Die Struktur von Tadalafil erlaubt eine selektive Bindung an die Bindungsstelle der PDE5 und minimiert gleichzeitig die Interaktion mit PDE6, was visuelle Nebenwirkungen einschränkt. Seine Verteilung im Organismus erfolgt breit, wobei das Verteilungsvolumen etwa 63 Liter beträgt. Über 90 % des Wirkstoffs sind an Plasmaproteine gebunden. Die Wirkung bleibt unabhängig von der Nahrungsaufnahme konstant. Der Abbauweg über CYP3A4 kann durch Hemmer wie Ritonavir oder Ketoconazol verlangsamt werden, was die Plasmakonzentrationen deutlich erhöht. In diesem Kontext wird cialis 20mg preis häufig in Bezug auf pharmakokinetische Wechselwirkungen erwähnt.

Carolina skin care, p

Carolina Skin Care, P.A.
(In relation to your visit today)
Allergies: Any non medication allergies, history of hives, itching, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________

Cardiovascular: Any problems with your heart such as palpitations, murmurs, irregular pulse, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________
Ears/nose/throat: Any problems in these areas such as vertigo, nasal drainage, mouth sores, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________
Eyes: Any eye discharge, itching, blurred vision, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________
Gastrointestinal: Any problems with stomach/intestines/gallbladder, abdominal swelling, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________
Hematology/Lymphatic: Any history of anemia, easy bruising, enlarged lymph nodes, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________

Integument: Any history of skin diseases, moles changes, hair loss, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________

Musculoskeletal: Any bone/joint/muscle pain, joint swelling, joint stiffness, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________

Respiratory: Any breathing problems such as wheezing, shortness of breath, chronic cough, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________

Psychiatric: History of any mental illness/treatment such as depression, bipolar disorder, etc.
□No □Yes explain ___________________________________________________________________
__________________________________________________________________________________
CONTINUED ON REVERSE
Carolina Skin Care, P.A.
Name ______________________________ Today’s Date _____________
Date of Birth ____________________ Referring Physician___________________
Why are we seeing you today?________________________________________________________
Are you allergic to any of the following:
Have you had any of the following:
□ NSAID’s (aspirin, Motrin, Tylenol) □ Hepatitis (type) ____________________ □ Other ________________________________ Skin Cancer & Location:
Reaction:
____________________________
□ Squamous Cell ________________________ ____________________________
□ Melanoma ____________________________ ____________________________
____________________________
For women: Are you pregnant or do you think you may
be pregnant? □ yes □ no
Are you nursing? □ yes □ no
Have you had any surgeries:
Has anyone in your family had:
(please indicate relationship to you)
□ Basal Cell Carcinoma___________________ □ Lupus or other auto-immune D/O______________ □ Heart surgery (type) _______________________ □ Other ________________________________ □ Psoriasis/Psoriasis Arthritis________________ If so, what year was the procedure performed: □ Squamous Cell Carcinoma__________________
Do you use or have a history of: (If so, when and how
Please list all current medications and dosage:
________________________________________
________________________________________
________________________________________
□ Illegal drug Use (type)________________ ________________________________________
□ Tanning bed/sunbathing_____________________ ________________________________________
□ Sexually transmitted disease (type)_______________ ________________________________________
________________________________________
□ Other_________________________________ Preferred Pharmacy:_______________________
____________________________
Primary Care Physician:_________________________

Source: http://www.carolinaskincare.com/docs/Patient%20History.pdf