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Observe Closely (one)pentobarbital will lower the extent or result of fentanyl transmucosal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Check Carefully. Coadministration of fentanyl with CYP3A4 inducers could lead on into a minimize in fentanyl plasma concentrations, lack of efficacy or, potentially, development of th