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Itrakonazol, ketokonazol i u manjoj meri flukonazol i vorikonazol su snažni inhibitori izoenzima CYP3A4 citohroma P450 i mogu povećati koncentraciju benzodiazepina u plazmi.Poznato je da istovremena primena diazepama i kombinovanih oralnih kontraceptiva može dovesti do probojnog krvarenja. Mehanizam ove reakcije nije poznat. Nisu prijavljeni slu

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The concomitant use of tramadol hydrochloride tablets and CYP3A4 inhibitors can increase the plasma focus of tramadol and will lead to a higher degree of metabolism by using CYP2D6 and higher levels of M1. Stick to clients carefully for greater danger of great adverse activities such as seizures and serotonin syndrome, and adverse reactions related

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