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Drug interactions

Aripiprazole + Selinexor

Severity: Moderate

Aripiprazole and Selinexor: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Selinexor commonly causes dizziness, confusion and other neurological toxicity, and aripiprazole can also cause dizziness, somnolence and impaired cognition. Using them together may increase the burden of CNS effects and the risk of falls.

What this interaction means in plain words

Aripiprazole and Selinexor can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Aripiprazole belongs to Central Nervous System; Selinexor belongs to Oncology.

Evidence level: Low

Why it happens

Additive central nervous system adverse effects; no pharmacokinetic mechanism is established.

What to do

Monitor for dizziness, confusion and sedation, and counsel the patient on fall risk and driving. Reduce or hold doses if neurological symptoms become troublesome.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Aripiprazole with Selinexor?

MediHelp rates the interaction as moderate. Aripiprazole and Selinexor can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Selinexor commonly causes dizziness, confusion and other neurological toxicity, and aripiprazole can also cause dizziness, somnolence and impaired cognition. Using them together may increase the burden of CNS effects and the risk of falls.

How serious is the interaction between Aripiprazole and Selinexor?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for dizziness, confusion and sedation, and counsel the patient on fall risk and driving. Reduce or hold doses if neurological symptoms become troublesome.

What other medicines interact with Aripiprazole?

MediHelp also lists interactions of Aripiprazole with, for example, Pimozide, Thioridazine, Amisulpride. The full list is on the Aripiprazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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