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pentobarbital decreases amounts of toremifene by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Warning/Check. CYP3A4 inducers increase charge of toremifene metabolism, reducing the constant-point out focus in serum.pentobarbital will reduce the level or result of cilostazol by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Us