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What the FDA labels say about taking them together

Paroxetine and pimozide

Paroxetine's FDA label of February 12, 2026 names pimozide in its contraindications section, and pimozide's label names paroxetine too. The paroxetine label: “Taking pimozide because of risk of QT prolongation.”

Check it at the source: the paroxetine FDA label on DailyMed (effective February 12, 2026, Mylan Pharmaceuticals Inc.); the pimozide FDA label on DailyMed (effective August 12, 2026, Par Health USA, LLC).

What does the paroxetine label say about pimozide?

Paroxetine label, contraindications

Taking pimozide because of risk of QT prolongation [see Warnings and Precautions (5.3), Drug Interactions (7) ].

Paroxetine label, drug interactions

Clinical Impact; Increased plasma concentrations of pimozide and thioridazine, drugs with a narrow therapeutic index, may increase the risk of QTc prolongation and ventricular arrhythmias.

Paroxetine label, warnings and precautions

Leading to QT Prolongation The CYP2D6 inhibitory properties of paroxetine can elevate plasma levels of thioridazine and pimozide.

Paroxetine Hydrochloride label (Apotex Corp, September 16, 2026), contraindications

Paroxetine HCL CR should not be used in patients receiving medications that can prolong QT interval and are also metabolized by CYP450 2D6,such as thioridazine or pimozide [see Drug Interactions (7),Warnings and Precautions (5.3)].

Source: FDA drug label (Paroxetine Hydrochloride, NDA020936), Apotex Corp, effective September 16, 2026 (SPL set 087ff0d3-1761-47ea-a8c1-7c4cb679af97), via openFDA

Source: FDA drug label (Paroxetine), Mylan Pharmaceuticals Inc., effective February 12, 2026 (SPL set 89dd7e24-85fc-4152-89ea-47ec2b48a1ed), via openFDA; the full label on DailyMed

What does the pimozide label say about paroxetine?

Pimozide label, contraindications

Concomitant use of pimozide with paroxetine and other strong CYP 2D6 inhibitors is contraindicated (See PRECAUTIONS – DRUG INTERACTIONS ).

Pimozide label, drug interactions

CYP 2D6 inhibitors: In healthy subjects, co-administration of pimozide 2 mg (single dose) and paroxetine 60 mg resulted in a 151% increase in pimozide AUC and a 62% increase in pimozide C max compared to pimozide administered alone.

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

45Paroxetine generic labelers
2Pimozide generic labelers
ParoxetinePimozide
Labeled forDepression, Anxiety, Menopause symptomsn/a
Boxed warningYesNo
Pharmacy cost (NADAC)$0.0611 per tablet 20 mg tablet$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)

What next?