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Watch Carefully (one)oxcarbazepine will lessen the level or effect of fentanyl by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Coadministration of fentanyl with CYP3A4 inducers could lead to your lower in fentanyl plasma concentrations, lack of efficacy or, potentially, development of the withdrawal syndrom