A patient who has taken phenobarbi-tal for a long time was prescribed diclofenac sodium. However the anti-inflammatory effect of diclofenac appeared to be less than expected due to the pharmacokinetic interaction of these drugs. Such interaction might be the result of the following processes:

Change of receptor sensibility
Increased drug dosage
Reduced protein concentration in plasma
Decelerated drug metabolism in liver
Accelerated drug metabolism in liver