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desvenlafaxine will enhance the level or result of codeine by influencing hepatic enzyme CYP2D6 metabolism. Use Caution/Observe. Desvenlafaxine inhibits CYP2D6; with greater desvenlafaxine doses (ie, four hundred mg) lower the CYP2D6 substrate dose by as many as 50%; no dosage adjustment desired with desvenlafaxine doses 7 consecutive times right a