ORAP, generically known as pimozide, is a medication primarily used in the treatment of Tourette's syndrome and is occasionally prescribed for individuals with severe tics or those who have not responded well to other treatments. It belongs to the class of drugs known as typical antipsychotics, which work by altering the activity of certain neurotransmitters in the brain, particularly dopamine, to help manage symptoms. While effective, ORAP is often considered a medication of last resort due to its potential for serious side effects, including heart problems and movement disorders. It is important for patients taking ORAP to be closely monitored by their healthcare provider to ensure the benefits of the medication outweigh the risks.