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pentobarbital will lower the level or impact of netupitant/palonosetron by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Steer clear of or Use Alternate Drug. Netupitant is especially metabolized by CYP3A4; stay clear of use in people who will be chronically working with a robust CYP3A4 inducerThe result on the resultant diminished blood a

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