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desvenlafaxine will boost the stage or effect of codeine by affecting hepatic enzyme CYP2D6 metabolism. Use Caution/Keep track of. Desvenlafaxine inhibits CYP2D6; with bigger desvenlafaxine doses (ie, 400 mg) lessen the CYP2D6 substrate dose by as much as 50%; no dosage adjustment necessary with desvenlafaxine doses seven consecutive times straight