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.
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pKa Values
For complex chelating agents, see also reference 77.
Note. This document was compiled by W.P. Jencks and has been added to by F.H. Westheimer
Compound * Indicates a thermodynamic value.PHOSPHATES AND PHOSPHONATES Phosphates Compound Arylphosphonic acids Phosphonates
H2O3PCH2CH(CH3)PO3H2 <2, 2.6, 7.00, 9.27 57
**These values were obtained in 50% ethanol.
(a) The compounds were not sufficiently soluble.
For graphical plots of a large number of substituted
Acetic acids, substituted Phosphonates (Ref. 2) -NH3+ -NH3+
Phosphines in acetonitrile, see ref. 89. CARBOXYLIC ACIDS Aliphatic Compound Unsaturated acids (25°) Compound Compound Unsaturated acids, Cis- and Trans- Dicarboxylic acids, unsaturated* Maleic Alicyclic Dicarboxylic acids
Itaconic (1-Propene-2-3-dicarboxylic acid)
Aliphatic
Alicyclic Dicarboxylic acids Compound Compound Dicarboxylic acids* oxalic Aliphatic Bicyclo[2.2.2]octane-1-carboxylic acids, 4- substituted Lysergic acid, etc. Hydroxycyclohexanecarboxylic acids Aromatic Substituted benzoic acids (ref. 2)
*thermodynamicfor complex chelating agents, see also ref. 84. Benzoic acid
see also page 9a for more carboxylic acids. Ortho-substituted benzoic acids Benzoic acid Benzene Polycarboxylic acids Position of carboxyl pKI Carboxylic Acids
N-2-sulfoethyliminodiacetic 1.92, 2.28, 8.16
Di-(carboxymethyl)-aminomethyl phosphonic
Compound Compound
4,5-dihydroxybenzene-1,3 disulphonic acid 7.66
ALCOHOLS and other OXYGEN ACIDS Alcohols Compound Compound Triphenylmethanols in H2SO4 HC1O4 HNO3 ref Unsubstituted triphenyl- Substituent effects for ionization of RCH2OH Hydroxamic acids Other oxygen acids OTHER OXYGEN ACIDS Hydroxamic acids Aceto- Compound Pyridine oxides
5-Methyl-1,2,3-cyclohexanetrione-1,3-dioxime
5-Methyl-1,2,3-cyclohexane-trionetrioxime
2-Methylamino-1-methoxypyridinium toluene-p-sulphonate
Oxygen acids sulfinic acids Pyridine 1-oxides Peroxyacids Peroxides ROOH (Ref. 70) H
2-Pyrrolidoone-5-carboxylic acid (glucamicacid)
Hydroxamic acids Amino Acids Compound Peptides Compound -NH2 Ref. Compound NITROGEN COMPOUNDS Aliphatic Amines pK X(CH2)2NH3 X(CH2)3NH3 X(CH2)4NH3 X(CH2)5NH3 Secondary amines Aliphatic Amines Secondary Amines Tertiary amines
1-Diethylamino-hexane-thiol-(6) Cyanoamines Phenylethylamines For complex chelating agents of aliphatic amines,
N-methyl-2-(3,4-dihydroxyphenyl)-ethylamine
Fluoro-substituted amines Ring amines and imines (in 80% methyl cellosolve) (ref. 2) Pentamethylene Amines other Anilines Monosubstituted Substituent Dimethyl H Dimethyl (in 50% ethanol) Substituent XC6H4N(CH3)2 Ortho-substituted anilines (in 50% ethanol) Substituted Naphthylamines N-substituted anilines* C6H5N(CH3)R C6H5NR2 2-CH3C6H4NHR 2-CH3C6H4NR2 Secondary amines N-Butylaminoacetic acid Primary amines
N,N'-di-n-propylethylenediamine 8.14, 10.97
Ethylenediamine-N,N'-diacetic acid 6.42, 9.46
1,3-diamino-2,2-dimethylpropane 8.18, 10.22
Ethylenediamine-N,N-diacetic acid 5.58, 11.05Furfurylamine
Tertiary amines
2-(2-hydroxypropylamino)-ethylamine 6.94,
Methyl-α-amino-β-mercaptoproionate 6.56,
N-2-hydroxyethyliminodiacetic acid 2.2, 8.73
ANILINES (Ref. 88) m-Substituted anilines NAPHTHALAMINES substituted naphthalamines 2-naphthalamine 2-naphthalamine Anilines (in 50% ethanol) Unhindered
5-Methylcytosine deoxyriboside 5'-phosphate
Hindered o-Aminophenols Indicators
N,N-Dimethyl-2,4-dinitroaniline -1.00, --
Heterocyclics Nucleosides, etc. Heterocyclics Acridine
a 50% ethanol; ref. 398-amino-1,2-benzacridine
Heterocyclics hydantoin Imidazoles isoQuinolines Pyridines
Carbobenzoxy-L-histidyl-L-tyrosine ethylester
1-Methylpyrid-4-one benzylimine 9.89 464-COO–
Pyridine N-oxides (see oxygen acids)Substituted Pyridines Pyridine Ortho-Substituted Pyridines (in 50% ethanol) Substituent For complex chelating agents, see also ref. 77Heterocyclics Pyrazines Miscellaneous Quinoline Quinoline Quinazoline SPECIAL NITROGEN COMPOUNDS Hydroxylamines Hydroxylamine Heterocyclics Quinoxaline Hydrazines (30°) Nitrogen compounds, miscellaneous Other S-Methylisothiourea Hydrazones Hydrazone of: Cinchona Alkaloids (in 80% aqueous methyl Semicarbazones of: Amidoximes Ox- Mercaptans, RSH R CH3CCH2- CARBON ACIDS Bis-( -Diketones):[(RCO)(R'CO)CH]2CHR (in 50% dioxane) Bis-( -Diketones) (RCO)-(R'CO)CH-Y-CH(COR)(COR') (in 50% dioxane) Bis-( -Diketones) RCOCH2CO-Y-COCH2COR (in 75% dioxane) Indicators References
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PRACTICE BULLETIN CLINICAL MANAGEMENT GUIDELINES FOR OBSTETRICIAN–GYNECOLOGISTS Replaces Practice Bulletin Number 16, May 2000 and Committee Opinion Number 293, February 2004 Alternatives to Hysterectomy in the Management of Leiomyomas Uterine leiomyomas (also called fibroids) are the most common solid pelvic tumors in women and the leading indication for hysterectomy. Although
Thematic Review Series 2009 Sleep Apnea: Traffic and Occupational Accidents – Individual Risks, Socioeconomic and Legal Implications Pneumology Department and Center for Sleep Medicine, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels , Belgium Key Words These are all but uniform, especially concerning sleep apnea. Sleep apnea ؒ Motor vehicl