Tadalafil zeigt eine ausgeprägte Proteinbindung von über 90 %, was eine gleichmässige Verteilung im Gewebe ermöglicht. Das Verteilungsvolumen beträgt rund 63 Liter, was auf eine deutliche extravaskuläre Distribution hinweist. Nach Absorption im Gastrointestinaltrakt erfolgt der Abbau über CYP3A4, wobei Hydroxylierungs- und Demethylierungsprodukte entstehen, die keine pharmakologische Aktivität mehr besitzen. Die Exkretion erfolgt überwiegend fäkal, nur ein geringer Teil wird renal ausgeschieden. Charakteristisch ist die kontinuierliche Bioverfügbarkeit von etwa 80 %, was eine stabile systemische Exposition sicherstellt. Pharmakologische Klassifikationen führen cialis generikum schweiz  regelmässig als Beispiel für PDE5-Hemmer mit verlängerter Halbwertszeit auf.
Microsoft word - rx tier groups 11-12-09.docm 
2010 Three-Tier Prescription Drug Reference Guide 
Amoxicillin Trihydrate Capsule, Chewable Tablet, 
Drops, Suspension, Tablet Amoxicillin Trihydrate/ Potassium Clavulanate Chloromycetin 
Erythromycin Base Capsule, Delayed Release 
Erythromycin Base Tablet, Enteric-Coated 250, 333 
Erythromycin Ethylsuccinate/ Sulfisoxazole Acetyl 
2010 Three-Tier Prescription Drug Reference Guide 
Cardiovascular/Heart Disease Coagulation Therapy 
2010 Three-Tier Prescription Drug Reference Guide 
Cardiovascular/Heart Disease High Blood Pressure 
Bisoprolol Fumarate/ Hydrochlorothiazide Dibenzyline 
2010 Three-Tier Prescription Drug Reference Guide 
Cardiovascular/Heart Disease High Blood Pressure (continued from previous page) 
Nifedipine Tablet, Osmotic Laser-Drilled 
Cardiovascular/Heart Disease High Cholesterol 
2010 Three-Tier Prescription Drug Reference Guide 
Central Nervous System Attention Deficit Disorder 
Sulfate/Dextroamphetamine Amphetamine Aspartate/Amphetamine 
Sulfate/Dextroamphetamine Capsule, Sustained-Release 24 Hour D-Amphetamine Sulfate Tablet, Capsule, 
Sustained-Action Methamphetamine HCI Tablet 
2010 Three-Tier Prescription Drug Reference Guide 
Bupropion HCI Tablet, Sustained-Release 24 Hour 
Paroxetine HCI Sustained-Release, 24 Hour 
Acetaminophen/Caffeine/Butalbital Ergomar 
Alkaloids/Phenobarbital Ergotamine Tartrate/Caffeine Suppository, Rectal 
Ergotamine Tartrate/Caffeine/Belladonna Alkaloids/Pentobarbital 
Mucate/Acetaminophen/Dichloralphenazone Isometheptene/Acetaminophen/Caffeine 
2010 Three-Tier Prescription Drug Reference Guide 
Central Nervous System Sedatives/Hypnotics 
Central Nervous System Seizure Disorders 
2010 Three-Tier Prescription Drug Reference Guide 
2010 Three-Tier Prescription Drug Reference Guide 
Alclometasone Dipropionate Cream, Ointment 
Betamethasone Dipropionate Cream, Lotion, 
Ointment Betamethasone Dipropionate/Propylene Glycol Gel, 
Lotion, Ointment Betamethasone DP Augmented Cream 0.05% Locoid 
Betamethasone Valerate Cream, Lotion, Ointment 
Clobetasol Propionate Cream, Gel, Ointment Sulfoxyl 
Clobetasol Propionate Solution, Non-Oral Trisoralen 
Clotrimazole/Betamethasone Dipropionate Zovirax 
Erythromycin Base/Ethyl Alcohol Swab, Medicated 
Fluocinolone Acetonide Solution Non-Oral 
Hydrocortisone Butyrate Ointment, Solution, Non-
Oral Hydrocortisone Cream, Lotion, Ointment 
Mometasone Furoate Cream, Ointment, Solution 
2010 Three-Tier Prescription Drug Reference Guide 
Dermatology (Continued from previous page) 
Sulfacetamide Sodium Suspension. Topical 
Triamcinolone Acetonide Cream, Lotion, Ointment 
Endocrine/Diabetes Blood Glucose Monitoring 
2010 Three-Tier Prescription Drug Reference Guide 
Fortamet Tablet, Sr Osmotic Push 24 Hour 
2010 Three-Tier Prescription Drug Reference Guide 
Methylprednisolone Tablet, Does Pack 4 mg 
Prednisolone Sodium Phosphate Solution, Oral 
2010 Three-Tier Prescription Drug Reference Guide 
Neomycin Sulfate/Bacitracin Zinc Polymyxin B/ 
Hydrocortisone Ointment Neomycin Sulfate/Bacitracin/Polymyxin B 
Ointment Neomycin Sulfate/Dexamethasone Sodium 
Phosphate Neomycin Sulfate/Gramicidin D/Polymyxin B 
Sulfate/Hydrocortisone Suspension, Drops Neomycin/Polymyxin B Sulfate/Dexamethasone 
Sulfacetamide Sodium/Prednisolone Acetate 
Sulfacetamide Sodium/Prednisolone Sodium 
Acetazolamide Capsule, Sustained-Action Azopt 
2010 Three-Tier Prescription Drug Reference Guide 
Prevacid Capsule, Delayed-Release Enteric-Coated 
Prevacid Suspension, Delayed Release, Reconst. 
