Le tadalafil possède une affinité marquée pour la PDE5, mais épargne en grande partie les isoformes PDE1, PDE2 et PDE11, réduisant ainsi le risque d’effets extra-caverneux. L’action se traduit par une augmentation contrôlée de la circulation sanguine locale, indépendante des variations alimentaires. Sa pharmacocinétique repose sur une absorption digestive rapide, un métabolisme hépatique par CYP3A4 et une distribution tissulaire large. La biodisponibilité reste stable, et l’équilibre plasmatique est atteint en quelques jours lors d’administrations répétées. Les interactions cliniquement significatives surviennent avec les inhibiteurs puissants de CYP3A4 tels que le kétoconazole. Dans la littérature pharmacologique, acheter cialis 20 mg est souvent associé à des schémas d’utilisation basés sur la durée prolongée de son action.

Microsoft word - hedley-tempephoneix-medicalhistory.docx

DATE:__________________
PATIENT MEDICAL HISTORY FORM
HEIGHT: WEIGHT:
CHIEF COMPLAINT:
WHY are you here today?

WHICH side is involved: ___Right ___Left ___Both
HOW did the INJURY or PROBLEM Happen? ___Accident ___ Auto Accident ____Work Accident __Other
WHEN did the INJURY or PROBLEM Begin?
SURGICAL HISTORY:
Have you ever had a general anesthesia? ___Yes ___No
Have you ever had any problems with anesthesia? ___Yes ___No / Explain Reaction:
List ALL of the surgeries that you have had:

ALLERGIES:
Please Circle the medications below that you are allergic to:
Latex Aspirin Codeine Sulfa Penicillin Keflex Betadine Tape
List any other Medication Allergies:


SOCIAL HISTORY
Work status: ___Full time ___Part time ___Work at home ___Retired ___Disabled ___Student Marital Status: ___Married ___Separated ___Single ___Live with Spouse or Other ___Live Alone Recreational Drug Use: ___Yes ___No / What kind of drug:
Alcohol use: ___Yes ___No / ___Daily ___1-2 drinks per week ___More than 2 drinks per week
Tobacco Use: ___Yes ___No / Packs per day:
PATIENT MEDICAL HISTORY continued
Patient Name:
FAMILY HISTORY
Mother ___Alive ___Deceased / cause of death: Brother ___Alive ___Deceased / cause of death: MEDICATIONS INCLUDING ALL VITAMINS, MINERALS AND HERBS:
REVIEW OF SYSTEMS
Please Circle all of the following Medical Problems or Conditions that you have, or have had:
Constitutional: unexplained weight loss/gain, fever chills, fatigue
Eyes: corrective lenses, blurred/double vision, eye pain
ENT: Headache, difficulty swallowing, nose bleeds, ringing in ears, earaches
Cardiovascular: Chest pain, palpitations, fainting, mummers, High Blood Pressure, Pacemaker
Respiratory: Short of breath, wheezing, cough, tightness, snoring, inspiration pain
Gastrointestinal: Heartburn, nausea, vomiting, constipation, diarrhea, bloody/tarry stools
Genitourinary: Frequency, urgency, difficult / painful urination, Flank pain, bleeding
Musculoskeletal: Joint Pain, Swelling, instability, stiffness, redness, muscle pain
Skin: Skin changes, poor healing, rash, itch, redness
Neurologic: Numbness/ tingling, unsteady gait, dizziness, tremors, seizures
Psychiatric: Nervousness, anxiety, depression, hallucinations
Hematologic: easy bleeding, easy bruising
Endocrine: excessive thirst or urination, heat or cold intolerance, Diabetes
Allergic: Reaction to foods or environment
Sleep Apnea / Use C-pap Machine
Hepatitis
HIV / AIDS
Other Medical Problems:

Patient Signature___________________________________ Form Reviewed ______________________M.D.
Page 2

Source: http://www.hedleyortho.com/wp-content/uploads/2013/10/Hedley-TempePhoneix-MedicalHistory.pdf