Advise the patient to inform the doctor or pharmacist in case of taking, have recently taken, or might take any other medicines. This includes medicines bought without a prescription and herbal medicines. This is because Zymoplex can affect the way some other medicines work and some medicines can have an effect on Zymoplex.
In particular, the patient should be advised to inform the doctor or pharmacist if they are taking any of the following medicines: Oral contraceptives; Hormone replacement therapy (HRT); Antidepressants (e.g. paroxetine, fluoxetine); Bupropion (used as antidepressant or aid to smoking cessation); Quinidine (for example used in the treatment of cardiac arrhythmia); Cincalet/cinacalcet (for treatment of disorders of the parathyroid gland); Blood thinning medicines such as warfarin. These are known as 'anti-coagulants'; Rifampicin which is used for tuberculosis (TB); Medicines known as 'aromatase inhibitors' that are used to treat breast cancer. These include anastrozole, letrozole and exemestane.