Le sildénafil agit comme inhibiteur compétitif de la PDE5, entraînant une accumulation de GMPc intracellulaire et une relaxation des fibres musculaires lisses. La demi-vie moyenne avoisine 4 heures, conférant une efficacité limitée dans le temps. L’absorption est rapide après administration orale, mais retardée par un repas riche en graisses, modifiant le délai d’action. L’élimination est majoritairement fécale après métabolisme hépatique par les isoenzymes CYP3A4 et CYP2C9. Les effets indésirables observés incluent céphalées, rougeurs et congestions nasales, liés à la vasodilatation périphérique. Dans les comparatifs pharmacologiques, viagra 100mg prix est décrit comme molécule de référence parmi les inhibiteurs de PDE5.
Microsoft word - new patient questionairre _dr haydel and dr charlet_
Michael S. Haydel, M.D., FIPP
Board Certified in Interventional Pain Management and Anesthesiology
Michael P. Charlet, M.D. Today’s Date Referring Physician____________________________ _______/_______/______ Primary Care Physician_________________________
First Name: ______________________________Last: __________________________Initial: ________ Age: ______ Mailing Address: _________________________________________________________________________________ City: _________________________________________ State:_____________ Zip: ___________________________ Home Phone#: ____________________________Cell#: __________________________ Sex: _________________ Date of Birth: ____/____/____ Marital Status __M__S__other Social Security#: ________-________-________ Present Employer: ____________________________________ Occupation: ________________________________ Employer Address: _____________________________________ Work Phone #: ____________________________ Name of Emergency Contact: ____________________________ Emergency Contact#: _______________________ How did you hear about us? ________________________________________________________________________ Who is responsible for this account? (Self, Insurance, W.C., Attorney) ___________________________________ Is litigation involved? YES or NO Claim/Policy #: ___________________________________ Ins: __________________________________________ Insured Name: __________________________________ Relationship to Insured: __________________ Insured DOB: _____/_____/______ Insured SS#: ____________________________________ Date last worked: __________________________ Date & Name of MD given previous work restriction: ______________________________________________________ Was your problem gradual? Was your pain problem caused by an accident? If yes, was the accident Employment related DATE OF ACCIDENT Accident _______/______/______ month / day / year State accident occurred in: ______________
Describe your pain: ____________________________________________________________________________ How frequently do you have pain? CONSTANT ________COMES & GOES _____ OTHER________ PLEASE CIRCLE THE NUMBERS YOUR PAIN RATES ON A SCALE OF 1-10: No Imaginable 1 2 3 4 5 6 7 8 9 10 CHECK ANY OF THE FOLLOWING SYMPTOMS YOU HAVE: _____NUMBNESS ____ DEPRESSION _____STABBING _____TINGLING ____ WEIGHT LOSS _____SHOOTING _____BURNING SENSATION ____ LOSS OF APPETITE _____CRAMPING _____ INABILITY TO SLEEP ____ MORE PAIN AT NIGHT _____HEADACHES ____ THROBBING What INCREASES your pain? ______STANDING, WALKING ______BENDING (AT NECK/ WAIST) ______DAMP WEATHER ______FORWARD _____OTHER ______DRIVING ______BACKWARD PLEASE SHADE IN, ON THE DRAWING BELOW, THE AREAS WHERE YOU FEEL PAIN: PREVIOUS TREATMENT:
TREATMENT YES MEDICATIONS: Prescribed MEDICATIONS: Prescribed by: Previous medication taken for pain not listed above?_______________________________________________________ Are you allergic to any medications? If yes, which ones?____________________________________________________ ____________________________________________________________________________________________________ Circle any anticoagulants taken (Blood Thinners) Aspirin Warfarin Coumadin Plavix Lovenox SOCIAL HISTORY: YES SURGICAL HISTORY; DATE REVIEW OF SYSTEMS: MEDICAL HISTORY:
The needle-nosed turboprop, one of those bend-over-and-walk-down-the-aisle commuter jobs, was the only non-stop from Oakland to Fresno. Doctor Daniel Fazen used the time on board, all of it, to read through Kerry’s case summary. Left alone by the overwhelmed Olympia-Fresno nurses, she had bled nearly to death following a tonsillectomy. The icy prose of the medical narratives did nothing to dimin
Mardocheo scrisse queste cose e mandò delle lettere a tutti i Giudei che erano in tutte le province del re Assuero, vicini e lontani, ordinando loro di celebrare ogni anno i giorni quattordici e quindici del mese di Adar,come i giorni nei quali i Giudei ebbero riposo dagli attacchi dei loro nemici e il mese in cui il loro dolore venne mutato in gioia, il loro lutto in festa,e di fare, di ques
Michael S. Haydel, M.D., FIPP 
Describe your pain: ____________________________________________________________________________