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Note induction additionally reported) Corticosteroids (Budesonide, Dexamethasone, Ginseng (ginsenoside constituents studied; in vitro Fluticasone, Hydrocortisone, Methylprednisolone) effects are probably not clinically relevant) Dopamine agonists (Bromocriptine, Goldenseal (in vitro studies recommend potent results, Cabergoline) but studies in people suggest only modest clinical effects) Hormones (Hormonal contraceptives, Grapefruit (juice has average clinical effects; not Oestrogens, Progestogens) identified if dietary supplements interact similarly) Immunosuppressants (Ciclosporin, Sirolimus, Milk thistle (in vitro studies supported by some Tacrolimus) medical data, however any effect modest) Opioids (Alfentanil, Buprenorphine, Fentanyl, Pepper (in vitro piperine (a constituent) has some Methadone) effect, however ethanolic extracts of the fruit had no clinically significant results) Phosphodiesterase sort-5 inhibitors Resveratrol (in vitro studies suggest modest effects) (Sildenafil, Tadalafil, Vardenafil) Protease inhibitors (Amprenavir, Atazanavir, Rhodiola (in vitro results with a root extract) Darunavir, Fosamprenavir, Indinavir, Nelfinavir, Ritonavir, Saquinavir, Tipranavir) Statins (Atorvastatin, Lovastatin, Simvastatin) Saw palmetto (results in vitro usually are not clinically related) Miscellaneous (Aprepitant, Bosentan, Turmeric (curcumin constituent studied; in vitro Carbamazepine, Cilostazol, Cisapride, Delavirdine, results are potent) Dutasteride, Eplerenone, Maraviroc, Reboxetine, Rifabutin, Sibutramine, Solifenacin, Tolterodine) * shown to be clinically related in drug drug interplay studies Note that in vitro results aren't necessarily replicated in vivo; findings in vivo often appear weaker than those in vitro erectile dysfunction doctors in navi mumbai buy generic viagra soft 50mg on-line. 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