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desvenlafaxine will raise the level or result of codeine by affecting hepatic enzyme CYP2D6 metabolism. Use Caution/Watch. Desvenlafaxine inhibits CYP2D6; with bigger desvenlafaxine doses (ie, 400 mg) reduce the CYP2D6 substrate dose by approximately 50%; no dosage adjustment essential with desvenlafaxine doses 7 consecutive times straight away pre