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Stiripentol can be a CYP3A4 inhibitor and inducer. Keep track of CYP3A4 substrates coadministered with stiripentol for elevated or reduced effects. CYP3A4 substrates may possibly need dosage adjustment.dexamethasone will lower the level or impact of exemestane by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Use Warning/Check.phenobarbit