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.

Spaeliamontgomery.com

16 | patient consultation
Name:________________________________________________ DOB:__________________Age:_____Sex: ______________
Address: _________________________________________________________________________________________________
City:___________________________________State:_______Zip:_______Phone: ____________________________________
• Are you pregnant or lactating? Yes___No___(Please consult with your obstetrician. Only the Oxygenating Trio or
Detox Gel deep pore treatment is appropriate.)
• Do you wear contact lenses? Yes___No___(Remove contacts if eyes are sensitive or if having microdermabrasion.)
• Do you have permanent makeup? Yes___No___(If so, to what areas of the face?) _______________________________
• Do you currently use or receive dipilatories or waxing? Yes___No___(Discontinue use five days pre- and post-treatment.)
• Do you currently have a sunburn/windburn/red face? Yes___No___Why?_______________________________________
• Are you in the habit of going to tanning booths? Yes___No___(If within past 14 days, decline treatment. This practice
should be discontinued due to increased risk of skin cancer and signs of aging.)
• Are you applying any topical medications at this time? Yes___No___ Which one(s)? _____________________________
(High percentages of certain ingredients may increase sensitivity)
• Are you currently using any topical Retinoid prescriptions (trentinoin/Retin-A®/Renova®/Differin®/Tazorac®/Avage®/
EpiDuo™/Ziana®)? Yes___No___What strength?___________For how long?________(Discontinue use five days before
and after treatment. Consult your physician before discontinuing use of any prescription.)
• Are you currently using Accutane®? Yes___No___For how long?______________(It is OK to apply ONE layer of
Ultra Peel® I, Sensi Peel®, Ultra Peel® II, Esthetique Peel or Oxy Trio to skin that has been treated with Accutane®.)
Those who are currently taking Accutane® should be directed to their dispensing physician.
• Have you had a chemical peel or any type of procedure with a medical device? Yes___No___
Within the last 14 days? Yes___No___ What type? _________
• Do you have regular collagen, Botox® or other dermal filler injections? Yes ___No___(Peels should precede or follow
injections by two days to prevent movement of the filler or stinging at the injection site.)
• Have you recently had facial surgery? Yes___No___Describe:______________________How long ago? _____________
• Have you recently had laser resurfacing? Yes ___No___When?_______________ What type? ______________________
• What type of work do you do?________________________Regular airline travel? Yes___No___How often? __________
• Do you participate in vigorous aerobic activity or sports? Yes___No ___What type? _____________________________
• Do you smoke or use tobacco? Yes ___No___
• Do you develop cold sores/fever blisters? Yes___No___ Last breakout? ________________________________________
• Are you allergic/sensitive to? (Check all that apply) milk ___ apples___ citrus ___ grapes___ aloe vera___ aspirin ___
perfumes___ latex___ hydroquinone___ mushrooms___ If any other allergies, what? _____________________________
• Are you sensitive to alcohol-based products? Yes___No___
• Have you ever used any other products that caused a bad reaction? Yes___No___Describe ______________________
• Are you taking any medication at this time? (antibiotics may increase sensitivity) ________________________________
• What is your hereditary background? ______________________________________________________________________
Natural eye color: Blue ___ Green___ Hazel___ Gray___ Lt. Brown___ Med. Brown___ Dk. Brown___
Natural hair color: Blond___ Red___ Lt. Brown___ Med. Brown___ Dk. Brown___ Black___ Gray/Silver___ White ___
Skin tone: Pale/White___ Light ___ Medium___ Reddish___ Freckled___ Sallow___ Lt. Olive ___ Med. Olive___
Dark Olive___ Lt. Brown ___ Med. Brown___ Dark Brown___ Soft Black___ Black___
• Do you consider your skin: Sensitive___ Resilient___ Unsure___
• Describe your skin (check all that apply): Normal___ Dry___ T-Zone/Combination___ Thick___ Thin___ Saggy___ Firm___
Oily___ Acne___ Comedones/Blackheads___ Milia___ Cysts___ Breakouts___ Acne-scarred___ Large pores____
Small pores___ Florid___ Rosacea___ Eczema___ Freckled___ Sun-damaged___ Melasma____
Hyperpigmentation___ Perfume-stained___ Hypopigmentation___ Uneven/blotchy___ Mature____ Wrinkled___
Patchy dryness___ Sal ow___ Psoriasis____ Dehydrated/lacking moisture___ Asphyxiated___
Telangiectasia/broken surface capillaries ____
Patient Signature:____________________________Date:_________________ Clinician Signature:___________________________Date:_________________

Source: http://www.spaeliamontgomery.com/PCA%20patient%20profile.pdf