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Amoxicilline 500 mg kopen exone or 50 pimozide daily for 12 weeks on a maintenance dose of 5 mg pimozide [12]. In another study, was given to 10 subjects who had failed to respond adequately placebo. These patients were given either 50 mg pimozide or placebo once a week for 12 weeks. The mean improvement of a score 0 to 2 on the Hamilton Rating Scale for Depression (HAM-D) was similar in both groups. There was no significant difference in response to pimozide between the two treatment groups in terms of the number subjects with a remission [13]. In another study, the combination of pimozide with risperidone was given to 12 patients with major depressive disorder (MDD) who were not able to respond adequately placebo. One-half of the patients were given combination, other half placebo. In the group receiving pimozide and risperidone, there was a significant improvement in HAM-D scores and reduction mean of the Montgomery-Ã…sberg Depression Rating Scale (MADRS) points [14]. These results are in accordance to those from our study and are consistent with the results of previous study in which the combination of pimozide and risperidone was given to 12 out of 15 patients. The improvements in depression scores and the reduction of MADRS (and occurrence a remission) were maintained in both the group receiving pimozide and risperidone. The findings of both studies might be explained by the fact that pimozide and risperidone are known to reduce the level of oxidative stress in the brain [15], which is a necessary condition for the development of depression. Furthermore, pimozide reduces the number of anti-oxidant enzymes, such as superoxide dismutase and glutathione peroxidase, which are involved in the metabolism of neurotransmitters and other toxic molecules [16]. The combination of pimozide and risperidone may therefore be associated with a partial treatment of depressive symptoms [17] by reducing oxidative stress. The results of our study are in line with these findings. our study, the combination of pimozide and risperidone was associated with a reduction of the HAM-D score, although an individual patient's improvement could not be determined. In general, the findings of our study are consistent with those of previous studies in which pimozide and risperidone have been associated with a reduction of symptoms depression and/or a remission of the disease [18,19]. Although there may be some residual improvements in depressive symptoms that are not accounted for by the improvement in oxidative stress reduction, the present study, in which placebo was used, may have prevented the identification of an association between pimozide and reduced depressive symptoms. In studies carried out with placebo, the remission was more likely to occur when the primary endpoint was change in MADRS. our study, the remission of depressive symptoms was primarily due to an improvement in the HAM-D score and MADRS score. The improvement in HAM-D score may, therefore, be partially responsible for the improvement in depressive symptoms. Therefore, the combination of pimozide with risperidone may be associated a partial remission of depressive symptoms. Although the number of patients who failed to respond pimozide in this study was small, may be relevant. A larger trial with placebo group is necessary to confirm the findings of this study. Conclusions In con