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Stronger CYP3A4 inhibitors which include ketoconazole or itraconazole could possibly be envisioned to get bigger results than viewed with saquinavir. A beginning dose of 25 mg of VIAGRA need to be regarded as in clients having erythromycin or strong CYP3A4 inhibitors (including saquinavir, ketoconazole, itraconazole) [see DOSAGE AND ADMINISTRATION,