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Monitor Intently (one)phenobarbital will minimize the extent or influence of fentanyl transmucosal by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Watch Carefully. Coadministration of fentanyl with CYP3A4 inducers may lead into a lower in fentanyl plasma concentrations, deficiency of efficacy or, potentially, advancement of