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Those taking CYP3A4 inhibitors such as ketonconazole (Xolegel, Extina, Nizoral), itraconazole (Onmel, Sporanox), or erythromycin (Akne-mycin, Staticin), should start with a 25 mg dose. If you miss a dose, you may take it when you remember but do not take more than one dose per day.