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Drug interactions

Avapritinib + Pimozide

Severity: Moderate

Avapritinib and Pimozide: moderate 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

Avapritinib can cause cognitive effects and drowsiness, and pimozide may add to sedation. Pimozide also prolongs the QT interval, and avapritinib has been associated with QT effects, so the combination warrants attention.

What this interaction means in plain words

Avapritinib and Pimozide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Avapritinib belongs to Oncology; Pimozide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS effects and possible additive QT prolongation; no clinically relevant CYP3A4 inhibition by pimozide is established.

What to do

Monitor ECG and electrolytes, and watch for sedation and cognitive changes. Consider an alternative if QT prolongation develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Avapritinib with Pimozide?

MediHelp rates the interaction as moderate. Avapritinib and Pimozide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Avapritinib can cause cognitive effects and drowsiness, and pimozide may add to sedation. Pimozide also prolongs the QT interval, and avapritinib has been associated with QT effects, so the combination warrants attention.

How serious is the interaction between Avapritinib and Pimozide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor ECG and electrolytes, and watch for sedation and cognitive changes. Consider an alternative if QT prolongation develops.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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