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Keep an eye on Intently (one)pentobarbital will reduce the level or effect of fentanyl transdermal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Observe Carefully. Coadministration of fentanyl with CYP3A4 inducers could lead on to some reduce in fentanyl plasma concentrations, deficiency of efficacy or, perhaps, improve