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.

Fhpim history and physical

NAME: ____________________________AGE: _____ PHONE: __________________HEIGHT: _____ WEIGHT:_____ CHIEF COMPLAINT: _____________________________________________________________________________ ______________________________________________________________________________________________ SUBJECTIVE SIGNS AND SYMPTONS: ________________________________________________________________ ______________________________________________________________________________________________ PREVIOUS TREATMENT: __________________________________________________________________________ ______________________________________________________________________________________________ OTHER PODIATRIC PROBLEMS: _________________________________________________________________________________ BUNIONS CORNS CALLUSES INGROWN NAILS HEEL PAIN ARCH PAIN ANKLE PAIN METATARSALGIA HOME TREATMENT FOR THIS CONDITION: __________________________________________________________________________________ _____________________________________________________________________________________________________________________________ HAVE YOU PERSONALLY EVER BEEN TREATED FOR ANY OF THE FOLLOWING CONDITIONS? CHEST PAIN ASTHMA KIDNEY PROB ANEMIA LIVER DISEASE BLEEDING PROB FOOT ULCERS HEART PROB ARTHRITIS BLOOD CLOTS STROKE NEUROPATHY HIGH CHOLESTEROL GOUT SICKLE CELL DIABETES THYROID PROB CANCER STOMACH ULCERS HIGH BLOOD PRESSURE OTHER: _____________________________________________________________________________________________________________________  I AM NOT CURRENTLY BEING TREATED FOR ANY CONDITIONS.
HAS ANYONE IN YOUR IMMEDIATE FAMILY EVER BEEN TREATED FOR ANY OF THE FOLLOWING CONDITIONS?
CHEST PAIN ASTHMA KIDNEY PROB ANEMIA LIVER DISEASE BLEEDING PROB FOOT ULCERS HEART PROB ARTHRITIS BLOOD CLOTS STROKE NEUROPATHY HIGH CHOLESTEROL GOUT SICKLE CELL DIABETES THYROID PROB CANCER STOMACH ULCERS HIGH BLOOD PRESSURE OTHER: ____________________________________________________________________________________ ADOPTED NO ONE IN MY IMMEDIATE FAMILY HAS EVER BEEN TREATED FOR ANY OF THE ABOVE CONDITIONS.

PREVIOUS SURGERIES: __________________________________________________________________________________________

______________________________________________________________________________________________
ALCOHOL: _____ NONE SOCIAL MODERATE HEAVY TOBACCO: CIG/DAY ______ HOW LONG? ______ ARE YOU PREGNANT? ______
CURRENT MEDICATIONS: ______________________________________________________________________________________
________________________________________________________________________________________________________________
ALLERGIES: I HAVE NO ALLERGIES. I AM ALLERGIC TO THE FOLLOWING: TYLENOL TAPE ASA KEFLEX CODIENE LATEX IODINE PENICILLIN SULFA MORTIN DARVON NOVOCAINE DEMEROL SHELL FISH OTHER: _________________________________________________________________________

Source: http://footandheel.com/fh-site/assts9305-foot/home/forms/HISTORYPHYSICAL_041610.pdf