advancedpimozideQTc prolongationCYP2D6fluoxetineTourette syndrome
A 29-year-old male with Tourette syndrome has been stable on pimozide 4 mg daily for tic management. He is referred to psychiatry for new-onset moderate major depressive disorder. The consulting PMHNP considers fluoxetine as an initial antidepressant but first reviews the patient's current medications. Which of the following best explains why fluoxetine is contraindicated with pimozide?