pentobarbital will minimize the level or impact of diazepam buccal by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Observe. Strong or average CYP3A4 inducers may increase charge of diazepam elimination; as a result, efficacy of diazepam might be lessened.pentobarbital will lower the level or outcome of diltiazem by influencing