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desvenlafaxine will increase the level or effect of codeine by influencing hepatic enzyme CYP2D6 metabolism. Use Warning/Keep track of. Desvenlafaxine inhibits CYP2D6; with bigger desvenlafaxine doses (ie, 400 mg) lower the CYP2D6 substrate dose by as much as 50%; no dosage adjustment wanted with desvenlafaxine doses seven consecutive days immediat