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Drug interactions

Apomorphine + Pimozide

Severity: Contraindicated

Apomorphine and Pimozide: contraindicated interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Pimozide blocks dopamine receptors and opposes the effect of apomorphine, a dopamine agonist. Both agents may also prolong the QT interval, raising arrhythmia risk.

What this interaction means in plain words

Apomorphine and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Apomorphine belongs to Central Nervous System; Pimozide belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism at dopamine D2 receptors plus additive QT prolongation.

What to do

Avoid the combination. Use an alternative treatment for the indication that does not involve dopamine antagonism or QT prolongation.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Apomorphine with Pimozide?

MediHelp rates the interaction as contraindicated. Apomorphine and Pimozide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Pimozide blocks dopamine receptors and opposes the effect of apomorphine, a dopamine agonist. Both agents may also prolong the QT interval, raising arrhythmia risk.

How serious is the interaction between Apomorphine and Pimozide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination. Use an alternative treatment for the indication that does not involve dopamine antagonism or QT prolongation.

What other medicines interact with Pimozide?

MediHelp also lists interactions of Pimozide with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Pimozide page.

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