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The metabolism of Montelukast can be decreased when combined with Atazanavir. The authors of a recent British Medical Journal article plead for physicians to take a more global look at their patients, not to focus on individual diseases, and especially not to turn healthy patients into “sick” ones by the inappropriate use of certain prescription drugs. Dextromethorphan; Promethazine: (Minor) Promethazine should be used cautiously in patients receiving metformin. One effect of this giant canyon system can be seen at the coast, where sea water can seep into cavities, potentially melting lower layers of ice. Do not take this medicine for longer than 5 days in a row. The therapeutic efficacy of Melagatran can be decreased when used in combination with Levonorgestrel.