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Data from subjects exposed to high systemic levels of sildenafil are limited. Decreased blood pressure, syncope, and prolonged erection were reported in some healthy volunteers exposed to high doses of sildenafil (200-800 mg). To decrease the chance of adverse reactions in patients taking ritonavir, a decrease in sildenafil dosage is recommended [see DOSAGE AND ADMINISTRATIONDRUG INTERACTIONSand CLINICAL PHARMACOLOGY ]. Combination With Other PDE5 Inhibitors Or Other Erectile Dysfunction Therapies.

1464-410X. 2007.]