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 - nv_pdl o080508-n082008.doc
STATE OF NEVADA DIVISION OF HEALTH CARE FINANCING AND POLICY Nevada Medicaid Preferred Drug List ANALGESICS: Long Acting ANTIBIOTICS: ANTIHISTAMINES: 2nd Generation CARDIOVASCULAR: CARDIOVASCULAR: Beta Blockers Narcotics Quinolones 3rd Generation A two week trial of one of these drugs is Angiotensin II Receptor Blockers & ACEBUTOLOL (generic Sectral®) DURAGESIC® PATCHES (PA required) AVELOX® required before a non-preferred drug will Diuretic Combination ATENOLOL (generic Tenormin®) KADIAN® AVELOX ABC PACK® COZAAR® ATENOLOL/CHLORTHALIDONE MORPHINE SULFATE SA TABS ANTICOAGULANTS: Injectable CETIRIZINE D OTC DIOVAN® (generic Tenoretic®) (generic MS Contin®) (generic Zyrtec D®) (new) ARIXTRA® DIOVAN HCTZ® BETAXOLOL (generic Kerlone®) ORAMORPH SR® CETIRIZINE OTC TABS, CHEW TABS FRAGMIN® HYZAAR® BISOPROLOL (generic Zebeta®) AND SYRUP (generic Zyrtec®) (new) ANTIBIOTICS: LOVENOX® BISOPROLOL/HCTZ (generic Ziac®) CLARINEX® SYRUP CARDIOVASCULAR: Cephalosporins 2nd Generation BYSTOLIC® ANTIDEPRESSANTS: Other (PA not required for < 2 years) Antihyperlipidemics: Cholesterol (Restricted to CEFACLOR CAPS & SUSP BUPROPION (generic Wellbutrin®) LORATADINE OTC TABS, SYRUP, & Absorption Inhibitors ICD-9 codes 490-496) (generic Ceclor®) BUPROPION SR RAPID DISINTEGRATING TABS CARVEDILOL CEFACLOR ER are effective (generic Wellbutrin SR®) (generic Claritin®) Class changes (generic Coreg®) (generic Ceclor CD®) 09/25/08. CARDIOVASCULAR: CYMBALTA® (PA not LORATADINE D OTC are effective LABETALOL CEFUROXIME SUSP (generic Ceftin®) (new) 09/25/08. Antihyperlipidemics: Niacin Agents required for (generic Claritin D®) (generic Normodyne®, Trandate®) CEFUROXIME TABS (generic Ceftin®) ICD-9-CM code 356.9) ANTI-MIGRAINE AGENTS: Triptans NIASPAN® METOPROLOL (generic Lopressor®) CEFPROZIL SUSP (generic Cefzil®) MIRTAZAPINE (generic Remeron®) IMITREX® INJECTION NIACIN ER NADOLOL (generic Corgard®) ANTIBIOTICS: MIRTAZAPINE RAPID TABS IMITREX® TABS & NASAL SPRAY CARDIOVASCULAR: PINDOLOL (generic Visken®) (generic Remeron Soltabs®) Antihyperlipidemics: Statins & Statin Cephalosporins 3rd Generation MAXALT® TABS PROPRANOLOL (generic Inderal®) TRAZODONE (generic Desyrel®) CEDAX® CAPS & SUSP MAXALT® MLT WELLBUTRIN XL 150MG® ADVICOR® PROPRANOLOL/HCTZ CEFDINIR CAPS & SUSP RELPAX® Class changes (generic Inderide®) WELLBUTRIN XL 300MG® CRESTOR® are effective (generic Omnicef®) BONE OSSIFICATIONS AGENTS: 09/25/08. LESCOL® CEFPODOXIME TABS ANTIDEPRESSANTS: SSRIs Bisphosphonates (generic Betapace®, Sorine®) (generic Vantin®) CITALOPRAM (generic Celexa®) LESCOL XL® FOSAMAX® TABS & SOLUTION TIMOLOL (generic Blocadren®) FLUOXETINE (generic Prozac®) LIPITOR® (new) ANTIBIOTICS: Macrolides FOSAMAX PLUS D® PAROXETINE (generic Paxil®) LOVASTATIN (generic Mevacor®) AZITHROMYCIN TABS & SUSP CARDIOVASCULAR: ACE Inhibitors PRAVASTATIN (generic Pravachol®) (generic for Zithromax) PEXEVA® & Diuretic Combinations SIMCOR® (new) CLARITHROMYCIN TABS & SUSP SERTRALINE (generic Zoloft®) ALTACE® (PA is required) (generic Biaxin®) ANTIEMETICS: Oral, 5-T3s SIMVASTATIN (generic