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Check Carefully (1)pentobarbital will minimize the level or effect of fentanyl transdermal by impacting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Check Carefully. Coadministration of fentanyl with CYP3A4 inducers may lead to a reduce in fentanyl plasma concentrations, deficiency of efficacy or, probably, growth of a withdrawal syn