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Keep track of Intently (one)phenobarbital will reduce the extent or result of fentanyl transmucosal by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Watch Intently. Coadministration of fentanyl with CYP3A4 inducers may lead to the lessen in fentanyl plasma concentrations, insufficient efficacy or, possibly, improvement of th