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Drug interactions

Lofepramine + Pimozide

Severity: Contraindicated

Lofepramine and Pimozide: contraindicated interaction.

Last updated Sources: US FDA label

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

Both drugs can prolong the QT interval, so combined use raises the risk of ventricular arrhythmia including torsades de pointes. The risk increases with electrolyte disturbance or cardiac disease.

What this interaction means in plain words

Lofepramine 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.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Avoid the combination and choose an antidepressant with less QT liability.

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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References

Frequently asked questions

Can I take Lofepramine with Pimozide?

MediHelp rates the interaction as contraindicated. Lofepramine 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. Both drugs can prolong the QT interval, so combined use raises the risk of ventricular arrhythmia including torsades de pointes. The risk increases with electrolyte disturbance or cardiac disease.

How serious is the interaction between Lofepramine 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 and choose an antidepressant with less QT liability.

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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