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Monitor Intently (1)pentobarbital will lessen the extent or effect of fentanyl intranasal by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Observe Carefully. Coadministration of fentanyl with CYP3A4 inducers could lead on to your lower in fentanyl plasma concentrations, not enough efficacy or, perhaps, improvement of a withd