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pentobarbital will lessen the extent or result of fentanyl by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Keep an eye on Intently. Coadministration of fentanyl with CYP3A4 inducers may lead to the reduce in fentanyl plasma concentrations, lack of efficacy or, quite possibly, enhancement of a withdrawal syndrome inside of a