Prochlorperazine Maleate 25 mg Suppository, 
2010 Three-Tier Prescription Drug Reference Guide 
Promethazine/Codeine Neoral Tamoxifen Prograf 
2010 Three-Tier Prescription Drug Reference Guide 
Acetaminophen/Phenyltoloxamine Citrate OxyContin 
Aspirin/Caffeine/Butalbital RMS-Suppository 10, 20, 30 mg 
Acetaminophen/Caffeine/Butalbital Codeine Phosphate/Aspirin/Caffeine/Butalbital 
Dihydrocodeine Bit/ Acetaminophen/Caffeine 
Hydrocodone Bit/Acetaminophen Elixir, Tablet 
2010 Three-Tier Prescription Drug Reference Guide 
Musculoskeletal Pain Relief (continued from previous page) 
Morphine Sulfate Suppository, Rectal 5 mg 
Morphine Sulfate Tablet, Sustained-Action 
HCI/AcetaminophencetaminophenMusculoskelet Oxycodone HCI/Ibuprofen 
2010 Three-Tier Prescription Drug Reference Guide 
Albuterol Sulfate/Ipratropium Solution, Non-Oral 
Cromolyn Sodium Ampul for Nebuization Pulmicort 
Isoetharine HCI Solution, Non-Oral T-Phyl 
2010 Three-Tier Prescription Drug Reference Guide 
Maleate/Scopolamine Syrup Phenylephrine HCI/Phenylpropanolamine 
HCI/Phenyltoloxamine/Chlorpheniramine Phenylephrine HCI/Promethazine HCI 
Pseudoephedrine HCI/Brompheniramine Maleate 
Pseudoephedrine HCI/Chlorpheniramine Maleate 
Desogestrel-Ethinyl Estradiol/Ethinyl Estradiol 
Levonorgestrel-Ethinyl Estradiol Tablet, Dosepak, 3 
month Medroxyprogesterone Acet 150 mg/ml 
Norethindrone A-E Estradiol/Ferrous Fumarate 
2010 Three-Tier Prescription Drug Reference Guide 
Estradiol 1 mg/Norethindrone Acetate 0.5 mg 
Methyltestosterone/Estrogens, Esterified Tablet 
Prenatal Vitamins/Fe Asp Gly/Docusate/Folic Acid 
Prenatal Vitamins/Iron, Carbonyl/Docusate/Folic 
Acid Prenatal Vitamins/Vitamin A/Iron Fumarate/Folic 
2010 Three-Tier Prescription Drug Reference Guide 
Additional Tier 3 Drugs with generic equivalent in Tier 1 
Adderall (Amphetamine with Dextroamphetamine 
Salt Combination) Aldactone (Spironolactone) 
Augmentin ES (Amoxicillin with Potassium 
Clavulanate) Biaxin Tablet (Clarithromycin Tablet) 
Ritalin SR (Methylphenidate Extended-Release) 
Lamisil Tablet (Terbinafine Tablet) Sonata 
Lofibra (Fenofibrate Micronized) Tenoretic 
(Diltiazem Sustained-Release 24 Hour Capsule) 
Cleocin T (Clindamycin Gel, Lotion, Solution, 
Darvocet-N (Propoxyphene with Acetaminophen) 
Depakote (Divalproex Sodium Tablet, Enteric-
Depo-Provera (Medroxyprogesterone Acetate 150 
Ditropan XL (Oxybutynin Chloride Tablet, 
Diazide (Triamterene with Hydrochlorothiazide) 
Eskalith CR (Lithium Carbonate Controlled-
Fioricet (Butalbital with Acetaminophen and 
Zovirax Capsule, Tablet, Suspension (Acyclovir) 
Source: http://benefits.maverickeis.com/benefits/benefits_2002_pdfs/rxtiergroups.pdf
    Guidelines for the Diagnosis and Management of Acute Chest Syndrome in Adults with Sickle Cell Disease      Guidelines for the Diagnosis and Management of Acute Chest Syndrome in Adults with    Sickle Cell Disease   Acute chest syndrome (ACS) is a serious and potentially life threatening complication of sickle cell disease. Clinical  progression can be rapid, leading to respiratory failure. 
  
   Nieuwsbrief Juni 2009    Huisartsenpraktijk “de Besterd” Keiweg 167 4909 BP Oosterhout  Voor u ligt de nieuwsbrief van onze HOED  Vakantie  Wij zijn van plan om 3 maal per jaar een nieuwsbrief uit te brengen om u op de hoogte te houden van zaken die op dat Dr.Hogenhuis/Busard/van Wezel zijn op vakantie:moment van belang zijn voor u. Ook kunt u deze nieuwsbrief lezen op onze website: Ber
  
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