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cenobamate will decrease the level or result of fentanyl transdermal by influencing hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Keep track of Intently. Enhance dose of CYP3A4 substrate, as necessary, when coadministered with cenobamate.butorphanol decreases results of fentanyl transdermal by pharmacodynamic antagonism. Stay away fro