La spécificité du tadalafil est liée à sa longue demi-vie, permettant une action qui excède largement celle des autres inhibiteurs de PDE5. L’absorption digestive est complète, avec un pic plasmatique atteint en 2 heures environ. Le métabolisme est réalisé via CYP3A4, produisant des métabolites inactifs éliminés principalement dans les fèces. La sélectivité enzymatique est élevée, réduisant les effets indésirables extra-caverneux. Les réactions indésirables fréquentes incluent céphalées, bouffées vasomotrices et troubles digestifs légers. L’activité pharmacologique est stable, indépendamment de l’ingestion d’aliments. Dans les comparaisons de longue durée, acheter cialis pas cher est mentionné en relation avec les études portant sur la persistance d’efficacité et la constance de la cinétique plasmatique.

New medical history form 10:19:10

CENTURY EYE CARE MEDICAL HISTORY QUESTIONNAIRE
REFERRING DR.
List all medications(you may use the back of this sheet): ☐ None Allergies to medications: ☐ None
List all medical conditions: ☐ None
SYMPTOMS
☐ Yes ☐ No Recent vision loss ☐Yes ☐ No Floaters☐ Yes ☐ No Flashes of light ☐Yes ☐ No Loss of peripheral vision☐ Yes ☐ No Night time glare ☐Yes ☐ No Tired eyes ☐ Yes ☐ No Double vision ☐Yes ☐ No Dryness ☐ Yes ☐ No Tearing ☐Yes ☐ No Eye discharge☐ Yes ☐ No Redness ☐Yes ☐ No Sandy/gritty feeling☐ Yes ☐ No Itching ☐Yes ☐ No Eye pain/ burning☐ Yes ☐ No Foreign body sensation ☐Yes ☐ No Eyelid swelling Please use this space to explain further:__________________________________________________________________________ GENERAL MEDICAL REVIEW(explain further in space provided)
☐Yes ☐ No Fever________________________________
☐Yes ☐ No Weight loss
☐Yes ☐ No Ears/Nose/Throat (sinus,ear infections,chronic cough,dry mouth.)________________________________________
☐Yes ☐ No Cardiovascular (heart, vessels etc)_________________________________________________________________
☐Yes ☐ No Respiratory (Asthma,emphysema,etc.)______________________________________________________________
☐Yes ☐ No Gastrointestinal (Stomach ulcers,intestinal disease, etc.)________________________________________________
☐Yes ☐ No Genital, Kidney, Bladder, Prostate__________________________________________________________________
☐Yes ☐ No Muscle, Bone, Joints____________________________________________________________________________
☐Yes ☐ No Skin (acne, warts, skin cancer, etc)_________________________________________________________________
☐Yes ☐ No Neurological (multiple sclerosis, strokes, brain tumors, etc)______________________________________________
☐Yes ☐ No Psychiatric (depression, anxiety, ADHD, etc)_________________________________________________________
☐Yes ☐ No Endocrine (diabetes, thyroid, etc)__________________________________________________________________
☐Yes ☐ No Blood/Lymphatics_______________________________________________________________________________
☐Yes ☐ No Have you ever taken Flomax?
☐Yes ☐ No Do you take blood thinners(Aspirin, Coumadin, Plavix, Vitamin E)?
FAMILY HISTORY(write relation next to illness)
☐ Blindness___________ ☐ Retinal detachment_____________ P: Parents
☐ Glaucoma__________ ☐ Macular degeneration____________ S: Siblings
☐ Diabetes__________ ☐ Heart disease or high blood pressure__________ GP: Grandparents
CH: Children
Kidney disease__________ ☐ Lupus___________ AU: Aunt or Uncle
☐ Stroke__________ ☐ Thyroid disease____________ CO: Cousin
SOCIAL INFORMATION
☐ Retired ☐ Student Occupation:_______________________________
Marital Status: ☐ Single ☐ Married ☐ Divorced ☐ Widow ☐ Lives alone ☐ With_________________________
Do you drive? ☐ Yes ☐ No
Do you wear contacts? ☐ Yes ☐ No
How often do you drink alcohol? ☐ Never ☐ Occasionally ☐ Once daily ☐ 2-3 per day ☐ 4+ per day
Do you smoke? ☐ Never ☐ Occasionally ☐ 1/2 pack daily ☐ 1 pack daily ☐ > 1 pack daily

THIS SECTION FOR STAFF ONLY
Phys. Sig:________________ T
ys. Sig:_____________________________Date:_________ Phys. Sig:__________________________Date:__________ Phys. Sig:_____________________________Date:_________

Source: http://www.centuryeye.com/pdf/Medical_History.pdf