Drug interactions
Eltrombopag + Selexipag
Severity: Moderate
Eltrombopag and Selexipag: 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
Eltrombopag inhibits BCRP, and selexipag is a BCRP substrate, so selexipag exposure may increase. This could lead to more prostacyclin-type effects such as headache, flushing, diarrhea and hypotension.
What this interaction means in plain words
Eltrombopag and Selexipag 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.
Eltrombopag belongs to Miscellaneous; Selexipag belongs to Cardiovascular.
Why it happens
Eltrombopag inhibits the efflux transporter BCRP (ABCG2), reducing selexipag clearance.
What to do
Monitor for selexipag adverse effects and reduce the dose or slow titration if poorly tolerated.
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?
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Other interactions of Eltrombopag
- Alpelisib + Eltrombopag Moderate
- Aluminum hydroxide + Eltrombopag Moderate
- Amobarbital + Eltrombopag Moderate
- Artesunate + Eltrombopag Moderate
- Atazanavir + Eltrombopag Moderate
- Atorvastatin + Eltrombopag Moderate
Other interactions of Selexipag
- Gemfibrozil + Selexipag Contraindicated
- Abiraterone + Selexipag Moderate
- Apalutamide + Selexipag Moderate
- Carbamazepine + Selexipag Moderate
- Clopidogrel + Selexipag Moderate
- Cyclosporin + Selexipag Moderate
Frequently asked questions
Can I take Eltrombopag with Selexipag?
MediHelp rates the interaction as moderate. Eltrombopag and Selexipag 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. Eltrombopag inhibits BCRP, and selexipag is a BCRP substrate, so selexipag exposure may increase. This could lead to more prostacyclin-type effects such as headache, flushing, diarrhea and hypotension.
How serious is the interaction between Eltrombopag and Selexipag?
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 selexipag adverse effects and reduce the dose or slow titration if poorly tolerated.
What other medicines interact with Eltrombopag?
MediHelp also lists interactions of Eltrombopag with, for example, Alpelisib, Aluminum hydroxide, Amobarbital. The full list is on the Eltrombopag page.
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