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quinupristin/dalfopristin will enhance the level or outcome of alfentanil by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Slight/Importance Unidentified.quinupristin/dalfopristin will boost the degree or result of erythromycin stearate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Prevent or Use Alternate Drug.quinupristin/dal