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Drug interactions

Etravirine + Pimozide

Severity: Moderate

Etravirine 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

Etravirine is a CYP3A4 inducer and may reduce pimozide exposure, possibly weakening its therapeutic effect. Etravirine also has some inhibitory effect on other enzymes, so the net result is uncertain.

What this interaction means in plain words

Etravirine 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.

Etravirine belongs to Anti Virals; Pimozide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Etravirine induces CYP3A4, increasing the clearance of pimozide.

What to do

Monitor clinical response and consider ECG monitoring if the pimozide dose is changed. Re-evaluate the pimozide dose if etravirine is stopped, since exposure may rise.

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 Etravirine with Pimozide?

MediHelp rates the interaction as moderate. Etravirine 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. Etravirine is a CYP3A4 inducer and may reduce pimozide exposure, possibly weakening its therapeutic effect. Etravirine also has some inhibitory effect on other enzymes, so the net result is uncertain.

How serious is the interaction between Etravirine 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 clinical response and consider ECG monitoring if the pimozide dose is changed. Re-evaluate the pimozide dose if etravirine is stopped, since exposure may rise.

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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