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.

Rheumatology np questionnaire revised 11-2004.pdf

THE CONSULTANT GROUP, P.C.
RHEUMATOLOGY NEW PATIENT QUESTIONNAIRE
NAME:____________________________________________________ BIRTHDATE: ___ RACE: __ ____SEX:M F___ RIGHT HANDED( )LEFT HANDED( ) NAME OF PHYSICIAN WHO REFERRED YOU:_______________________________________ ADDRESS:__________________________________________________________________ __________________________________________________________________________ PHONE: (___)_________________ NAME OF YOUR FAMILY PHYSICIAN:____________________________________________ ADDRESS:__________________________________________________________________ __________________________________________________________________________ PHONE: (___)_________________ THE MAIN PROBLEM YOU ARE HAVING:__________________________________________ HOW LONG HAVE YOU BEEN HAVING THIS PROBLEM:_______________________________ HAVE YOU PREVIOUSLY SEEN A RHEUMATOLOGIST? ( ) NO ( ) YES IF SO, WHO, WHEN, WHERE:________________________________________________ PLEASE CHECK (v) IF YOU HAVE OR HAVE HAD ANY OF THE FOLLOWING PROBLEMS: ( ) BLOODY STOOLS
( ) ULCERS
( ) IRRITATED COLON

PAST MEDICAL HISTORY:
PLEASE CHECK IF YOU HAVE HAD ANY OF THE FOLLOWING PROBLEMS:
( ) HEART DISEASE/HEART MURMURS ( ) JAUNDICE/HEPATITIS ( ) STROKE ( ) HIGH BLOOD PRESSURE ( ) KIDNEY DISEASE/KIDNEY STONES ( ) DIABETES ( ) SYSTEMIC LUPUS ERYTHEMATOSUS ( ) OSTEOARTHRITIS ( ) OTHER ______________________________________________________________ HAVE YOU EVER HAD A BLOOD TRANSFUSION? ( ) NO ( ) YES IF SO, WHAT YEAR(S): _____________________________________________ IF SO, DESCRIBE:__________________________________________________ IF SO, DESCRIBE:__________________________________________________ # PREGNANCIES: # LIVE BIRTHS: # MISCARRIAGES:_________ OVER
MEDICATIONS:
LIST ALL MEDICINES YOU ARE ALLERGIC TO:
_______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ LIST ALL MEDICINES YOU ARE CURRENTLY TAKING (con ________________________________ _______ ____________________ ________________________________ _______ ____________________ ________________________________ _______ ____________________ ________________________________ _______ ____________________ ________________________________ _______ ____________________ ________________________________ _______ ____________________ ________________________________ _______ ____________________ PAIN MEDS/NARCOTICS PRESCRIPTIONS WILL NOT BE REFILLED AFTER BUSINESS HOURS PLEASE CIRCLE WHETHER OR NOT YOU HAVE EVER TAKEN THE FOLLOWING MEDICINES: (Y) (N) CORTISONE/PREDNISONE (Y) (N) TOLECTIN (Y) (N) ANY MEDICINE W/ASPIRIN (Y) (N) CELEBREX
SOCIAL HISTORY:
HAVE YOU EVER SMOKED? HOW MUCH? _______________________
FOR HOW MANY YEARS: IF YOU QUIT, HOW LONG AGO? ________________ HAVE YOU EVER TAKEN IV DRUGS/ILLICIT DRUGS? ( ) NO ( ) YES DO YOU DRINK ALCOHOL? HOW MUCH? _________________________________ FOR HOW MANY YEARS: IF YOU QUIT, HOW LONG AGO? ________________ DO YOU DRINK COFFEE? ( ) NO ( ) YES IF SO, HOW MUCH? ARE YOU EMPLOYED OUTSIDE THE HOME? ( ) NO ( ) IF SO, WHAT DO YOU DO? __________________________________________________ HOW MANY HOURS A WEEK? _____________________ ARE YOU ON DISABILITY? ( ) NO ( ) YES WERE YOU ADOPTED? ( ) NO ( ) YES IF YOU HAVE ANY HOBBIES, WHAT ARE THEY? _________________________________ _________________________________________________________________________ EDUCATION:GRADE SCHOOL____, HIGH SCHOOL____, COLLEGE____, POST GRADUATE____ FAMILY HISTORY:
Mother: _____ Y N ______ __________________________ _______________ Father: _____ Y N ______ __________________________ _______________ Sister: _____ Y N ______ __________________________ _______________ Sister: _____ Y N ______ __________________________ _______________ Brother: _____ Y N ______ __________________________ _______________ Brother: _____ Y N ______ __________________________ _______________ HAS ANYONE IN YOUR FAMILY EVER HAD THE FOLLOWING PROBLEMS:
( ) NO ( ) YES ARTHRITIS
( ) NO ( ) YES ANKYLOSING SPONDYLITIS ( ) NO ( ) YES CANCER/LEUKEMIA ( ) NO ( ) YES OSTEOPOROSIS g:shared/medical records/forms/rheum np ?naire Revised 11/2004

Source: http://heneinarthritis.com/Rheumatology_quest.pdf