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.
Genericformulary.xls
Project Access Generic Formulary I) BLOOD MODIFIERS A) ANTICOAGULANTS ORAL warfarin B) PLATELET AGGREGATION INHIBITORS dipyridamole C) MISCELLANEOUS pentoxifylline ext-rel II) CARDIOVASCULAR AGENTS A) ACE INHIBITORS Enalapril captopril lisinopril lisinopril/hydrochlorothiazide captopril/hydrochlorothiazide moexipril enalapril/hydrochlorothiazide benazepril/hydrochlorothiazide benazepril fosinopril B) ALPHA BLOCKERS doxazosin prazosin terazosin C) ANGIOTENSIN II RECEPTOR BLOCKERS No Generics D) ANTIARRHYTHMICS AND CARDIAC GLYCOSIDES digoxin quinidine sulfate mexiletine quinidine gluconate ext-rel disopyramide ext-rel amiodarone propafenone disopyramide procainamide ext-rel (6 hr) flecainide E) BETA BLOCKERS BETA AND ALPHA BLOCKERS labetalol E) BETA BLOCKERS cont… CARDIOSELECTIVE atenolol metoprolol atenolol/chlorthalidone bisoprolol/hydrochlorothiazide bisoprolol NONCARDIOSELECTIVE pindolol propranolol F) CALCIUM CHANNEL BLOCKERS DIHYDROPYRIDINES nifedipine ext-rel nifedipine ext-rel NONDIHYDROPYRIDINES verapamil verapamil ext-rel diltiazem diltiazem ext-rel diltiazem ext-rel diltiazem ext-rel G) DIURETICS hydrochlorothiazide chlorthalidone amiloride/hydrochlorothiazide indapamide furosemide triamterene/HCTZ bumetanide triamterene/HCTZ amiloride spironolactone spironolactone/HCTZ metolazone H) LIPID LOWERING AGENTS gemfibrozil lovastatin cholestyramine I) NITRATES isosorbide dinitrate oral isosorbide mononitrate extrel nitroglycerin sublingual isosorbide dinitrate ext-rel tabs nitroglycerin transdermal I) NITRATES CONT…. nitroglycerin transdermal J) MISCELLANEOUS hydralazine clonidine guanfacine methyldopa midodrine IV) CENTRAL NERVOUS SYSTEM A) ALZHEIMER’S DISEASE No generics B) ANALGESICS NSAIDS ibuprofen naproxen naproxen sodium ketorolac etodolac diflunisal OPIOIDS oxycodone/acetaminophen 5/325 only propoxyphenenap/acetaminophen hydrocodone/acetaminophen 7.5/750 hydrocodone/acetaminophen tabs codeine/acetaminophen hydrocodone/acetaminophen propoxyphene hcl oxycodone/aspirin oxycodone oxycodone hydromorphone morphine morphine ext-rel meperidine morphine supp MISCELLANEOUS butalbital/acetaminophen/caffeine butalbital/aspirin/caffeine C) MIGRAINE ABORTIVE THERAPY ibuprofen acetaminophen/dichloralphenazone/isometheptene naproxen sodium dihydroergotamine inj PROPHYLACTIC THERAPY propranolol verapamil amitriptyline D) MULTIPLE SCLEROSIS No Generics E) MYASTHENIA GRAVIS pyridostigmine F) PARKINSON’S DISEASE diphenhydramine benztropine trihexyphenidyl selegiline tabs amantadine, except tabs carbidopa/levodopa bromocriptine carbidopa/levodopa ext-rel pergolide G) SEIZURES phenobarbital clonazepam tabs carbamazepine phenytoin sodium extended primidone ethosuximide valproic acid V) DERMATOLOGY A) ACNE VULGARIS ORAL tetracycline doxycycline hyclate minocycline isotretinoin TOPICAL erythromycin soln clindamycin soln
