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Check Carefully (1)oxcarbazepine will decrease the level or effect of fentanyl by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Keep an eye on Carefully. Coadministration of fentanyl with CYP3A4 inducers may lead into a lower in fentanyl plasma concentrations, insufficient efficacy or, quite possibly, enhancement of the with