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More powerful CYP3A4 inhibitors such as ketoconazole or itraconazole may very well be envisioned to have increased consequences than witnessed with saquinavir. A starting up dose of twenty five mg of VIAGRA should be viewed as in patients getting erythromycin or robust CYP3A4 inhibitors (for example saquinavir, ketoconazole, itraconazole) [see DOSA