| Information for
patients
|
| Drug Information |
The name of your medicine is Pimozide.Pimozide contain a medicine called pimozide. This belongs to a group of medicines called „neuroleptics .Pimozide are used for illnesses affecting the way you think, feel or behave. These illnesses may make you:
Feel confused
See, hear or feel things that are not there (hallucinations)
Believe things that are not true (delusions)
Feel unusually suspicious (paranoia)
Important - it may take some time before you feel the full effect of the medicine but it is important that you carry on taking it for as long as your doctor has told you. |
| Drug Alert |
| Alert |
You are allergic to anything in Pimozide (listed in section 6 below)
You are allergic to similar medicines
You have ever had an irregular heart beat (arrhythmia) or unusually slow heart beat (bradycardia)
You have recently had a heart attack or have heart failure
You suffer from a heart problem known as „QT-prolongation?. This problem sometimes runs in families and can only be confirmed by an electrocardiogram (ECG). An ECG measures the electrical activity of your heart
You have lower than normal levels of minerals (electrolytes) in your blood. Your
doctor will advise you
You have Parkinson?s disease
You are suffering from depression
You are less aware of things around you or your reactions become slower
Do not take this medicine if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before using Pimozide |
| Before Consuming
the Medicine
|
| Avoid Drug |
You are allergic to anything in Pimozide (listed in section 6 below)
You are allergic to similar medicines
You have ever had an irregular heart beat (arrhythmia) or unusually slow heart beat (bradycardia)
You have recently had a heart attack or have heart failure
You suffer from a heart problem known as „QT-prolongation?. This problem sometimes runs in families and can only be confirmed by an electrocardiogram (ECG). An ECG measures the electrical activity of your heart
You have lower than normal levels of minerals (electrolytes) in your blood. Your
doctor will advise you
You have Parkinson?s disease
You are suffering from depression
You are less aware of things around you or your reactions become slower
Do not take this medicine if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist before using Pimozide |
| Drug Special Care |
Check with your doctor or pharmacist before using Pimozide if you have: A heart problem or anyone in your close family has died suddenly of heart problems
Liver or kidney problems
Epilepsy or any other problem that can cause fits (convulsions)
Problems with your thyroid gland
A non-cancerous tumour of the adrenal gland (phaeochromocytoma)
A history of blood clots, or someone else in your family has (as medicines like this have been associated with formation of blood clots)
If you exercise hard, are going somewhere very hot or don?t drink enough
You may need to be more closely monitored, and the amount of Pimozide you take may have to be altered.
If you are not sure if any of the above applies to you, talk to your doctor or pharmacistbefore taking Pimozide .
Medical check ups
Your doctor may want to take an electrocardiogram (ECG) before or during your treatment with Pimozide . The ECG measures the electrical activity of your heart.
Blood tests
Your doctor may want to check the levels of minerals (electrolytes) in your blood. |
| Drug Drug Interactions |
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines. This includes medicines that you buy without a prescription or herbal medicines.
In particular, do not take this medicine and tell your doctor if you are taking any of the following medicines:
for fungal infections such as ketoconazole, itraconazole, miconazole, fluconazole
certain antibiotics such as erythromycin, clarithromycin, azithromycin, troleandomycin
antiviral protease inhibitors such as indinavir, ritonavir, saquinavir
for the heart such as quinidine, disopyramide, procainamide, amiodarone,sotalol, bretylium
for allergies such as terfenadine
for some digestive problems such as cisapride
for treating or preventing malaria such as mefloquine, quinine
for depression such as nefazodone, amitriptyline, maprotiline, sertraline, paroxetine, citalopram, escitalopram
for mental illness such as chlorpromazine, thioridazine, sertindole
for weight control such as sibutramine
Do not start taking Pimozide and tell your doctor if you are taking any of the above.
Tell your doctor before taking any of the following medicines. They may need to
alter the dose of Pimozide or your other medicine:
Anxiety or help you to sleep (tranquillisers)
Severe pain (strong painkillers)
Parkinson''s disease
Epilepsy or fits (convulsions)
Sickness such as metoclopramide
High blood pressure such as calcium channel blockers and diuretics
Tell your doctor before taking any of the above. They may need to alter the dose of Pimozide or your other medicine. |
| Drug Pregnancy Interaction |
Talk to your doctor before taking Pimozide if you are pregnant, think you may be pregnant or might become pregnant. You may still be able to take Pimozide if your doctor thinks you need to.Do not take this medicine if you are breast-feeding. This is because small amounts may pass into the mother?s milk. Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding. |
| Drug Breast feeding Interaction |
Talk to your doctor before taking Pimozide if you are pregnant, think you may be pregnant or might become pregnant. You may still be able to take Pimozide if your doctor thinks you need to.Do not take this medicine if you are breast-feeding. This is because small amounts may pass into the mother?s milk. Ask your doctor or pharmacist for advice before taking any medicine if you are pregnant or breast-feeding. |
| Drug Machinery Interaction |
This medicine may affect you being able to drive. Do not drive or use any tools or machines without discussing this with your doctor first. |
| Drug More Information |
You can take Pimozide with or without food. Swallow the with some water.
