pimozide affect the brain?

This medication is used to reduce uncontrolled movements (motor tics) or outbursts of words/sounds (vocal tics) caused by Tourette syndrome. Pimozide is a medication that works by decreasing the activity of a natural substance (dopamine) in the brain.

Is pimozide a dopamine antagonist?

Pimozide is a dopamine receptor antagonist and was compared with carbamazepine in a double-blind crossover trial of 48 patients with refractory TN.

Can pimozide cause weight gain?

Weight gain is possible with many medications. Some examples of medications that can lead to weight gain include: Antipsychotics: such as aripiprazole (Abilify), chlorpromazine (Thorazine), clozapine (Clozaril), olanzapine (Zyprexa), pimozide (Orap), quetiapine (Seroquel), risperidone (Risperdal), ziprasidone (Geodon)

How fast does pimozide work?

Improvements may be seen in as little as 1 – 2 weeks. However, it can sometimes take up to 6 weeks to see the full benefits of this medication. Medications like pimozide do not work for everyone. If your symptoms have not improved within 6 weeks, your doctor may recommend switching you to a different medication.

Can you overdose on pimozide?

Symptoms of overdose may include: slow/shallow breathing, inability to wake up (coma). Do not share this medication with others. Lab and/or medical tests (such as electrocardiogram-EKG, complete blood count) should be done while you are taking this medication. Keep all medical and lab appointments.

Does pimozide help anxiety?

In anxious patients, pimozide seems to offer no advantages over currently available anxiolytic agents, either in terms of efficacy or incidence of side-effects. Claims for a specific effect against anxiety associated with psychosis or disturbed personality traits remain unproven.

What is the generic name for pimozide?

Pimozide (sold under the brand name Orap) is an antipsychotic drug of the diphenylbutylpiperidine class. It was discovered at Janssen Pharmaceutica in 1963. It has a high potency compared to chlorpromazine (ratio 50-70:1). On a weight basis it is even more potent than haloperidol.

What are the possible side effects of pimozide?

Very common (>10% frequency) side effects include: Pimozide overdose presents with severe extrapyramidal symptoms, hypotension, sedation, QT interval prolongation and ventricular arrhythmias including torsades de pointes.

What is the pharmacologic mechanism of action of pimozide?

Pharmacology. Similarly to other typical antipsychotics pimozide has a high affinity for the Dopamine D2 receptor and this likely results in its sexual (due to prolactin hypersecretion) and extrapyramidal side effects as well as its therapeutic efficacy against the positive symptoms of schizophrenia.

What are the treatment options for pimozide toxicity?

Gastric lavage, establishment of a patent airway and, if necessary, mechanically assisted respiration is the recommended treatment for pimozide overdose. Cardiac monitoring should be continued for at least 4 days due to the long half-life of pimozide.