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Keep an eye on Closely (1)phenobarbital will decrease the extent or impact of fentanyl transmucosal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Coadministration of fentanyl with CYP3A4 inducers may lead to the minimize in fentanyl plasma concentrations, insufficient efficacy or, maybe, progress of the