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There is an extremely high risk that severe birth defects will result if pregnancy occurs while taking Amnesteem in any amount, even for short periods of time. The serum concentration of Aripiprazole can be increased when it is combined with Delavirdine. The risk or severity of adverse effects can be increased when Temazepam is combined with Amitriptyline. Unusual fracture of the thigh bone. Body as a whole: death, fever, infection, sepsis, chills, edema. Bismuth Subcitrate can cause a decrease in the absorption of Fosinopril resulting in a reduced serum concentration and potentially a decrease in efficacy.