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Drug interactions

Chlorzoxazone + Pimozide

Severity: Moderate

Chlorzoxazone 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

Chlorzoxazone may add to sedation and motor impairment from pimozide. The more significant issue with pimozide is QT prolongation, which chlorzoxazone does not clearly affect, so the interaction is mainly additive drowsiness.

What this interaction means in plain words

Chlorzoxazone 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.

Chlorzoxazone belongs to Musculoskeletal; Pimozide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depressant effects.

What to do

Monitor for sedation and dizziness, and counsel on driving. Continue standard ECG and electrolyte monitoring for pimozide.

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 Chlorzoxazone with Pimozide?

MediHelp rates the interaction as moderate. Chlorzoxazone 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. Chlorzoxazone may add to sedation and motor impairment from pimozide. The more significant issue with pimozide is QT prolongation, which chlorzoxazone does not clearly affect, so the interaction is mainly additive drowsiness.

How serious is the interaction between Chlorzoxazone 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 for sedation and dizziness, and counsel on driving. Continue standard ECG and electrolyte monitoring for pimozide.

What other medicines interact with Chlorzoxazone?

MediHelp also lists interactions of Chlorzoxazone with, for example, Alfentanil, Alprazolam, Amobarbital. The full list is on the Chlorzoxazone page.

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

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