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Other drugs for erectile dysfunction, such as avanafil, tadalafil, or vardenafil. Adverse Reactions With The Concomitant Use Of Ritonavir The concomitant administration of the protease inhibitor ritonavir substantially increases serum concentrations of sildenafil (11-fold increase in AUC). If you still cannot get and keep an erection after several separate attempts, talk to your pharmacist or see your doctor, who can recommend alternative treatments. This is a modest improvement when compared to Viagra. For more information, please consult with your healthcare provider and visit //www.everydayhealth.com/erectile-dysfunction/guide/. Kloner RA "Cardiovascular risk and sildenafil." Am J Cardiol 86 (2000): f57-61 11. You may have a good reason to think twice about using Viagra.