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Drug interactions

Pentazocine + Selinexor

Severity: Moderate

Pentazocine 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 fatigue, and pentazocine can cause sedation and psychotomimetic effects. Together they may worsen neurologic and cognitive impairment and risk of falls.

What this interaction means in plain words

Pentazocine 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.

Pentazocine belongs to Musculoskeletal; Selinexor belongs to Oncology.

Evidence level: Low

Why it happens

Additive CNS adverse effects; no specific pharmacokinetic mechanism established.

What to do

Monitor for dizziness, confusion and sedation, and counsel on fall risk. Consider a different analgesic if neurologic effects develop.

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 Pentazocine with Selinexor?

MediHelp rates the interaction as moderate. Pentazocine 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 fatigue, and pentazocine can cause sedation and psychotomimetic effects. Together they may worsen neurologic and cognitive impairment and risk of falls.

How serious is the interaction between Pentazocine 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 on fall risk. Consider a different analgesic if neurologic effects develop.

What other medicines interact with Pentazocine?

MediHelp also lists interactions of Pentazocine with, for example, Calcium / magnesium / potassium / sodium oxybates, Olanzapine / samidorphan, Phenelzine. The full list is on the Pentazocine page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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