{"id":60074,"date":"2024-02-28T06:32:14","date_gmt":"2024-02-28T06:32:14","guid":{"rendered":"https:\/\/medsname.com\/mozep\/"},"modified":"2026-04-30T10:23:51","modified_gmt":"2026-04-30T10:23:51","slug":"mozep","status":"publish","type":"product","link":"https:\/\/medsbase.com\/da\/mozep\/","title":{"rendered":"Mozep"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 Hurtigt svar<\/h3>\n<p style=\"margin-bottom:0;\">Mozep (Pimozide 2 mg) is a butyrophenone first-generation antipsychotic. Modern use is restricted to refractory Tourette syndrome (with motor and vocal tics) and treatment-resistant delusional disorder. Strong dose-dependent QT prolongation and torsades risk \u2014 pre-treatment ECG mandatory.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Hvad du f\u00e5r med MedsBase:<\/strong> WHO-GMP certificeret producent \u00b7 Diskret emballage \u00b7 Verdensomsp\u00e6ndende forsendelse \u00b7 1.400+ verificerede <a href=\"https:\/\/medsbase.com\/da\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er d\u00e6kket af vores <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis din pakke ikke ankommer inden for 20 hverdage, sender vi en erstatning.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>Mozep at MedsBase is supplied directly from a WHO-GMP certified manufacturer in plain, discreet packaging. Every order is covered by our <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a> \u2014 20-hverdages leveringsvindue eller vi gensender uden ekstra omkostninger \u2014 og kvalificerer sig til vores <a href=\"https:\/\/medsbase.com\/da\/loyalty-points\/\">kundeloyalitetsprogram<\/a>. Verdensomsp\u00e6ndende forsendelse er tilg\u00e6ngelig til de fleste destinationer.<\/p>\n<h2>What Mozep is and how it works<\/h2>\n<p>Mozep is a pimozide tablet supplied by Sun Pharma. Available strengths: <strong>2 mg<\/strong>. Pimozide is a butyrophenone (related to haloperidol) with selective D2 antagonism, modest 5-HT2A antagonism, and meaningful calcium-channel blockade \u2014 the latter is the basis for the QT-prolonging effect that limits its use.<\/p>\n<p>Modern indications: refractory Tourette syndrome (FDA approval), monosymptomatic delusional disorder (e.g. delusions of parasitosis, somatic delusions), and rare schizophrenia cases unresponsive to other agents.<\/p>\n<h2>Indikationer og dosering<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indikation<\/th>\n<th>Startdosis<\/th>\n<th>M\u00e5ldosis<\/th>\n<th>Maksimal dosis<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Tourette syndrome (adult)<\/td>\n<td>1 mg HS<\/td>\n<td>1\u201310 mg\/day<\/td>\n<td>0.2 mg\/kg or 10 mg<\/td>\n<\/tr>\n<tr>\n<td>Tourette syndrome (paediatric \u2265 12 y)<\/td>\n<td>0.05 mg\/kg HS<\/td>\n<td>0.2 mg\/kg\/day<\/td>\n<td>0.2 mg\/kg or 10 mg<\/td>\n<\/tr>\n<tr>\n<td>Monosymptomatic delusional disorder<\/td>\n<td>2 mg \u00e9n gang dagligt<\/td>\n<td>2\u20134 mg\/dag<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<tr>\n<td>Schizophrenia (refractory)<\/td>\n<td>1 mg BID<\/td>\n<td>2\u201310 mg\/day<\/td>\n<td>20 mg<\/td>\n<\/tr>\n<tr>\n<td>CYP2D6 poor metaboliser \/ inhibitor<\/td>\n<td>halvere dosis<\/td>\n<td>\u2014<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Vigtige sikkerhedsovervejelser<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>FDA black-box \u2014 demensrelateret psykose<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Alle atypiske antipsykotika b\u00e6rer en FDA black-box advarsel om \u00f8get d\u00f8delighed (prim\u00e6rt kardiovaskul\u00e6r og infektionsrelateret) ved brug til behandling af adf\u00e6rdsforstyrrelser hos \u00e6ldre med demens. <strong>Atypiske antipsykotika er ikke godkendt til demensrelateret psykose eller agitation.<\/strong>. Brug i denne population er off-label, sidste udvej, tidsbegr\u00e6nset og kr\u00e6ver en eksplicit risici-fordel samtale.