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pentobarbital will lessen the extent or effect of fentanyl transmucosal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Keep track of Intently. Coadministration of fentanyl with CYP3A4 inducers may lead to some minimize in fentanyl plasma concentrations, deficiency of efficacy or, perhaps, growth of a withdrawal syndrome in