Acmegra Sildenafil Citrate Ritonavir
ModerateIn a study of healthy men, taking sildenafil (100 mg single dose) with the HIV protease inhibitor ritonavir (500 mg bid at steady state) led to a 300% (4-fold) increase in sildenafil Cmax. It also caused a 1000% (11-fold) increase in sildenafil plasma AUC, as ritonavir is a highly potent P450 inhibitor.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.