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Please contact your local pharmacist to examine the medication and determine the appropriate course of action. The risk or severity of adverse effects can be increased when Istaroxime is combined with Pyridostigmine. Other adverse reactions listed in the naproxen package label, but not reported by those who received Naprelan Tablets are shown in italics. Dutasteride is eliminated mainly in the feces (40%) as metabolites. Modafinil may induce the CYP3A4 metabolism of tamoxifen to these metabolites, which can compromise efficacy; plasma concentrations of tamoxifen and its active metabolites have been reduced when coadministered other CYP3A4 inducers. The serum concentration of Saxagliptin can be increased when it is combined with Ketoconazole.

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