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الريفامبين، وبعض أدوية علاج الصرع، مثل الكارباميزابين والفينيتوين؛ حيث يؤدي الاستعمال المتزامن إلى خفض مستويات التادالافيل في الدم وبالتالي التقليل من فعاليته.
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The amount of each of such Energetic substances that may be current in a product is probably not reliable, either.