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Observe Intently (one)phenobarbital will decrease the extent or result of fentanyl transmucosal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Intently. Coadministration of fentanyl with CYP3A4 inducers could lead on to the lessen in fentanyl plasma concentrations, lack of efficacy or, perhaps, development of a wit