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Fenitoin je poznati induktor CYP3A4 izoenzima i ubrzava metabolizam diazepama u jetri. Smanjeno dejstvo diazepama. Diazepam deluje na metabolizam fenitoina na nepredvidiv način: metabolizam fenitoina pod dejstvom diazepama može biti ubrzan ili usporen, ili ostati nepromenjen.Nakon primene leka savetuje se da pacijent ostane u ležećem položaju
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