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pentobarbital will minimize the level or impact of diazepam intranasal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Check. Strong or average CYP3A4 inducers may well increase fee of diazepam elimination; therefore, efficacy of diazepam may very well be diminished.pentobarbital will lessen the extent or result of fentanyl