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Watch Intently (one)phenobarbital will decrease the extent or effect of fentanyl transmucosal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Check Carefully. Coadministration of fentanyl with CYP3A4 inducers could lead on to some minimize in fentanyl plasma concentrations, lack of efficacy or, perhaps, enhancement of the w