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Pimozide
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{{Short description|Chemical compound}} {{pp-pc}} {{Use dmy dates|date=November 2017}} {{Use American English|date=November 2017}} {{infobox drug | Watchedfields = changed | verifiedrevid = 464206733 | IUPAC_name = 1-[1-[4,4-Bis(4-fluorophenyl)butyl]-4-piperidinyl]-1,3-dihydro-2''H''-benzimidazole-2-one | image = Pimozide.svg | image_class = skin-invert-image | width = 200 | image2 = Pimozide-based-on-xtal-3D-bs-17.png | image_class2 = bg-transparent <!--Clinical data--> | tradename = Orap | Drugs.com = {{drugs.com|monograph|pimozide}} | MedlinePlus = a686018 | licence_US = Pimozide | pregnancy_AU = B1 | pregnancy_US = C | legal_AU = S4 | legal_BR = C1 | legal_BR_comment = <ref>{{Cite web |author=Anvisa |author-link=Brazilian Health Regulatory Agency |date=2023-03-31 |title=RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial |trans-title=Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control|url=https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-784-de-31-de-marco-de-2023-474904992 |url-status=live |archive-url=https://web.archive.org/web/20230803143925/https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-784-de-31-de-marco-de-2023-474904992 |archive-date=2023-08-03 |access-date=2023-08-16 |publisher=[[Diário Oficial da União]] |language=pt-BR |publication-date=2023-04-04}}</ref> | legal_US = Rx-only | routes_of_administration = Oral | class = [[Typical antipsychotic]] <!--Pharmacokinetic data--> | bioavailability = 40-50% | metabolism = [[CYP3A4]], [[CYP1A2]] and [[CYP2D6]] | elimination_half-life = 55 hours (adults), 66 hours (children) | excretion = Urine <!--Identifiers--> | CAS_number_Ref = {{cascite|correct|??}} | CAS_number = 2062-78-4 | ATC_prefix = N05 | ATC_suffix = AG02 | PubChem = 16362 | IUPHAR_ligand = 90 | DrugBank_Ref = {{drugbankcite|correct|drugbank}} | DrugBank = DB01100 | ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} | ChemSpiderID = 15520 | UNII_Ref = {{fdacite|correct|FDA}} | UNII = 1HIZ4DL86F | KEGG_Ref = {{keggcite|correct|kegg}} | KEGG = D00560 | ChEBI_Ref = {{ebicite|correct|EBI}} | ChEBI = 8212 | ChEMBL_Ref = {{ebicite|correct|EBI}} | ChEMBL = 1423 <!--Chemical data--> |C=28 |H=29 |F=2 |N=3 |O=1 | smiles = Fc1ccc(cc1)C(c2ccc(F)cc2)CCCN5CCC(N4c3ccccc3NC4=O)CC5 | StdInChI_Ref = {{stdinchicite|correct|chemspider}} | StdInChI = 1S/C28H29F2N3O/c29-22-11-7-20(8-12-22)25(21-9-13-23(30)14-10-21)4-3-17-32-18-15-24(16-19-32)33-27-6-2-1-5-26(27)31-28(33)34/h1-2,5-14,24-25H,3-4,15-19H2,(H,31,34) | StdInChIKey_Ref = {{stdinchicite|correct|chemspider}} | StdInChIKey = YVUQSNJEYSNKRX-UHFFFAOYSA-N }} '''Pimozide''' (sold under the brand name '''Orap''') is a neuroleptic [[medication|drug]] of the [[diphenylbutylpiperidine]] class. It was discovered at [[Janssen Pharmaceutica]] in 1963. It has a high potency compared to [[chlorpromazine]] (ratio 50-70:1). On a weight basis it is even more potent than [[haloperidol]]. It also has special indication for [[Tourette syndrome]] and resistant [[tics]].
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