Le sildénafil présent dans Kamagra exerce une inhibition réversible de la PDE5, modulant la cascade GMPc et favorisant une vasodilatation localisée. L’absorption digestive varie selon la forme utilisée, comprimés classiques ou gels oraux. La distribution tissulaire est large et la liaison protéique élevée, avoisinant 96 %. La métabolisation hépatique génère un métabolite actif contribuant à l’effet pharmacologique global. La demi-vie reste courte, avec disparition plasmatique en quelques heures. Les interactions significatives concernent surtout les nitrés organiques et inhibiteurs puissants du CYP3A4. Dans les publications techniques, kamagra en ligne est souvent cité dans le cadre d’analyses comparatives portant sur les différences de formulations et de cinétique d’absorption.

Follow up visit form

FOLLOW UP QUESTIONNAIRE
Name: _______________________________________________________________Date: ________________________________ Primary Care Physician: _________________________________Referring Physician: ____________________________________ Have you changed your primary care physician?----------------------------------------------------------------------------------------YES---NO Have there been any changes to your employment/occupation?-----------------------------------------------------------------------YES---NOIf yes, please note changes:______________________________________________________________________________________________________________________________________________________________________________________________ Are you currently receiving worker’s compensation?-----------------------------------------------------------------------------------YES---NO Are you currently off work as a result of your pain?-------------------------------------------------------------------------------------YES---NO If yes, for how long? _________________________________________________________________________________________ Are you presently involved in a lawsuit regarding your pain?--------------------------------------------------------------------------YES---NO What activities are you unable to do because of your pain?_____________________________________________________________________________________________________________________________________________________________________ What activities are you now able to do after treatment (i.e., medication, injections, etc.)?____________________________________________________________________________________________________________________________________________________________________________________________________________________ Is your pain the result of a motor vehicle accident?--------------------------------------------------------------------------------------YES---NO Have there been any changes in your medical condition since your last visit?-------------------------------------------------------YES---NOIf yes, note changes:_____________________________________________________________________________________________________________________________________________________________________________________________________ Have you been to the emergency room or been hospitalized since your last visit with us?-----------------------------------------YES---NOIf yes, please explain:_____________________________________________________________________________________________________________________________________________________________________________________________________ Please list your current medications:
Drug Name
How often
Prescribing Physician
1) ________________________________________________________________________________________________________ 2) ________________________________________________________________________________________________________ 3) ________________________________________________________________________________________________________ 4) ________________________________________________________________________________________________________ 5) ________________________________________________________________________________________________________ Are you currently taking any blood thinners?--------------------------------------------------------------------------YES----NO
Please circle any that apply: Fish Oil, Cod Liver Oil, Omega 3’s, Coumadin, Warfarin, Plavix, Heparin, Ticlid,
Aggrenox, Lovenox, Pletal, Trental, Aspirin or Other: __________________________________________________
Please circle on the 0-10 scale below how severe your pain is today: (NONE) 0 1 2 3 4 5 6 7 8 9 10 (Worst Ever) How much has your pain changed since your last visit with us? Decreased Considerably Decreased Mildly Same Increased Mildly Increased Considerably Rev 06.05.08

Source: http://www.apcindy.com/downloads/APCI_Follow.up_Form__.pdf