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pentobarbital will minimize the level or influence of fentanyl intranasal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Keep track of Carefully. Coadministration of fentanyl with CYP3A4 inducers may lead to a lessen in fentanyl plasma concentrations, insufficient efficacy or, perhaps, advancement of the withdrawal syndr

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