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Drug interactions

Pimozide + Repotrectinib

Severity: Moderate

Pimozide and Repotrectinib: 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

Repotrectinib is a CYP3A4 inducer and may reduce pimozide concentrations. This can lead to reduced control of the condition being treated.

What this interaction means in plain words

Pimozide and Repotrectinib 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.

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

Evidence level: Moderate

Why it happens

CYP3A4 induction by repotrectinib increases pimozide clearance.

What to do

Avoid if possible; if combined, monitor for loss of pimozide effect and adjust the dose with ECG monitoring. Reassess when repotrectinib is stopped.

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 Pimozide with Repotrectinib?

MediHelp rates the interaction as moderate. Pimozide and Repotrectinib 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. Repotrectinib is a CYP3A4 inducer and may reduce pimozide concentrations. This can lead to reduced control of the condition being treated.

How serious is the interaction between Pimozide and Repotrectinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; if combined, monitor for loss of pimozide effect and adjust the dose with ECG monitoring. Reassess when repotrectinib is stopped.

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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