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Monitor Carefully (1)pentobarbital will minimize the extent or effect of fentanyl transmucosal by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Coadministration of fentanyl with CYP3A4 inducers may lead to a lessen in fentanyl plasma concentrations, deficiency of efficacy or, maybe, advancement of the withdr