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No effect was found on sildenafil pharmacokinetics with concomitant administration of CYP2C9 inhibitors (such as tolbutamide, warfarin, phenytoin), CYP2D6 inhibitors (such as selective serotonin reuptake inhibitors, tricyclic antidepressants), thiazide and related diuretics, loop and potassium sparing diuretics, angiotensin converting enzyme inhibitors, calcium channel blockers, beta-adrenoreceptor antagonists or inducers of CYP 450 metabolism (such as rifampicin, barbiturates).include dizziness, nasal stuffiness and tachycardia. These buy cialis usa.