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Care should be taken on people who are withal taking protease inhibitors to treat HIV infection. Protease inhibitors inhibit the metabolism of sildenafil, efficaciously minimize plasma levels of sildenafil, incrementing the incidence and rigor of side effects. Users of protease inhibitors are exhorted not to constrain the utilization of sildenafil to more than 25 mg every 48 hours.  Other drugs that interfere with the metabolism of sildenafil include erythromycin and cytidine, both of which can additionally have half the calibers of plasma. Sildenafil and ?1 blockers (conventionally for hypertension or urologic conditions) For suggested, such as benign prostatic hypertrophy) can cause low blood pressure concurrently, but it does not take effect if taken at least 4 hours apart.