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pentobarbital will decrease the level or effect of alprazolam by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Use Warning/Watch.Keep an eye on Closely (one)pentobarbital will reduce the extent or effect of tofacitinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Warning/Keep track of. Lack of, or reduced reaction to tof