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Stronger CYP3A4 inhibitors including ketoconazole or itraconazole could be expected to get bigger results than observed with saquinavir. A setting up dose of 25 mg of VIAGRA need to be considered in clients taking erythromycin or sturdy CYP3A4 inhibitors (including saquinavir, ketoconazole, itraconazole) [see DOSAGE AND ADMINISTRATION, Medical PHAR