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The concomitant use of acetaminophen and codeine phosphate tablets and CYP2D6 inhibitors (e.g., paroxetine, fluoxetine, bupropion, quinidine) can increase the plasma concentration of codeine, but can decrease the plasma concentration of active metabolite morphine, which could result in reduced analgesic efficacy or symptoms of opioid withdrawal, particularly when an inhibitor is added after a stable dose of acetaminophen and codeine phosphate tablets are achieved [see CLINICAL PHARMACOLOGY]

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Lancet 402 , 203234 (2023)

Redox Biol 84:103700 Akanji MA et al (2021) Redox homeostasis and prospects for therapeutic targeting in neurodegenerative disorders