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In people who are deficient in CYP2D6, coadministration of modafinil with substrates of CYP2D6 which have ancillary routes of elimination by means of CYP2C19 (eg, tricyclic antidepressants and selective serotonin reuptake inhibitors) might result in elevated circulating amounts of these medications and demand dose adjustment (Robertson et al 2000;
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