Kamagra enthält Sildenafilcitrat als pharmakologisch aktiven Bestandteil. Dieser hemmt selektiv die Phosphodiesterase-5 und erhöht dadurch die Konzentration von cGMP im Corpus cavernosum. Der Effekt ist zeitlich begrenzt, da die Halbwertszeit von Sildenafil etwa vier Stunden beträgt. In der galenischen Form als Mundgel erfolgt die Resorption besonders rasch, was zu einem schnelleren Wirkeintritt führt. Der Abbau erfolgt überwiegend hepatisch über CYP3A4, wobei ein aktiver Metabolit entsteht, der zur Gesamtwirkung beiträgt. Typische Nebenwirkungen ergeben sich aus der Vasodilatation, darunter leichte Kopfschmerzen und nasale Kongestion. In klinischen Beschreibungen wird kamagra oral jelly im Zusammenhang mit der schnelleren Absorption erwähnt.

Microsoft word - buteyko class health intake form

LISA BOWEN/BREATHING RETRAINING CENTER
HEALTH INTAKE FORM

PLEASE FILL IN ALL THE INFORMATION ON EACH OF THE FOUR PAGES RELEVANT TO YOU:
Name: Mr / Mrs / Ms / Miss ___________________________________________________________
Address:
______________________________________________________________________ ______________________________________________________________________ Email address: _____________________________________________________________________ Telephone: Home:__________________Work __________________Mobile:___________________ Current Occupation:_______________________ Past Occupations:____________________________ MEDICAL HISTORY
Type of Illness: (e.g. Asthma, panic attacks, sleep apnea) ___________________________________
Degree: (e.g. Mild, Moderate, Severe)
Regularity of attacks or problems (daily, weekly, monthly) ___________________________________ Age originally diagnosed: ______________ Date of birth: __________________ Age now: _________ Current
Medical Practitioner: ______________ _____________________ Telephone: ___________________
Last time hospitalized for asthma: _________________
Date you last took cortisone orally or by injection (e.g. Prednisone, Prednisolone, Methylprednisone):
_______________________
Have you ever suffered from the following problems?:
Current? Current?
Current?
Females, are you pregnant? YES ___ NO ___ Please list other symptoms on Page 3
Have you had any major surgeries?
Have you had any life threatening illnesses? Drugs are you allergic to _________________________________________________ _______________________________________________________________ What things besides drugs are you allergic to? _______________________________ Lisa Bowen/Breathing Retraining Center  www.breathingretrainingcenter.com/info@breathingretrainingcenter.com 415-454-3400 LISA BOWEN/BREATHING RETRAINING CENTER
HEALTH INTAKE FORM

COMPLETE THIS PAGE IF YOU HAVE ASTHMA, COPD
NAME: _________________________

Please list all drugs you are currently taking, or have taken, in the past two months whether related
to breathing difficulties or not.

"Inhaler" Medication:
Albuterol
Combivent
Atrovent
Proventil
Ventolin

Slow Release Relievers:
Theophylline
Serevent
Symbicort

Preventers:
Inhaled
Tablet
Azmacort
Prednisone
Singulair
Combined drugs:
Pulmicort
Symbicort
Vanceril

Nebulizer Use:
Albuterol
Atrovent
Ventolin

Nasal Spray Use:
Rhinocort
Nasocort
Lisa Bowen/Breathing Retraining Center  www.breathingretrainingcenter.com/info@breathingretrainingcenter.com 415-454-3400 LISA BOWEN/BREATHING RETRAINING CENTER
HEALTH INTAKE FORM
COMPLETE THIS PAGE WHETHER YOU HAVE ASTHMA OR NOT
OTHER MEDICATION NOT RELATED TO ASTHMA:

Medication
Condition
Comments

Do you or did you ever smoke? YES ___ YES, have stopped ___ NO ___ If yes, how long? ____
If yes, how many packs per day?_____ If stopped, when did you stop smoking?___________
Please explain any surgeries:
____________________________________________________________________________ ____________________________________________________________________________
If you checked a life-threatening illness:

Sleep apnea/ snoring
If you checked major surgeries:
Do you have a blood disorder?
YES ___ NO ___ If yes, which? ________________________ Have you been diagnosed with any chronic condition? YES ___ NO ___ If yes, which? __________
Are you experiencing chronic pain?
_______________________________________________________________________________________ Lisa Bowen/Breathing Retraining Center  www.breathingretrainingcenter.com/info@breathingretrainingcenter.com 415-454-3400 LISA BOWEN/BREATHING RETRAINING CENTER
HEALTH INTAKE FORM
COMPLETE THIS PAGE WHETHER YOU HAVE ASTHMA OR NOT
SYMPTOMS SUFFERED PRIOR TO COMMENCING COURSE Please check your symptoms:
Please list other symptoms __________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________
I understand that the Buteyko Breathing Retraining Program is a series of lectures and training. It does
not constitute medical treatment. Furthermore, I, the undersigned, agree to only modify prescribed
medication after consultation with a medical doctor.
Name: ___________________________________. Date: _________________
Signed: ______________________________________________
If client is under 18, a parent or guardian must sign this form

Please tell me about why you are attending the course and what you hope to gain from it:
__________________________________________________________________________________
_________________________________________________________________________________
Lisa Bowen/Breathing Retraining Center  www.breathingretrainingcenter.com/info@breathingretrainingcenter.com 415-454-3400

Source: http://www.breathingretrainingcenter.com/resources/Buteyko%20Class%20Health%20Intake%20Form.pdf