 [ Symptoms ] diazepam interaction with oxcarbazepine  i have read conflicting information one site say is trileptal lowers valium the other say is it increases its effect valium has both the cyp450 2c19 isoenzyme and hepaticintestinal enzyme cyp3a4 metabolism the cyp450 2c19 increases blood plasma of valium but cyp3a4 decreases it i found this when i was trying to find why i may have felt major anxiety on this new med trileptal is it decreasing my anxiety medication  thanks in advance [ Disease ] the maximum dose that may be delivered by the nutropin aq pen 10 in one injection is 40 clicks which equals 4 mg if you attempt to dose more than the maximum dose at one time the drug will either be forced out of the needle and wasted or excess pressure will be placed upon the cartridge