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Rhabdomyolysis
breakdown of skeletal muscle into myoglobin and creatine kinase
acute kidney injury
simvastatin and clarithromyocin interaction
simvastatin is normally metabolized by liver enzyme CYP3A4
Clarithromycin is a strong CYP3A4 inhibitor
how does hypericum extract reduce contraceptive efficacy
it induces CYP3A4 to increase metabolism of estrogen and progestin
how does hypericum extract interact with SSRI’s
hypericum increases serotonergic activity
SSRI increase serotonin reuptake
can lead to serotonin syndrome