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.
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BP ____/_______ Pulse _______ Temp _______ O2 Sat ________ DOI _________________ Clinician Signature: ________________________________ PATIENT MEDICAL HISTORY
Name__________________________________ DOB:___________ Age__________ Chart #___________ Date___________
Primary Care Doctor________________________ Referring Doctor__________________ Height________ Weight________
Drug Allergies: (Please indicate by checking the boxes below.)
□ NO KNOWN DRUG ALLERGIES
□ Local anesthetics (Novocain etc.) □ Penicillin □ Keflex □ Erythromycin □ Other antibiotic: _____________
□ Sulfa drugs □ Aspirin □ Narcotics (codeine, morphine etc.) □ Other painkillers (Percocet, Oxycontin etc.)
□ Latex □ Eggs/Yolk □ Sulfites □ Tetracycline □ Iodine/shellfish □ NSAIDs (Ibuprofen etc.)
Please specify any others: _____________________________________________________________________
Please specify type of reaction:_________________________________________________________________ Medicines: (Please list any medications or supplements that you take REGULARLY, with dose/frequency.)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Family History:
Is there a history of any of the following conditions in your family?
Please circle and state which family member is/was effected. Detail below:
Alcoholism Anemia Arthritis Asthma/COPD Bleeding Disorder Blood Clots CAD Stroke
Cardiovascular Diseases Cancer Diabetes Heart Attack Hypertension Osteoporosis Osteoarthritis
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Social History:
Occupation_____________________________________Employer___________________________________________
Marital Status ________________________________
Lives with (circle all that apply): Spouse / Children / Parents / Mother / Father / Grandparents / Foster Care /Roommates
Social Habits: Tobacco- Do you smoke or use tobacco products?__________ Circle all that apply: Cigarettes / Cigars / Chewing Tobacco
How much?___________/day. Number of Years using ________ If you quit, when?___________
Recreational Drugs – Do you use recreational/illicit drugs?___________ Which drugs? ____________________________
Alcohol- Do you use alcohol?_________________How much?_______/week. If you quit, when?________________
Exercise- Do you exercise on a regular basis? Yes / No
Type of Exercise: _________________________________
Have you ever had a pneumovax shot? Yes/ No
Review of Systems:
Have you experienced any of the following in the last few weeks or months?
Please circle the complaint and detail below. If you have no complaints in a category, please circle “NONE”
indigestion/heartburn nausea/vomiting blood in stool abdominal pain/cramps ulcers NONE
frequent thirst frequent urination hot-cold symptoms
weight loss frequent fever loss of appetite
Ear/Nose/Throat: hearing loss hoarseness trouble swallowing
Cardiovascular: chest pains irregular heart beat palpitations
chronic cough shortness of breath wheezing
painful urination blood in urine kidney problems
frequent headaches dizziness seizures leg or arm weakness
drug or alcohol problems depression sleep disorders
Heme/lymphatic: abnormal bruising abnormal bleeding hemophilia NONE
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Medical Conditions: (Please circle any of the listed medical conditions that you have been or are currently being treated for.)
Abnormal Heartbeat Anemia Asthma Autoimmune Disease Bleeding Disorder Blood Clot/DVT
Diabetes- controlled with pills Diabetes- controlled with insulin GI Bleed
Heart Attack Heart Failure Hepatitis A Hepatitis B Hepatitis C High Blood Pressure HIV Irregular Heartbeat
Kidney Failure Liver Disease Lung Disease MRSA Paralysis Seizures Stroke Sleep Apnea CPAP Use
Pregnancy- estimated due date: _________ Other Condition Not Listed:________________________________
*Have you or a family member ever been diagnosed with a blood clot in a leg or a lung? ____YES ___NO If “Yes”, who had the clot? ____________________________ Are you under the care of a Cardiologist: ____ Yes ____No Name: _______________________________ Contact Info: __________________________ Have you ever had problems with Anesthesia in the past? If yes, please explain: _______________________________________________________________________ Please list Surgeries/Complications/Diagnoses along with the DATE: Surgery Complications
1.___________________________________________________________________________________ 2.___________________________________________________________________________________ 3.___________________________________________________________________________________ 4.___________________________________________________________________________________ 5.___________________________________________________________________________________
Patient Signature:_________________________________________________Date:__________________________
Clinician Signature:_______________________________________________Date:__________________________
MD/PA:________________________________________________________Date:__________________________
& Nuclear MedicineSt Vincent’s Clinic Level 5, 438 Victoria Street, Darlinghurst NSW 2010Opening hours: 8.30am–5.00pm Tel: 02 8382 7530 Fax: 02 8382 6507www.svcmi.com.auconsent forms will be required to be completed prior to the commencement of the examination. A radiographer CT stands for computerised tomography and is CT scanners use x-rays which are a form of ionising or depar