lenacapavir will raise the level or influence of exemestane by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. mitotane decreases levels of exemestane by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/check. Mitotane is a solid inducer of cytochrome P-4503A4; keep track of when coadministered with