# benzoyl peroxide erythromycin gel 2% sulfacetamide/sulfur clindamycin gel clindamycin lotion A) ACNE VULGARI TOPICAL cont… tretinoin tretinoin erythromycin/benzoyl peroxide B) BACTERIAL INFECTIONS Gentamicin silver sulfadiazine mupirocin C) CORTICOSTEROIDS Products are grouped based upon relative potency. Cost comparison is based on 15 g package size. LOW hydrocortisone lotion 1% hydrocortisone crm 2.5% desonide oint 0.05% MEDIUM triamcinolone acetonide crm/lotion 0.025% triamcinolone acetonide crm/oint/lotion 0.1% betamethascrm/oint/lotion 0.1% fluocinolone acetonide crm/oint 0.025%/soln 0.01% hydrocortisone valerate crm/oint 0.2% mometasone furoate oint 0.1% HIGH fluocinonide crm/oint/gel 0.05% triamcinolone acetonide crm 0.5% betamethasone dipropionate crm/oint/lotion 0.05% desoximetasone crm/oint 0.25%/gel 0.05% diflorasone diacetate crm 0.05% VERY HIGH clobetasol propionate crm/oint 0.05% betamethasone dipropionate augmented oint 0.05% diflorasone diacetate oint 0.05% betamethasone dipropionate augmented gel 0.05% betamethasone dipropionate augmented crm 0.05% D) DEPIGMENTING AND REPIGMENTING AGENTS hydroquinone hydroquinone/sunscreens E) FUNGAL INFECTIONS nystatin/triamcinolone nystatin clotrimazole ketoconazole econazole F) PSORIASIS methotrexate, 2.5 mg only G) ROSACEA sulfacetamide/sulfur H) SCABIES AND PEDICULOSIS lindane permethrin 5% I) VIRAL INFECTIONS No Generic Topicals J) MISCELLANEOUS hydrocortisone crm selenium sulfide shampoo 2.5% ketoconazole shampoo 2% ammonium lactate 12% lidocaine/prilocaine VI) EAR, NOSE, & THROAT A) EAR benzocaine/antipyrine acetic acid B) NOSE ANTIHISTAMINES First Generation promethazine diphenhydramine clemastine 2.68 mg cyproheptadine hydroxyzine hcl Second Generation No Generics ANTIHISTAMINE/DECONGESTANT COMBINATIONS First Generation chlorpheniramine/pseudoephedrine ext-rel 8 mg/120 mg brompheniramine/pseudoephedrine ext-rel 6 mg/60 mg brompheniramine/pseudoephedrine ext-rel 12 mg/120 mg brompheniramine/pseudoephedrine 4 mg/45 mg per 5 mL carbinoxamine/pseudoephedrine 1 mg/15 mg per mL Second Generation No Generics STEROIDS No Generics MISCELLANEOUS ipratropium spray C) THROAT AND MOUTH chlorhexidine gluconate lidocaine viscous triamcinolone paste VII) ENDOCRINOLOGY A) ADRENAL CORTICOSTEROIDS prednisone dexamethasone prednisolone syrup fludrocortisone hydrocortisone methylprednisolone prednisolone sodium phosphate B) DIABETES MELLITUS INSULINS OTC insulin human
insulin aspart protamine 70%/insulin aspart 30%
OTC insulin isophane human 70%/regular 30%
OTC insulin isophane human 50%/regular 50%
OTC insulin isophane human 70%/regular 30%
insulin glargine LANTUSinsulin aspart NOVOLOGinsulin lispro HUMALOGinsulin lisp 75%/insulin lispro 25%
MONITORING-STRIPS AND KITS/DIABETIC SUPPLIES ORAL AGENTS glipizide glyburide glyburide glyburide, micronized metformin glipizide ext-rel metformin ext-rel C) THYROID DISEASE propylthiouracil levothyroxine levothyroxine levothyroxine methimazole D) MISCELLANEOUS desmopressin nasal bromocriptine leuprolide acetate VIII) GASTROINTESTINAL A) DIARRHEA loperamide diphenoxylate/atropine B) EMESIS meclizine metoclopramide promethazine prochlorperazine trimethobenzamide C) GASTROESOPHAGEAL REFLUX DISEASE (GERD)/HEARTBURN ranitidine cimetidine nizatidine famotidine metoclopramide omeprazole delayed-rel D) GASTROINTESTINAL SPASM atropine/hyoscyamine/scopolamine/Phenobarbital hyoscyamine sulfate dicyclomine hyoscyamine sulfate ext-rel hyoscyamine sulfate ext-rel E) INFLAMMATORY BOWEL DISEASE sulfasalazine sulfasalazine delayed-rel hydrocortisone enema F) PANCREATIC ENZYMES pancrelipase pancrelipase delayed-rel pancrelipase delayed-rel pancrelipase delayed-rel pancrelipase delayed-rel G) ULCERS cimetidine ranitidine