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For most patients, the recommended dose is 50 mg taken, as needed, approximately 1 hour before sexual activity. Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of mg or decreased to 25 mg. The recommended dose for ritonavir-treated patients is 25 mg prior to sexual activity and the recommended maximum dose is 25 mg within a 48 hour period because concomitant administration increased the blood levels of sildenafil by fold see Warnings and Precautions 5. Consider a starting dose of 25 mg in patients treated with strong CYP3A4 inhibitors e. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment.
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