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Mandatory pre-treatment ECG and absolute contraindications<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Pimozide carries a strong dose-dependent QT signal. <strong>Pre-treatment ECG required; check QTc at every dose increase; stop if QTc &gt; 500 ms or rises &gt; 60 ms from baseline.<\/strong> Absolute contraindications: known long QT, congenital arrhythmia syndrome, recent MI, uncompensated heart failure, hypokalaemia\/hypomagnesaemia (correct before starting), concurrent QT-prolonging drugs, and concurrent strong CYP3A4 inhibitors (azoles, clarithromycin, ritonavir, grapefruit juice \u2014 all raise pimozide levels and the QT signal substantially).<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>CYP3A4 + CYP2D6 dual substrate<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Pimozide is metabolised by both CYP3A4 and CYP2D6. Strong inhibitors of either enzyme raise levels and amplify QT risk. Strong CYP2D6 inhibitors (paroxetine, fluoxetine, bupropion, quinidine) and strong CYP3A4 inhibitors are absolute contraindications.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>EPS, TD, and acute dystonia<\/strong><\/p>\n<p style=\"margin-bottom:0;\">As a butyrophenone, pimozide produces meaningful EPS, akathisia, acute dystonia (particularly in young men), and cumulative tardive dyskinesia. Anticholinergic adjunct (procyclidine, benztropine) sometimes used acutely.<\/p>\n<\/div>\n<h2>Almindelige bivirkninger<\/h2>\n<ul>\n<li><strong>QT-forl\u00e6ngelse<\/strong> \u2014 dose-dependent, monitored continuously.<\/li>\n<li><strong>EPS, akathisia, dystonia<\/strong> \u2014 almindeligt.<\/li>\n<li><strong>Sedering<\/strong> \u2014 moderat.<\/li>\n<li><strong>Hyperprolaktin\u00e6mi<\/strong> \u2014 st\u00e6rk.<\/li>\n<li><strong>Antikolinerg<\/strong> \u2014 dry mouth, constipation, urinary hesitancy.<\/li>\n<li><strong>V\u00e6gt\u00f8gning<\/strong> \u2014 moderat.<\/li>\n<li><strong>Tardiv dyskinesi<\/strong> \u2014 cumulative.<\/li>\n<\/ul>\n<h2>L\u00e6gemiddelinteraktioner<\/h2>\n<ul>\n<li><strong>St\u00e6rke CYP3A4-h\u00e6mmere<\/strong> (azoles, clarithromycin, ritonavir, grapefruit juice) \u2014 absolute contraindication.<\/li>\n<li><strong>St\u00e6rke CYP2D6-h\u00e6mmere<\/strong> (paroxetine, fluoxetine, bupropion, quinidine) \u2014 absolute contraindication.<\/li>\n<li><strong>Andre QT-forl\u00e6ngende l\u00e6gemidler<\/strong> \u2014 absolute or relative contraindication depending on agent.<\/li>\n<li><strong>Other antipsychotics<\/strong> \u2014 additive QT, EPS, prolactin risk.<\/li>\n<li><strong>Sertraline \/ escitalopram<\/strong> \u2014 these are the safer SSRIs to combine with pimozide if absolutely necessary (less CYP2D6 inhibition than paroxetine\/fluoxetine).<\/li>\n<\/ul>\n<h2>Graviditet, amning, p\u00e6diatrisk<\/h2>\n<p>Pregnancy: limited data; not first-line. Breastfeeding: passes into milk; usually avoided. Paediatric: licensed from 12 (Tourette syndrome).<\/p>\n<h2>Opbevaring<\/h2>\n<p>Opbevares ved 15\u201330 \u00b0C i original emballage.<\/p>\n<h2 id=\"faqs\">Ofte stillede sp\u00f8rgsm\u00e5l<\/h2>\n<h3>Why is Mozep so restricted in modern psychiatry?<\/h3>\n<p>Pimozide&rsquo;s strong dose-dependent QT prolongation, dual CYP3A4\/CYP2D6 metabolism, and dense interaction profile mean it carries a higher cardiac-risk burden than most modern antipsychotics. Its modern niche is therefore narrow \u2014 refractory Tourette syndrome and monosymptomatic delusional disorder where other agents have failed.<\/p>\n<h3>Why is Mozep useful for delusional parasitosis?<\/h3>\n<p>Monosymptomatic delusional disorder (delusions of parasitosis, somatic delusions, delusions of body odour) responded particularly well to pimozide in older case series \u2014 possibly because of the strong selective D2 blockade. Modern practice often prefers a low-dose atypical (risperidone, olanzapine) but pimozide retains a niche where atypicals have failed.