famotidine nizatidine sucralfate omeprazole delayed-rel H) MISCELLANEOUS lactulose peg 3350/electrolytes peg 3350/sodium bicarbonate/NaCL/KCl lactulose ursodiol misoprostol IX) INFECTIOUS DISEASES A) ANTIBACTERIALS CEPHALOSPORINS First Generation cephalexin Second Generation cefaclor cefuroxime axetil MACROLIDES erythromycin stearate erythromycin delayed-rel erythromycin ethylsuccinate erythromycin/sulfisoxazole PENICILLINS * amoxicillin penicillin VK ampicillin dicloxacillin amoxicillin/clavulanate SULFONAMIDES sulfamethoxazole/trimethoprim TETRACYCLINES doxycycline hyclate tetracycline minocycline B) ANTIFUNGALS nystatin ketoconazole C) ANTIVIRALS FOR CYTOMEGALOVIRUS ganciclovir FOR HEPATITIS C ribavirin FOR HERPES acyclovir FOR INFLUENZA amantadine, except tabs D) MISCELLANEOUS isoniazid metronidazole tabs hydroxychloroquine mebendazole trimethoprim tabs chloroquine phosphate nitrofurantoin macrocrystals clindamycin mefloquine pyrazinamide rifampin ethambutol X) MUSCULOSKELETAL A) ARTHRITIS DISEASE-MODIFYING ANTI-RHEUMATIC DRUGS sulfasalazine delayed-rel sulfasalazine hydroxychloroquine methotrexate, 2.5 mg only azathioprine NSAIDS AND OTHER ANALGESICS Piroxicam indomethacin ibuprofen naproxen salsalate sulindac oxaprozin naproxen sodium etodolac diclofenac sodium delayed-rel indomethacin ext-rel nabumetone diflunisal B) GOUT indomethacin allopurinol naproxen colchicine sulindac probenecid C) SKELETAL MUSCLE RELAXANTS MUSCLE SPASM chlorzoxazone cyclobenzaprine carisoprodol methocarbamol SPASTICITY diazepam baclofen tizanidine XI) OB-GYN A) CONTRACEPTIVES MONOPHASIC 20 mcg estrogen norethindronecetate/EE/iron 1/20 levonorgestrel/EE 0.1/20 norethindrone acetate/EE 1/20 30 mcg estrogen norethindrone acetate/EE/iron 1.5/30 norgestrel/EE 0.3/30 levonorgestrel/EE 0.15/30 norethindrone acetate/EE 1.5/30
† desogestrel/EE 0.15/30 35 mcg estrogen ethynodiol diacetate/EE 1/35 norethindrone/EE 1/35 norethindrone/EE 0.5/35
† norgestimate/EE 0.25/35
† norethindrone/EE 1/35
† norethindrone/EE 0.5/35 50 mcg estrogen ethynodiol diacetate/EE 1/50 norethindrone/ME 1/50
† norethindrone/ME 1/50 BIPHASIC † desogestrel/EE
† norethindrone/EE TRIPHASIC levonorgestrel/EE desogestrel/EE norgestimate/EE norethindrone/EE PROGESTIN norethindrone
† norethindrone B) ENDOMETRIOSIS danazol C) HORMONE THERAPY/MENOPAUSE ESTROGENS Oral estropipate estradiol estrogens, esterified/methyltestosterone Transdermal estradiol PROGESTINS medroxyprogesterone acetate norethindrone acetate D) VAGINAL INFECTIONS ORAL metronidazole tabs XII) OPHTHALMIC A) ALLERGY cromolyn sodium B) ANTI-INFLAMMATORIES Cost is generally based upon solution/suspension formulations. Ointments are also available for many of the products, and they should be considered on the formulary. neomycin/polymyxin B/dexamethasMAXITROL fluorometholone prednisolone acetate 1% prednisolone phosphate 1% sulfacetamide/prednisolone phosphate 10%/0.25% dexamethasone sodium phosphate neomycin/polymyxin B/hydrocortisone C) INFECTIONS Cost is generally based upon solution formulations. Ointments are also available for many of the products and they should be considered on the formulary. BACTERIAL Bacitracin erythromycin gentamicin sulfacetamide 10% tobramycin polymyxin B/trimethoprim polymyxin B/bacitracin neomycin/polymyxin B/gramicidin VIRAL trifluridine D) GLAUCOMA ORAL