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pentobarbital will lessen the level or outcome of diazepam buccal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Use Warning/Check. Powerful or moderate CYP3A4 inducers might boost amount of diazepam elimination; as a result, efficacy of diazepam can be lowered.pentobarbital will minimize the level or effect of diltiazem by influencing