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Insignificant (1)modafinil will improve the degree or impact of pantoprazole by influencing hepatic enzyme CYP2C19 metabolism. Small/Significance Unfamiliar. Net effect on pantoprazole steps not known as a consequence of opposing effects of CYP450 enzymes; checkAkutt og alvorlig allergisk reaksjon med symptomer som feber, utslett, opphovning, puste