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.

Colon and rectal clinic, p

Colon and Rectal Clinic, P.A.
Patient Name: ________________________ Age: __________ Date of Visit: _________
Height: _______________ Weight: _______

PREVIOUS ILLNESSES (Please list any illness you have had, and the dates of their occurrence)
_____________________________________ ________________________________
_____________________________________ ________________________________
_____________________________________ ________________________________
PREVIOUS COLON SCREENING (Please list the most recent colon screenings you have undergone
and the dates of their occurrence)
Flexible Sigmoidoscopy _________________ Colonoscopy ___________________
Barium Enema ________________________ _______________________________
PAST SURGICAL HISTORY (Please list all operations you have had and the dates of occurrence)
_____________________________________ ________________________________
_____________________________________ ________________________________
_____________________________________ ________________________________
MEDICATION (Please list all medications that you are currently taking and their doses. Please include
over-the-counter and herbal medications) Please note if you are on the following specifically:
__________________________________________ Plavix  Coumadin/warfarin  Ticlid  Aspirin 
____________________________________ __________________________________
____________________________________ __________________________________
ALLERGIES (Please list any medication you are allergic to and explain the reaction to the medication)
No Known Drug Allergies______________ ________________________________
_____________________________________ ________________________________
FAMILY HISTORY (Please list your family member and the disease associated)
Colon Cancer ________________________ Other__________________________
Rectal Cancer ________________________ ________________________________
Polyps ______________________________ ________________________________
REVIEW OF SYSTEMS (Do you currently have or had a history of the following? Please check all
that apply. If you do not check the box, we assume that the answer is no.)
General Cardiovascular
Female Reproductive
Neurologic/Psychiatric
Recurrent fever High blood pressure Urologic
Eye, Ear, & Throat
Male Reproductive
Abnormal stress test Prostate gland problems pregnancies ______ Personal Habits
Respiratory
Abdominal/GI
Endocrine
Difficulty swallowing Nausea/vomiting Diabetes Asthma ______________________ Hematologic Peptic Ulcer Hormonal abnormalities
Anemia Jaundice
Rheumatologic
Primary Care Doctor
Dermatologic
Oncologic Rash
Other Physicians
I have reviewed the above information with the patient on this date. All boxes which are not checked are either negative or N/A. Physician’s Signature________________________________

Source: http://www.crchouston.com/pdf/156_Patient_History-Physical.pdf