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apalutamide will lower the extent or impact of modafinil by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Avoid or Use Alternate Drug. Coadministration of apalutamide, a powerful CYP3A4 inducer, with prescription drugs which can be CYP3A4 substrates may end up in lessen publicity to those remedies.iloperidone improves amounts of modafini