Bismuth Nitrate + Pimozide
Pimozide brand name: Orap.
We found no known interaction between Bismuth Nitrate and Pimozide in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.
Bismuth Nitrate and Pimozide
We checked these two against our interaction database. Here is what we found.
No Known Interaction Found
We did not find a documented interaction between Pimozide and Bismuth Nitrate in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.
Worth understanding: our licensed dataset holds no drug-interaction record for Bismuth Nitrate at all — not against Pimozide, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.
If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.
Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.
Bismuth Nitrate safety at a glance
Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
See Every Supplement That Interacts With Pimozide
This page covers Bismuth Nitrate only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Pimozide page lists 180 supplements it has a documented interaction with, worst first, each one explained.
The most serious there right now: Activated Charcoal (major), American Hellebore (major), Arsenic (major), Cesium (major) and Ephedra (major).
By severity: 12 major · 127 moderate · 41 minor.
From our pharmacist’s overview on the Pimozide page
“Pimozide (Orap), prescribed mainly for severe tics in Tourette syndrome, is a medicine I ask patients to check every supplement against before adding it. Twelve of the 180 ingredients on file rate major, and most of the risk runs through one pathway: 121 of them affect CYP3A4, the enzyme that clears pimozide.”
Reviewed by 2 · Jul 18, 2026
Taking Bismuth Nitrate as Part of a Dietary Supplement Product? Check It for Interactions
We hold 1 real supplement products containing Bismuth Nitrate, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Bismuth Nitrate. Even though Bismuth Nitrate itself has no known interaction with Pimozide, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:
Where Bismuth Nitrate and Pimozide Sit Against Everything Else
Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.
#1,335 of 1,452 supplements looked up here in the last 7 days
#2,286 of 2,830 medications looked up here in the last 7 days
Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.
Where does our data come from?
- Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
- Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Bismuth Nitrate reference on this page ↓
- Freshness: we automatically re-check this combination every week — this pair was last verified September 20, 2026. The Bismuth Nitrate and Pimozide records this page draws on were last updated July 10, 2026.
- What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
About Bismuth Nitrate
What is Bismuth Nitrate?
- Upset stomach and indigestion
- Diarrhea
- Wound and skin protection (topical)
- Mild antiseptic
Bismuth nitrate is a bismuth-based chemical compound that was historically used for stomach complaints and as a mild topical antiseptic, but it is not a common modern dietary supplement and is rarely used today. Better-studied bismuth products (like bismuth subsalicylate) have largely replaced it, and bismuth nitrate carries safety concerns, so talk with a pharmacist or doctor before using any bismuth product.
Not applicable (a chemical bismuth compound, not a plant) · Compounded powders, topical preparations, and historically in some oral antacid or stomach formulas
An interaction check asks whether these two react with each other — it does not ask whether Bismuth Nitrate is a good idea for someone in your situation. Here is what our Bismuth Nitrate record says about it on its own.
Bismuth Nitrate: dosing
There is no established standard dose of bismuth nitrate as a supplement, and it is not a typical over-the-counter product. Because of this, no specific safe amount can be recommended here.If a product containing bismuth nitrate is available to you, follow the directions on the label exactly and do not exceed them.
From our Bismuth Nitrate monograph — the full record covers uses, side effects and every documented interaction.
About Pimozide
What Is Pimozide Used For?
Brand name: Orap
Pimozide tablets are used to suppress motor tics (involuntary movements) and phonic tics (involuntary sounds or words) in people with Tourette's Disorder. It is reserved for patients whose daily life or development is severely affected by their tics — it is not intended as a first-line treatment, and it is not used for tics that are mild or mainly cosmetic concerns.
Pimozide is not meant for tics caused by other conditions or medications, and it should not be used for simple tics unrelated to Tourette's Disorder.
Most-Reported Side Effects for Pimozide
From FAERS, the FDA’s public side-effect reporting system (471 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.
