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.

Headache intake form

Cape Regional Physicians Associates 11 Village Dr Patient Name_______________________ Date__________ Headache History
DO YOU HAVE MORE THAN ONE HEADACHE TYPE? □ yes □ no
***If yes, please use one history sheet for each. ***

1. ONSET OF FIRST HEADACHE:

I was: □ younger than 20 □ 20-30 □ 30-50 □ over 50 years old
2. PRECIPITATING EVENT (trigger of first headache):
□ None known □ injury
□ Menarche (first period) □ pregnancy
□ Other: ________________________________________________________

3. FREQUENCY
They occur: ____ times each □ day □ week □ month
Are they increasing? □ yes □ no
□ Weekdays □ Weekends □ Vacation
□ spring □ summer □ fall □ winter
□ No relation
4. ONSET OF EACH HEADACHE: □ gradual □ sudden □ varies
Onset most frequent: □ morning □ afternoon □ evening □ night

5. DURATION:
Lasts: ______ □ hours □ days with medication
______ □ hours □ days without medication
6. FREE OF HEADACHE from: _____________ to _______________ □ never free
If never free, when was the last time you went 24 hours without a headache?____________________
Cape Regional Physicians Associates 11 Village Dr Patient Name_______________________ Date__________
7. INTENSITY:
With medication: □ mild □ moderate □ severe □ incapacitating
Without medication: □ mild □ moderate □ severe □ incapacitating
(Continued)

8. HEADACHES EFFECT ON ABILITY TO FUNCTION:
□ able to function normally
□ ability to function slightly decreased
□ ability to function severely decreased
□ totally bedridden

9. LOCATION:
Starts □ left side □ right side □ either side □ both sides □ behind eye(s)
□ neck/back of head □ Other: __________________________________
10. PAIN TYPE:

□ throbbing □ achy □ pressure □ stabbing □ shooting □ tight
□ dull □ burning □ searing □ Other: __________________________________
11. HORMONAL:
Your headaches are affected by: □ your menstrual cycle □ pregnancy
How? ____________________________________________________________________________
12. HEADACHES CAN BE BROUGHT ON BY:
□ foods □ fatigue □ physical exertion □ stress □ weather changes
□ hunger □ lack of sleep □ menstruation □ loud sounds □ high altitude
□ alcohol □ too much sleep □ coughing □ bright lights □ loud sounds
□ medications□ sex/orgasm □ chewing or talking □ odors
□ Other: _____________________________________________________________________________
13. WARNINGS THAT A HEADACHE IS COMING:
□ light flashes □ numbness □ upset stomach
□ zigzag lines □ dizziness □ weakness
□ blindness □ lightheadedness
□ Other: _____________________________________________________________________________
Cape Regional Physicians Associates 11 Village Dr Patient Name_______________________ Date__________
14. ASSOCIATED SYMPTOMS:
□ nausea/ vomiting □ one eye tears □ sore or stiff neck □ ringing in ears
□ sensitive to: □ both eye tears □ lightheaded/dizzy □ increased urination
□ light □ diarrhea □ numbness/ tingling □ concentration/memory
□ sounds □ constipation □ change in sexual interest □ odors
□ odors □ fatigue or weakness □ increased appetite □ blurred vision
□ runny or stuffy nose □ insomnia □ decreased appetite
□ double vision
□ anxiety, tension or irritability □ Other: _______________________________________________
(Continued)
15. DURING A HEADACHE, YOU ARE MORE COMFORTABLE:
□ when lying down □ with massage or pressure on scalp □ when pacing
□ in a dark , quiet room □ with hot or cold compress (circle one) □ chewing or talking
□ Other: _____________________________________________________________________________
16. PREVIOUS TESTING (Please give date & results):
□ MRI: ________________________ □ cervical spine films: _____________________
□ CAT scan: ____________________ □ sinus X-rays: ___________________________
□ EEG: ________________________ □ MRA/MRV: ___________________________
□ Other: ______________________________________________________________________

17. PREVIOUS EVALUATIONS (Please give name, date & results):
□ neurologist: ________________________________________________________________________
□ headache specialist: _________________________________________________________________
□ internist: ___________________________________________________________________________
□ ear, nose & throat specialist: ___________________________________________________________
□ dental evaluation: ____________________________________________________________________
□ eye exam: __________________________________________________________________________
□ psychological testing: ________________________________________________________________
18. PREVIOUS NON-MEDICAL TREATMENTS & EVALUATIONS:
□ biofeedback/relaxation/self hypnosis □ physical therapy
□ chiropractor □ nutritional counseling
Cape Regional Physicians Associates 11 Village Dr Patient Name_______________________ Date__________ □ acupuncture/ acupressure □ allergy testing
□ Other: _____________________________________________________________________________
19. ARE YOU CURRENTLY TAKING MEDICATION or HAVE YOU PREVIOUSLY TAKEN
MEDICATION FOR HEADACHE? □ yes □ no
***If yes, please complete Medication History on the back. ***

20. WITH CURRENT MEDICATION, HOW QUICKLY DO YOU FEEL ADEQUATE RELIEF?
□ within 2 hours □ in more than 2 hours
□ relief is never adequate □ not currently taking medication

Patient Name:
__________________
Date: __________
Please circle all previous headache medications and indicate next to the drug name add h for helpful (long or short
term) and u for not helpful
Prophalactics
Prophalactics
Abortives
Narcotics
Cape Regional Physicians Associates 11 Village Dr Patient Name_______________________ Date__________ Muscle relaxants
Anti-anxiety

Source: http://caperegionalphysicians.com/docs/Headache%20intake%20form.pdf?pid=58