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Alprazolam orally disintegrating tablets are contraindicated in patients treated with potent CYP3A4 inhibitors (e.g., ketoconazole and itraconazole), because these medications significantly impair the oxidative metabolism mediated by cytochrome P450 3A (CYP3A) and can increase alprazolam exposures [see Clinical Pharmacology (12.3), Warnings and Precautions (5.9), and Drug Interactions (7.4)]

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However, others have suggested that raised glutamine levels are associated with liver failure, and the severity correlated with plasma glutamine [86]