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butabarbital will decrease the level or impact of nifedipine by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Small/Importance Unidentified.butabarbital will lessen the extent or result of fosphenytoin by affecting hepatic enzyme CYP2C9/ten metabolism. Use Caution/Keep an eye on.butabarbital will decrease the level or influence of ramelt