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Read the full Niacin + Acetaminophen, Butalbital, Caffeine, Codeine interaction Ginger, PowderCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate Interaction Summary Ginger might increase or decrease the levels of CYP3A4 substrates

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What Qsymia actually is Qsymia is a combination prescription medication containing two active ingredients: phentermine and topiramate extended-release