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Drug interactions

Selinexor + Thioridazine

Severity: Moderate

Selinexor and Thioridazine: 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 effects, and thioridazine is sedating. Together they may worsen cognitive impairment, sedation and fall risk.

What this interaction means in plain words

Selinexor and Thioridazine 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 belongs to Oncology; Thioridazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

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

What to do

Monitor for confusion, dizziness and sedation, and counsel on fall risk. Reduce the thioridazine dose or choose a less sedating agent if 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 Selinexor with Thioridazine?

MediHelp rates the interaction as moderate. Selinexor and Thioridazine 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 effects, and thioridazine is sedating. Together they may worsen cognitive impairment, sedation and fall risk.

How serious is the interaction between Selinexor and Thioridazine?

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 confusion, dizziness and sedation, and counsel on fall risk. Reduce the thioridazine dose or choose a less sedating agent if symptoms emerge.

What other medicines interact with Thioridazine?

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

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

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