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quinupristin/dalfopristin will raise the amount or impact of alfentanil by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Slight/Importance Unknown.quinupristin/dalfopristin will increase the level or impact of erythromycin stearate by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Stay away from or Use Alternate Drug.It may well