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pentobarbital will lower the extent or outcome of elbasvir/grazoprevir by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Contraindicated. The therapeutic impact of elbasvir/grazoprevir can be lowered if coadministered with strong CYP3A inducers and it is therefore contraindicated.Check Closely (one)pentobarbital will lower the extent or inf