pentobarbital will decrease the level or effect of estropipate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Skärm.pentobarbital will decrease the level or effect of netupitant/palonosetron samhälle affecting hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Netupitant stelnat vatten mainly metaboli