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.
Indiana state department of health
HIV MEDICAL SERVICES PROGRAM Indiana ADAP Covered Pharmaceuticals Generics are preferred. “▲” indicates generic only. “■” indicates a specified recipe and cost. Additions and deletions made since the previous edition of this formulary are listed in RED and RED, respectively. Refer to the DHHS Prescribing Guidelines at www.aidsinfo.nih.gov/guidelines for information regarding the treatment of experienced and naive patients with highly active antiretroviral drugs. For more information, contact the Medical Services Programs at 1-866-588-4948 (option 1). Antiretrovirals: NRTI’s Antiretrovirals: Integrase Inhibitors Antibiotics
34. Amoxicillin+Clavulanate Acid (Augmentin)
Antiretrovirals: Combination NRTI’s
Abacavir+Lamivudine+Zidovudine (Trizivir)
Note: Not covered…
Zalcitabine (Hivid, ddC) discontinued
44. Isoniazid (Isonicotinic Acid Hydrazide, INH)
Antiretrovirals: NNRTI’s
46. Penicillin G Benzathine (Bicillin L-A)
Antiretrovirals: Cross-Class Combinations
17. Efavirenz+Emtricitabine+Tenofovir (Atripla)
19. Cobicistat+Elvitegravir+Emtricitabine+
Antifungals
55. Clotrimazole (Mycelex, Gyne-Lotrimin)
Protease Inhibitors troches, vaginal cream, or tablets
24. Lopinavir+Ritonavir (Kaletra, LPV/RTV)
59. Itraconazole (Sporanox) solution and capsules
60. Ketoconazole (Nizoral) cream and shampoo
61. Mary’s Magic Mouthwash ■
63. Nystatin (Mycostatin) liquid, cream, or tabletsNote: Not covered…
Amprenavir (Agenerase) replaced by LexivaAntivirals Antiretrovirals: Entry Inhibitors
66. Acyclovir (Zovirax) oral or topical
70. Valganciclovir (Valcyte) ORAL ONLY
Testim) TOPICAL AND INJECTABLE ONLY Cardiovascular Management Gastrointestinal Care
75. Clopidogrel (not Plavix) ▲
119. Ondansetron (not Zofran) ▲
120. Pantoprazole (not Protonix) ▲
78. Hydrochlorothiazide (Microzide, HCTZ)
Insomnia Management
84. Nitroglycerine (Nitro-Bid, Nitro-Dur, Nitrostat,
129. Zolpidem (not Ambien) NOT CR▲ Neurologic/Psychiatric Management
130. Alprazolam (not Xanax) ▲ Chemical Dependency
90. Buprenorphine+Naloxone (not Suboxone) ▲
93. Naltrexone (ReVia, Depade, Vivitrol)
94. Nicotine Patches (Nicoderm CQ) MAX 14 PATCHES PER DISPENSE Diabetes Management/Endocrinology
142. Levetiracetam (not Keppra) ▲
97. Diabetic Alcohol Swabs (any brand) MAX $2 PER 100 CT BOX
98. Diabetic Lancets SOFTCLIX ONLY
99. Diabetic Pen Needles BD ONLY
Nefazodone (not Serzone; ▲)
100. Diabetic Syringes BD ONLY 101. Diabetic Test Strips ABBOTT FREESTYLE LITE, ABBOTT PRECISION XTRA, AND ROCHE ACCU- CHEK AVIVA ONLY
150. Quetiapine (not Seroquel) NOT XR▲
103. Glipizide (Glucotrol, Glucotrol XL)
154. Sumatriptan (not Imitrex) ▲
Tricyclic antidepressants (incl. TCAs such as
108. Insulin NPH/Insulin Regular (Humulin 70/30,
109. Levothyroxine (not Synthroid, Levothroid, or
156. Venlafaxine (Effexor) including XR
Levoxyl) ▲
111. Metformin (Glucophage, Fortamet) including Pain Management
2.5/325mg, 5/325, 7.5/325, 10/325mg) MAX 8 TABS PER DAY
160. Acetaminophen+Hydrocodone (Vicodin,
Norco; 2.5/325mg, 5/325mg, 7.5/325mg, 10/325mg) MAX 8 TABS PER DAY
161. Gabapentin (Neurontin) 162. Ibuprofen (Motrin) 163. Morphine Sulfate (MSIR, MS Contin) 164. Naproxen (Naprosyn) 165. Oxycodone (Roxicodone, Oxycontin, OxyIR) 166. Pregabalin (Lyrica) 167. Tramadol (Ultram) Respiratory/Allergy Management 168. Albuterol (ProAir, Ventolin) HFA FORMULATION ONLY
169. Beclomethasone (QVAR) 170. Budesonide+Formoterol (Symbicort)
171. Cetirizine (not Zyrtec) ▲
172. Fluticasone NS (not Flovent inhaler, not
Flonase) ▲
174. Loratadine (not Claritin) ▲ 175. Tiotropium (Spiriva) 176. Triamcinolone NS (Nasacort AQ) Miscellaneous 177. Alendronate (Fosamax) 178. Betamethasone (Diprolene) TOPICAL ONLY 179. Dronabinol (Marinol) 180. Finasteride (Proscar) 181. Imiquimod (Aldara) 182. Leucovorin
183. Polysaccharide Iron Complex (Ferrex 150,
184. Prednisone (Sterapred) 185. Pyridoxine (Vitamin B6)
186. Tamsulosin (not Flomax) ▲
Uusi n sorkkaraportteihin on tulossa kolme uutta koodia: valkovi van paise, sorkkasyylä ja sorkkavälin li kakasvu. Nimet on muutettu kansankielisiksi, mutta ni den tarkoitus on antaa tarkempaa ja yksityiskohtaisempaa informaatiota ontumaa aiheuttavista valkovi van ongelmista ja toisaalta tarttuvista sorkkasairauksista. edustavat sekä syylää että ajotulehdusta ja ne pitää hoitaa antibi