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The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Fluoxetine resulting in a loss in efficacy. The Levoxyl tablet may dissolve very quickly and could swell in your throat. The highest dose tested in mice for 2 years (3000 mg/kg/day) is approximately 5 times the MRHD on a mg/m 2 basis. It may be used alone or with other medications. Trimipramine may decrease the antihypertensive activities of Bromocriptine. This is especially critical for aquatic herbs such as bacopa and gotu kola, which grow naturally along the banks of India’s rivers, some of which are severely polluted.