Acetazolamide methazolamide TOPICAL dipivefrin pilocarpine timolol maleate levobunolol timolol maleate gel metipranolol carteolol brimonidine 0.2% E) MISCELLANEOUS atropine XIII) PSYCHIATRIC A) ANXIETY diazepam alprazolam chlordiazepoxide buspirone lorazepam oxazepam paroxetine hcl hydroxyzine hcl B) ATTENTION DEFICIT HYPERACTIVITY DISORDER dextroamphetamine methylphenidate methylphenidate ext-rel methylphenidate ext-rel dextroamphetamine ext-rel C) BIPOLAR DISORDER lithium carbonate lithium carbonate ext-rel caps lithium carbonate ext-rel tabs D) DEPRESSION amitriptyline fluoxetine trazodone nortriptyline desipramine imipramine hcl
† mirtazapine paroxetine hcl bupropion nefazodone
† bupropion ext-rel E) INSOMNIA temazepam triazolam chloral hydrate F) NARCOLEPSY methylphenidate dextroamphetamine methylphenidate ext-rel methylphenidate ext-rel dextroamphetamine ext-rel G) OBSESSIVE COMPULSIVE DISORDER fluoxetine clomipramine paroxetine hcl fluvoxamine H) PANIC DISORDER fluoxetine alprazolam clonazepam tabs paroxetine hcl I) PSYCHOSES haloperidol fluphenazine thiothixene trifluoperazine thioridazine chlorpromazine perphenazine clozapine XIV) RESPIRATORY DRUGS A) ASTHMA/COPD INHALERS Beta Agonists albuterol INHALATIONS FOR NEBULIZATION albuterol soln cromolyn soln ipratropium soln ORAL AGENTS Beta Agonists albuterol terbutaline Theophylline theophylline ext-rel tabs theophylline ext-rel caps (12 hr) theophylline liquid B) ANTITUSSIVES AND EXPECTORANTS guaifenesin/pseudoephedrine ext-rel dextromethorphan/carbinoxamine/pseudoephedrine drops codeine/guaifenesin hydrocodone/homatropine codeine/promethazine codeine/chlorpheniramine/pseudoephedrine hydrocodone/chlorpheniramine/phenylephrine benzonatate dextromethorphan/brompheniramine/pseudoephedrine codeine/promethazine/phenylephrine codeine/guaifenesin/pseudoephedrine dextromethorphan/brompheniramine/pseudoephedrine syrup dextromethorphan/carbinoxamine/pseudoephedrine drops dextromethorphan/promethazine XV) SUPPLEMENTS A) POTASSIUM potassium chloride liquid potassium chloride ext-rel tabs 8 mEq potassium chloride ext-rel caps 10 mEq potassium chloride ext-rel tabs 10 mEq potassium chloride ext-rel tabs 10 mEq potassium chloride ext-rel tabs 20 mEq B) VITAMINS AND MINERALS fluoride tabs multivitamins/fluoride/±iron drops/tabs vitamins ADC/fluoride/±iron drops folic acid fluoride drops prenatal vitamins w/folic acid ergocalciferol (D2) calcitriol (1,25-D3) XVI) UROLOGICAL A) ERECTILE DYSFUNCTION No Generics B) SYMPTOMATIC BENIGN PROSTATIC HYPERTROPHY doxazosin terazosin C) MISCELLANEOUS phenazopyridine oxybutynin bethanechol
Yom Kippur 5770: Keys, Lost and Found Rabbi Lisa Grushcow, Congregation Rodeph Sholom “Today I am a fountain pen.” Even before that phrase was born, we asked the timeless question: “What does it really mean to become a Jewish adult?” When thirteen year-olds come into my study to work on their speeches, I try to ask them as well. “After all,” I tell them, “it’s not as if y
Direction médicale et qualité Service Prévention et Contrôle de l’Infection (PCI) ProdéduresVGActualisées\BMR\decolonisation_mrsa\Procédure_DécolonisationMRSA_janvie2014 Procédures interdisciplinaires prévention et contrôle de l’infection PROTOCOLE DE DECOLONISATION D’UN PATIENT PORTEUR DE Staphylococcus aureus résistant à la méticilline (MRSA) Acteurs dans c