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Drug interactions

Quetiapine + Selinexor

Severity: Moderate

Quetiapine 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 quetiapine can add to sedation and dizziness. Together they may increase the risk of falls and cognitive impairment.

What this interaction means in plain words

Quetiapine 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.

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

Evidence level: Low

Why it happens

Additive CNS adverse effects; no specific pharmacokinetic mechanism is established.

What to do

Monitor for dizziness, confusion and sedation, and counsel on fall precautions. Reduce the quetiapine dose if neurological symptoms emerge.

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 Quetiapine with Selinexor?

MediHelp rates the interaction as moderate. Quetiapine 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 quetiapine can add to sedation and dizziness. Together they may increase the risk of falls and cognitive impairment.

How serious is the interaction between Quetiapine 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 precautions. Reduce the quetiapine dose if neurological symptoms emerge.

What other medicines interact with Quetiapine?

MediHelp also lists interactions of Quetiapine with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Quetiapine page.

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

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