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Cialis for Use as Needed — For patients taking concomitant potent inhibitors of CYP3A4, such as ketoconazole or ritonavir, the maximum recommended dose of Cialis is 10 mg, not to exceed once every 72 hours [see Warnings and Precautions (5.10) and Drug Interactions (7.2)].

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Therefore, some of them can be used with Viagra, under the supervision of your doctor. Viagra also has an interaction with a food. When the drug leaves the body, it does so by being filtered out through a specific pathway in the liver. Grapefruit and grapefruit juice uses the same pathway and can block the medication from leaving. This can result in the drug building up to toxic levels in the body. Most other foods and fruits use a different pathway, and they are alright to consume with Viagra. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action.Dosing Modifications

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