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pentobarbital will decrease the extent or influence of pitolisant by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Observe Closely. Pitolisant exposure is diminished by 50% if coadministered with solid CYP3A4 inducers.pentobarbital will reduce the extent or influence of bosentan by affecting hepatic/intestinal enzyme CYP3A4