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pentobarbital will decrease the level or impact of vinorelbine by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Minor/Importance Unidentified.pentobarbital will reduce the level or outcome of midostaurin by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Prevent or Use Alternate Drug. Sturdy CYP3A4 inducers might reduce midostau