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Beta blockers such as metoprolol lopressor, toprol xl , atenolol tenormin , propranolol inderal, inderal la , and carvedilol coreg digoxin lanoxin quinidine cardioquine, quinact, duraquin warfarin coumadin, jantoven cimetidine tagamet medications that increase the activity of the enzyme cyp3a4 such as carbamazepine tegretol, equetro, carbatrol , phenobarbital, phenytoin dilantin , rifampin rifadin , st john s wort, and nimodipine nimotop .

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be sure to mention anticoagulants blood thinners such as warfarin coumadin ; cimetidine tagamet ; cinoxacin cinobac ; ciprofloxacin cipro ; digoxin lanoxin ; enoxacin penetrex ; ketoconazole nizoral ; levofloxacin levaquin ; levothyroxine levothroid, levoxyl, synthroid ; lomefloxacin maxaquin ; nalidixic acid neggram ; norfloxacin noroxin ; ofloxacin floxin ; phenytoin dilantin, phenytek ; quinidine; ranitidine zantac ; sparfloxacin zagam ; tetracycline; and theophylline theo-24 if you are taking any of these medicines, take them at least 2 hours before taking sucralfate.

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no pharmacokinetic interaction was observed between rivastigmine taken orally and digoxin, warfarin, diazepam or fluoxetine in studies in healthy volunteers.

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in some patients colonic bacteria will reduce serum digoxin concentration by as much as 40 because of conversion in the bowel to an inactive reduction product.

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