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Keep track of Intently (one)phenobarbital will minimize the extent or effect of fentanyl transmucosal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Check Carefully. Coadministration of fentanyl with CYP3A4 inducers may lead into a lower in fentanyl plasma concentrations, lack of efficacy or, probably, enhancement of a w