<\/p>\n<h3>Why pre-treatment ECG?<\/h3>\n<p>Pimozide&rsquo;s QT prolongation is the dose-limiting toxicity. A baseline ECG defines the patient&rsquo;s starting QTc; the prescriber checks QTc at every dose increase. Stop or dose-reduce if QTc &gt; 500 ms or rises &gt; 60 ms from baseline. This is non-negotiable.<\/p>\n<h3>Hvorfor undg\u00e5 grapefrugtjuice?<\/h3>\n<p>Grapefruit juice strongly inhibits intestinal CYP3A4 \u2014 pimozide levels rise several-fold, amplifying the QT signal into the dangerous range. Grapefruit and grapefruit juice are absolute contraindications during pimozide therapy.<\/p>\n<h3>Can Mozep be combined with an SSRI?<\/h3>\n<p>Most SSRIs are absolute or relative contraindications because of CYP2D6 inhibition (paroxetine, fluoxetine, bupropion). Sertraline and escitalopram are the safer SSRIs if combination is necessary, but ECG monitoring is still required.<\/p>\n<h3>How long until Mozep works?<\/h3>\n<p>Tic reduction often visible within 1\u20132 weeks of titration. Full effect at 4\u20136 weeks. Delusional disorder: 4\u20138 weeks.<\/p>\n<h3>Can Mozep be stopped abruptly?<\/h3>\n<p>Taper over 2\u20134 weeks. Cholinergic rebound and tic rebound (in Tourette) can be problematic on abrupt cessation.<\/p>\n<h3>Will Mozep cause weight gain?<\/h3>\n<p>Modest \u2014 typically 1\u20133 kg over 6 months.<\/p>\n<h3>What about driving on Mozep?<\/h3>\n<p>Sedation is moderate. Most patients on stable doses drive normally; first 1\u20132 weeks of titration can impair reaction time.<\/p>\n<h3>Are there alternatives to Mozep for Tourette?<\/h3>\n<p>Yes \u2014 aripiprazole, risperidone, and clonidine\/guanfacine are commonly used. Most patients respond to one of these without needing pimozide. Pimozide is reserved for refractory cases.<\/p>\n<h2>Andre Mental Sundhedsmedicin<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/aripicon\/\">Aripicon (Aripiprazol - atypisk, lav EPS)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/risdone\/\">Risdone (Risperidon)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/olanzap\/\">Olanzap (Olanzapin)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/sulpitac\/\">Sulpitac (Amisulprid)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/skizoril\/\">Skizoril (Klozapin - refrakt\u00e6r sygdom)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Medicinsk ansvarsfraskrivelse.<\/strong> Denne side er udelukkende til informationsform\u00e5l og er ikke erstatning for individuel l\u00e6gevejledning. Behandling med psykofarmaka b\u00f8r iv\u00e6rks\u00e6ttes, overv\u00e5ges og tilpasses af en kvalificeret kliniker. Hvis du eller nogen du kender er i akut selvmordskrise, skal du kontakte lokale akutteams eller ringe til din lands selvmordsforebyggende kriselinje (US\/Canada: 988; UK: Samaritans 116 123; international liste: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Mozep (Pimozide 2 mg) \u2014 butyrophenone antipsychotic for refractory Tourette syndrome and delusional disorder. strong dose-dependent QT \u2014 pre-treatment ECG mandatory.<\/p>","protected":false},"featured_media":60075,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4797,4798],"class_list":{"0":"post-60074","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-mozep","10":"product_tag-pimozide","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product\/60074","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/comments?post=60074"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media\/60075"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media?parent=60074"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_brand?post=60074"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_cat?post=60074"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_tag?post=60074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}