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In people who are deficient in CYP2D6, coadministration of modafinil with substrates of CYP2D6 which have ancillary routes of elimination via CYP2C19 (eg, tricyclic antidepressants and selective serotonin reuptake inhibitors) might bring about elevated circulating levels of these drugs and have to have dose adjustment (Robertson et al 2000; PROVIGI