Possible Interaction between Fluoxetine and Pimozide Causing Sinus Bradycardia

Author:

Ahmed Iqbal12,Dagincourt Paul G.3,Miller Lawrence G.4,Shader Richard I.5

Affiliation:

1. Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Special Services, Hawaii State Hospital, Kaneohe, Hawaii

2. New England Medical Center, Department of Psychiatry, Tufts University School of Medicine, Boston, Massachusetts.

3. Triple Board Program in Psychiatry, Child Psychiatry and Pediatrics, Tufts New England Medical Center, Boston, Massachusetts.

4. Tufts University School of Medicine; Associate Director, Division of Clinical Pharmacology, New England Medical Center, Boston, Massachusetts.

5. Department of Pharmacology and Experimental Therapeutics, Tufts University School of Medicine, Division of Clinical Pharmacology, New England Medical Center, Boston, Massachusetts.

Abstract

Fluoxetine has been reported to have interactions with antipsychotics and other antidepressants with symptoms of toxicity of these drugs. We report a case of a possible interaction with pimozide which led to a potentially life threatening bradycardia. Careful monitoring should be done when these two drugs are prescribed at the same time, especially in the elderly and inpatients with cardiac disease.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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