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Drug interactions

Pimozide + Quizartinib

Severity: Major

Pimozide and Quizartinib: major 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 prolong the QT interval, and quizartinib carries a boxed warning for QT prolongation and torsades de pointes. Combined use raises arrhythmia risk substantially.

What this interaction means in plain words

Pimozide and Quizartinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

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

Evidence level: Moderate

Why it happens

Additive QT prolongation via cardiac ion channel effects.

What to do

Avoid the combination where possible; otherwise monitor ECGs frequently and keep potassium and magnesium normal. Reduce or stop quizartinib if QTc becomes markedly prolonged.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Pimozide with Quizartinib?

MediHelp rates the interaction as major. Pimozide and Quizartinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs prolong the QT interval, and quizartinib carries a boxed warning for QT prolongation and torsades de pointes. Combined use raises arrhythmia risk substantially.

How serious is the interaction between Pimozide and Quizartinib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible; otherwise monitor ECGs frequently and keep potassium and magnesium normal. Reduce or stop quizartinib if QTc becomes markedly prolonged.

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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