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What the FDA labels say about taking them together

Ketoconazole and pimozide

Pimozide's FDA label of August 12, 2026 names ketoconazole in its contraindications section; the ketoconazole label PlainMeds reads does not name pimozide. The pimozide label: “… contraindicated in patients receiving the azole antifungal agents itraconazole and ketoconazole.”

Check it at the source: the ketoconazole FDA label on DailyMed (effective January 28, 2026, E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC); the pimozide FDA label on DailyMed (effective August 12, 2026, Par Health USA, LLC).

What does the ketoconazole label say about pimozide?

Ketoconazole's label (effective January 28, 2026) does not name pimozide in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (ketoconazole), E. Fougera & Co. a division of Fougera Pharmaceuticals, LLC, effective January 28, 2026 (SPL set cad7c647-34a9-4e4e-83b3-8d78e58f588f), via openFDA; the full label on DailyMed

What does the pimozide label say about ketoconazole?

Pimozide label, contraindications

Because azole antifungal agents are also inhibitors of the CYP 3A4 enzymes and thus may likewise impair pimozide metabolism, pimozide is contraindicated in patients receiving the azole antifungal agents itraconazole and ketoconazole.

Source: FDA drug label (Pimozide), Par Health USA, LLC, effective August 12, 2026 (SPL set 70b079e2-a1f7-4a93-8685-d60a4d7c1280), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

30Ketoconazole generic labelers
2Pimozide generic labelers
KetoconazolePimozide
Labeled forFungal infectionsn/a
Boxed warningNoNo
Pharmacy cost (NADAC)$0.249 per gram 2% cream$1.23 per tablet 1 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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