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pentobarbital will lower the extent or result of fentanyl intranasal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Observe Closely. Coadministration of fentanyl with CYP3A4 inducers could lead to a lessen in fentanyl plasma concentrations, lack of efficacy or, maybe, development of the withdrawal syndrome in the client wh