Other Drugs & Bismuth Nitrate
Browse every other medication we’ve checked against Bismuth Nitrate — both the ones with a known interaction and the ones without. Select any drug for the full detail.
No drugs match “”.
No interaction 2,829 drugs checked — show the list
We also checked Bismuth Nitrate against these medications and found no known interaction in our sources. Open any page to confirm.
- Apixaban ›
- Levothyroxine ›
- Amlodipine ›
- Warfarin ›
- Methylphenidate ›
- Sertraline ›
- Losartan Potassium ›
- Testosterone ›
- Ivermectin ›
- Metoprolol ›
- Abemaciclib ›
- Aspirin ›
- Acetaminophen ›
- Rosuvastatin ›
- Rivaroxaban ›
- Escitalopram ›
- Clopidogrel ›
- Atorvastatin ›
- Tadalafil ›
- Docusate ›
- Tirzepatide ›
- Ibuprofen ›
- Methamphetamine ›
- Hydroxyurea ›
- Warfarin Sodium ›
- Valacyclovir ›
- Sumatriptan ›
- Semaglutide ›
- Prednisone ›
- Lisdexamfetamine ›
- Propranolol ›
- Metformin ›
- Amitriptyline ›
- Lisinopril ›
- Amoxicillin ›
- Isotretinoin ›
- Methotrexate ›
- Amlodipine Besylate ›
- Bendamustine ›
- Bupropion ›
- Amphetamine ›
- Fluoxetine ›
- Doxycycline ›
- Acyclovir ›
- Azithromycin ›
- Lamotrigine ›
- Pregabalin ›
- Dextroamphetamine ›
- Gabapentin ›
- Acetaminophen, Codeine ›
- Quetiapine ›
- Clonazepam ›
- Levothyroxine, Liothyronine ›
- Naproxen ›
- Omeprazole ›
- Letrozole ›
- Methylene Blue ›
- Duloxetine ›
- Citalopram ›
- Buspirone ›
Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Bismuth Nitrate list.
Bismuth Nitrate References
The 6 references that drive our Bismuth Nitrate monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- - Jaeger A, Kopferschmitt J, Sauder Ph, Flesch F, Tournoud C. Diagnosis in clinical toxicology. In: Bolt HM, de Wolff FA, Henderson PT (eds) Medical Toxicology. Archives of Toxicology (Supplement). Berlin/Heidelberg, Germany: Springer-Verlag; 1992:29-39. PubMed
- Bismuth nitrate; MSDS No. B3396 [Online]; Mallenckrodt Baker: Phillipsburg, NJ, December 8, 1996. https://hazard.com/msds/mf/baker/baker/files/b3396.htm (accessed December 27, 2019).
- Saberi-Firoozi M, Massarrat S, Zare S, et al. Effect of triple therapy or amoxycillin plus omeprazole or amoxycillin plus tinidazole plus omeprazole on duodenal ulcer healing, eradication of Helicobacter pylori, and prevention of ulcer relapse over a 1-ye
- Von Bose MJ, Zaudig M. Encephalopathy resembling Creutzfeldt-Jakob disease following oral, prescribed doses of bismuth nitrate. Br J Psychiatry. 1991;158:278-80. PubMed
- Lewis RJ Sr. Hazardous Chemicals Desk Reference. 6th Edition. Hoboken, NJ: Wiley; 2008.
- Raafat BM, Samir WA, Khader MH. Met-Hemoglobin concentration reduction and methemoglobin reductase enhancement after applying of alpha-tocopherol and selenium combination as a radio protector against ionizing radiation exposure. Wulfenia J. 2012;19(10):37
Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Taking Bismuth Nitrate and Pimozide Together: Common Questions
Is it safe to take Bismuth Nitrate with Pimozide?
Do Bismuth Nitrate and Pimozide have any of the same side effects?
Does Pimozide interact with any supplements?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.