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Drug interactions

Cinnarizine + Pimozide

Severity: Moderate

Cinnarizine 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

Cinnarizine is a sedating antihistamine and calcium channel blocker that can itself cause drowsiness and extrapyramidal symptoms. With pimozide, sedation and parkinsonian effects may be additive.

What this interaction means in plain words

Cinnarizine 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.

Cinnarizine belongs to Respiratory; Pimozide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression and dopamine-blocking effects.

What to do

Monitor for excessive sedation and extrapyramidal signs, and use the lowest effective doses. Consider an alternative antiemetic or vestibular agent if movement symptoms develop.

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 Cinnarizine with Pimozide?

MediHelp rates the interaction as moderate. Cinnarizine 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. Cinnarizine is a sedating antihistamine and calcium channel blocker that can itself cause drowsiness and extrapyramidal symptoms. With pimozide, sedation and parkinsonian effects may be additive.

How serious is the interaction between Cinnarizine 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 excessive sedation and extrapyramidal signs, and use the lowest effective doses. Consider an alternative antiemetic or vestibular agent if movement symptoms develop.

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

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