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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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يوصى بالابتعاد عن عصير الجريب فروت لأنه يزيد من سمية التادالافيل.

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