Would you like to clarify what you want to do?
Connect a low pressure service to a medium pressure supply, using a suitable pressure reducer?
Redesign a system so it doesn't need medium pressure ductwork any more?
Recertify ductwork that was originally designed for medium pressure service for use at low pressure (perhaps with revised maintenance and inspection regime)?
Something else?
Suggest you also put numbers to your pressures and say what part of the world you're in - this is an international forum and terminology and rules both vary widely around the world.
A.