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    Ritonavir Norvir: Using these medicines with bupropion may increase the risk of seizures Studies have shown occurrences of children thinking about suicide or attempting suicide in clinical trials for this medicine. Other medicines: Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. Liver disease: Higher blood levels of bupropion may result, increasing the chance of side effects Make sure you tell your doctor if you have any other medical problems, especially: Maprotiline Ludiomil or Monoamine oxidase (MAO) inhibitor activity (isocarboxazid , Marplan, phenelzine , Nardil, procarbazine , Matulane, selegiline , Eldepryl, tranylcypromine , Parnate): Do not take bupropion while you are taking or within 14 days of taking an MAO inhibitor or you may increase the chance of serious side effects at least 14 days should be allowed between stopping treatment with an MAO inhibitor and starting treatment with bupropion More study is needed to be sure venlafaxine is safe and effective in children Older adults: This medicine has been tested in a limited number of patients 60 years of age and older and has not been shown to cause different side effects or problems in older people than it does in younger adults.

    In some cases, relief of pain may come at lower doses of each medicine. For caffeine : Studies in humans have not shown that caffeine (contained in some of these combination medicines) causes birth defects. Tricyclic antidepressants (amitriptyline , Elavil, amoxapine , Asendin, clomipramine , Anafranil, desipramine , Pertofrane, doxepin , Sinequan, imipramine , Tofranil, nortriptyline , Aventyl, protriptyline , Vivactil, trimipramine , Surmontil): Taking these medicines together with a narcotic analgesic may increase the chance of serious side effects Underactive thyroid: The chance of serious side effects may be increased When narcotics are used for a long time, your body may get used to them so that larger amounts are needed to relieve pain. .
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    Buprenorphine and codeine did not cause birth defects in animal studies, but they caused other unwanted effects. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes. Pregnancy- Although studies on birth defects with narcotic analgesics have not been done in pregnant women, these medicines have not been reported to cause birth defects.
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    In these cases, your doctor may want to change the dose, or other precautions may be necessary. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.
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