Do not drink grapefruit juice while taking Pimozide .
Drinking alcohol while you are taking Pimozide might make you feel drowsy and less alert. This means you should be careful how much alcohol you drink |
| How to take the
Medicine
|
| Consumption Info |
|
| Drug quanitty |
Adults and children over 12 years old
Your starting dose will normally be between 2 mg and . You will take this once a day
Your doctor may want to gradually increase this dose to find the dose which suits you best. The maximum amount that you should take in one day is 20 mg
Your doctor may reduce the dose of Pimozide when your symptoms begin to improve
Children under 12 years old
Not recommended.
Elderly people
Elderly people are normally started on a lower dose
The amount of Pimozide you take will then be adjusted until the doctor finds the dose that suits you best |
| Drug Dose |
Your doctor will tell you how many Pimozide to take and for how long. Your doctorwill adjust the dose to suit you. It is very important you take the correct amount.Your dose will depend on:
Your age
How serious your symptoms are
How you have reacted to similar medicines in the past |
| Excess Drug Consumption |
If you take more Pimozide than you were told to or if someone else has taken any Pimozide , talk to a doctor or go to the nearest hospital casualty department straight away |
| Forgot Drug Consumption |
If you forget to take a dose, take your next dose as usual. Then keep taking your medicine as your doctor has told you Do not take a double dose
If you have any further questions on the use of this product, ask your doctor or pharmacist. |
| Stop Drug Consumption |
Take the medicine for as long as your doctor has told you. It may be some time before you feel the full effect of the medicine.Unless your doctor tells you otherwise, you should stop taking Pimozide gradually.Stopping treatment suddenly may cause effects such as:
Feeling sick (nausea) or being sick (vomiting)
Difficulty sleeping
Sweating
Always follow your doctor?s instructions carefully. |
| Possible Side
Effects
|
| General Information |
•Sweating more than usual
•Urinating (passing water) at night
•Feeling dizzy
•Feeling sleepy |
| Common Drug Side Effects |
•Feeling agitated or restless
•Feeling low or depressed
•Difficulty sleeping
•Feeling tired or lacking in energy
•Loss of appetite
•Dry mouth
•Being sick
•Constipation
•Headache
•Blurred vision
•Very oily skin
•Need to pass water (urine) more often than usual
•In men, erection problems |
| Rare Drug Side Effects |
•In women, no monthly period
•Swollen face |
| Very Rare Drug Side Effects |
•Fits or seizures (convulsions)
•Hormone changes which may lead to:
•Some women unexpectedly producing breast milk
•Some men experiencing swelling of their breast
•Some people losing interest in sex
•Body temperature changes
Test results:
•Sugar in the urine
•High blood sugar levels (if you already have diabetes)
•Abnormal heart traces (electrocardiogram, „ECG?) or brain traces (electroencephalogram „EEG?)
Medicines similar to Pimozide may cause blood clots in the veins especial y in the legs (symptoms include swel ing, pain and redness in the leg), which may travel through blood vessels to the lungs causing chest pain and difficulty in breathing. If you notice any of these symptoms seek medical advice immediately In elderly people with dementia, a smal increase in the number of deaths has been reported for patients taking neuroleptics compared with those not receiving neuroleptics. If you get side effects and they become serious or if you notice any other side effects not listed in this leaflet, please tell your doctor or pharmacist. |
| Drug Side Effects Symptoms |
•Rash, hives (also known as nettle rash or urticaria), severe irritation of your skin.These may be signs of a severe allergic reaction. This only happens in a small number of people
•A serious problem called „neuroleptic malignant syndrome?. The signs may include:
Fast heart beat, changing blood pressure and sweating followed by fever
Faster breathing, muscle stiffness, reduced consciousness and coma
Raised levels of a protein in your blood (an enzyme called creatine phosphokinase)
• Your heart:
Beats abnormally (arrhythmia)
Flutters (fibrillates)
Beats unusually fast (tachycardia)
An arrhythmia can cause your heart to stop beating (cardiac arrest).Unexplained deaths have occurred rarely in patients taking this type of medicine
•Jerky movements and problems such as slowness, muscle stiffness or spasm,shaking, trembling or tremors, feeling restless and stiff neck. More saliva than normal, twitching or unusual movements of the tongue, face, mouth, jaw or throat, difficulty speaking or rolling of the eyes. If you get any of these effects, you may be given an additional medicine |
| How to Store the
Medicine
|
| How to Store the Medicine |
Keep out of the reach and sight of children.Do not store above 30°C.Do not use Pimozide after the expiry date which is stated on the label. The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. These measures will help protect the environment. Return any leftover Pimozide to your pharmacist |
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