apalutamide will lower the extent or impact of modafinil by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Prevent or Use Alternate Drug. Coadministration of apalutamide, a powerful CYP3A4 inducer, with drugs which are CYP3A4 substrates can result in reduced exposure to those medications.As usually, having said that, often take into accou… Read More