Zocor®) BENAZEPRIL (generic Lotensin®) ERYTHROMYCIN BASE GRANISETRON (generic Kytril®) (new) VYTORIN® BENAZEPRIL HCTZ (generic E-Mycin®, Ery-Tab®, PCE®) ONDANSETRON Class changes are (generic Lotensin HCT®) CARDIOVASCULAR: ERYTHROMYCIN ESTOLATE (generic Zofran®) effective 09/25/08. CAPTOPRIL (generic Capoten®) Antihyperlipidemics: ERYTHROMYCIN ETHYLSUCCINATE ANTIFUNGALS: CAPTOPRIL HCTZ (generic Capozide®) Triglyceride Lowering Agents (generic EES®) Onychomycosis Agents ENALAPRIL (generic Vasotec®) GEMFIBROZIL (generic Lopid®) ERYTHROMYCIN STEARATE Prior authorization is required for all ENALAPRIL HCTZ TRICOR® ANTIBIOTICS: (generic Vaseretic®) Quinolones 2nd Generation TERBINAFINE TABS LISINOPRIL Class changes CIPROFLOXACIN TABS (generic Lamisil®) are effective (generic Prinivil®, Zestril®) (generic Cipro®) CIDOPIROX SOLN 09/25/08. LISINOPRIL HCTZ CIPRO® SUSP (generic Penlac®) (new) (generic Prinzide®, Zestoretic®) This list contains “preferred” drugs for each Class shown above. Prior authorization is required for non-listed drugs within these Classes and as otherwise noted. Unlisted Classes are free from PDL requirements at this time. Questions? Contact First Health Services’ Clinical Call Center. Phone: (800) 505-9185 Fax: (800) 229-3928 Website: http://nevada.fhsc.com STATE OF NEVADA DIVISION OF HEALTH CARE FINANCING AND POLICY Nevada Medicaid Preferred Drug List CARDIOVASCULAR: Calcium METHYLPHENIDATE ER GROWTH HORMONE AGENTS NASAL CALCITONINS RESPIRATORY: Channel Blockers & Combinations (generic Ritalin SR®) Prior authorization is required for all MIACALCIN® Inhaled Corticosteroids/Nebs AFEDITAB CR® (generic Adalat CC®) PROVIGIL® (No PA required for OPHTHALMIC ANTIHISTAMINES ADVAIR DISKUS® AMLODIPINE (generic Norvasc®) ICD-9-CM codes 347.00, 347.01, GENOTROPIN® ALAWAY® ADVAIR HFA® CARTIA XT® 347.10, 347.11, 780.53 and 780.57) NORDITROPIN® NUTROPIN® PATADAY® ASMANEX® DILTIA XT® RITALIN LA® NUTROPIN AQ® PATANOL® AZMACORT® DILTIAZEM HCL (generic Cardizem®) STRATTERA® SAIZEN® ZADITOR OTC® FLOVENT HFA® DILTIAZEM EXTENDED RELEASE VYVANSE® OPHTHALMIC GLAUCOMA AGENTS PULMICORT RESPULES® DYNACIRC CR® CENTRAL NERVOUS SYSTEM: HEPATITIS C AGENTS ALPHAGAN P® Class changes are (No PA required < 4 years) FELODIPINE ER (generic Plendil®) Sedative Hypnotics PEGASYS® effective 09/25/08. ISRADIPINE (generic for Dynacirc®) ESTAZOLAM (generic ProSom®) PEGASYS® CONVENIENT PACK BETAXOLOL (generic Betoptic®) RESPIRATORY: Long Acting Beta LOTREL® FLURAZEPAM (generic Dalmane®) PEG-INTRON® & REDIPEN BETOPTIC S® Adrenergics NICARDIPINE (generic Cardene®) ROZEREM® (PA not required for RIBAVIRIN BRIMONIDINE (generic Alphagan®) FORADIL® ICD-9-CM code 307.42) CARTEOLOL (generic Ocupress®) NIFEDIAC CC (generic Adalat CC®) HERPETIC ANTIVIRAL AGENTS SEREVENT DISKUS® TEMAZEPAM COMBIGAN® (new) NIFEDICAL XL (generic Procardia XL®) (generic Restoril®) ACYCLOVIR (generic Zovirax®) COSOPT® RESPIRATORY: Nasal Corticosteroids NIFEDIPINE ER (generic Procardia XL®) TRIAZOLAM FAMVIR® LEVOBUNOLOL FLUTICASONE (generic Flonase®)(new) (generic Halcion®) VALTREX® (generic Betagan®) NASONEX® Class changes are TAZTIA XT® ZOLPIDEM IMMUNOMODULATORS: Injectable LUMIGAN® effective 09/25/08. VERAPAMIL (generic Calan®, Isoptin®) (generic Ambien®) METIPRANOLOL Prior authorization is required for all RESPIRATORY: Short Acting Beta VERAPAMIL ER (generic Optipranolol®) ELECTROLYTE DEPLETERS Adrenergics-Inhalers/Nebs TIMOLOL DROPS & GEL SOLUTION ALBUTEROL MDI/NEB/SOLN CENTRAL NERVOUS SYSTEM: PHOSLO® ENBREL® (generic Timoptic® & Timoptic XE®) (generic Proventil®, Ventolin®) ADHD/Stimulants -- Prior authorization RENAGEL® HUMIRA® TRAVATAN® is required for all drugs in this Class. MAXAIR® ERYTHROPOIESIS STIMULATING IMMUNOMODULATORS: Topical TRUSOPT® METAPROTERENOL NEB ADDERALL XR® PROTEINS -- Prior authorization is XALATAN® (new) Prior authorization is required for all (generic Alupent® Nebs) AMPHETAMINE SALT COMBINATION required for all drugs in this Class.OPHTHALMIC QUINOLONES PROVENTIL® HFA (generic Adderall®) ARANESP® ELIDEL® CIPROFLOXACIN (generic Ciloxan®) VENTOLIN® HFA CONCERTA® PROCRIT® PROTOPIC® VIGAMOX® XOPENEX® HFA DEXTROAMPHETAMINE SA GASTROINTESTINAL AGENTS: H2RAs OTIC FLUOROQUINOLONES XOPENEX® NEBS (generic Dexedrine SA®) FAMOTIDINE (generic Pepcid®) LEUKOTRIENE MODIFIERS CIPRODEX® Class changes are (No PA required for < 12 years) DEXTROAMPHETAMINE TAB RANITIDINE (generic Zantac®) ACCOLATE® effective 09/25/08. (generic Dexedrine®) ZANTAC SYRUP SINGULAIR® (generic Floxin®) URINARY TRACT ANTISPAMODICS DEXTROSTAT® (PA not required for < 12 years) MULTIPLE SCLEROSIS AGENTS RESPIRATORY: DETROL LA® FOCALIN® GASTROINTESTINAL AGENTS: PPIs AVONEX® Inhaled Anticholinergic Agents ENABLEX® FOCALIN XR® Prior authorization is required for all AVONEX® ADMINSTRATION PACK ATROVENT® HFA INHALER OXYBUTYNIN TABS & SYRUP METADATE CD® (generic Ditropan®) BETASERON® COMBIVENT® INHALER METADATE ER® NEXIUM® CAPSULES VESICARE COPAXONE® DUONEB® SOLUTION METHYLIN® OMEPRAZOLE OTC TABS (new) IPRATROPIUM NEBS METHYLIN ER® PREVACID® CAPSULES Class changes (generic Atrovent® Nebs) are effective METHYLPHENIDATE (generic Ritalin®) PRILOSEC® OTC TABS 09/25/08. SPIRIVA® This list contains “preferred” drugs for each Class shown above. Prior authorization is required for non-listed drugs within these Classes and as otherwise noted. Unlisted Classes are free from PDL requirements at this time. Questions? Contact First Health Services’ Clinical Call Center. Phone: (800) 505-9185 Fax: (800) 229-3928 Website: http://nevada.fhsc.com
"NATURAL PRESERVATIVES" Research Director, Peter Black Medicare Ltd., White Horse Business Park, Aintree Avenue, Trowbridge, Wiltshire, UK. BA14 0XB SUMMARY This paper looks at the theoretical development of a natural preservative system using the author's data base on medicinal plants as a source of references. The legal aspects of this concept are considered. The traditio
DOB: 03/06/**** Current Dr.: Dr. *** Symptoms/Issue(s): Daily Pressure/Pain behind breastbone into mid back, pressure in esophagus, bloating, nausea, and pain causing her to bend forward. Date When Symptoms Started: 03/01/2008 Prior Diagnosis: IBS, Esophageal spasms, GERD, pulled muscle in the back, costal chondritis, Posture, General Pain, Nerve Receptors, Gallbladder,