Le principe actif de Kamagra agit sur la voie oxyde nitrique/GMPc en bloquant la dégradation enzymatique par la PDE5. Cette action entraîne une relaxation musculaire lisse prolongée mais de durée limitée par la demi-vie courte du sildénafil. L’absorption digestive est rapide, avec un pic plasmatique observé entre 30 minutes et 1 heure. Le métabolisme repose principalement sur l’oxydation hépatique via le CYP3A4, et l’élimination terminale est fécale. Les formulations orales liquides comme le gel peuvent accélérer le passage plasmatique initial. Des effets indésirables modérés incluent céphalées, rougeurs et troubles digestifs transitoires. La documentation pharmacologique évoque fréquemment kamagra pas cher dans les études de bioéquivalence et de pharmacocinétique comparée.

Patient name

Allergy, Asthma & Immunology Associates
Patient Name_______________________DOB_______________Date _______________ Appointment Date _____________________Appointment Time______________________ Chief Complaint 1. How did you hear about us? _________________________________________ 2. Who is your PCP? _________________________________________________ 3. Did your PCP (or other Doctor) refer you to us? Y / N If Other Doctor, please specify: ______________________________ 4. What brings you in today? ___________________________________________ 5. How long have you had these problems? _______________________________ 6. Which time of the year is the worst? Spring Fall Summer Winter 7. What do you wish to accomplish with this visit? __________________________ 1. Have you ever been diagnosed with asthma? Y / N 2. How old were you when your asthma began?____________________________ 3. Are you taking medications for asthma? Y / N If yes, please list __________________________________________________ ________________________________________________________________ 4. Does your asthma wake you up at night? Y / N How often? ________ 5. How often do you use a reliever medication? ____/day ____/week ____/month 6. Have you gone to the emergency room or had an urgent doctor’s visit because of your asthma? Y / N How many times in the past 12 months? __________ 7. What is your asthma triggered by? Allergies ____ Exercise ____ Irritants ___ cold weather___ Respiratory tract infections____ Other _________________ 1. Do you have frequent sinus infections? Y / N 2. How many infections have you had in the last year that were treated with antibiotics? Please list which antibiotic was most helpful and date the last antibiotic was taken _______________________________________________ ________________________________________________________________ 3. Is one round of antibiotics sufficient? Y / N 4. Have you been told you have nasal/sinus polyps? Y / N 5. Have you had any sinus CTs recently? Y / N When_______________________ Where ____________________________ 6. Have you had any sinus surgeries? Y / N When?__________________ 1. What type of allergy symptoms do you have?____________________________ 2. How old were you when they began? __________________________________ 3. Have you ever been tested? Y / N 4. What type of test? Blood / Scratch When?______________________ From where can we obtain results?____________________________________ 5. What are your allergies triggered by? Weeds_____ Dust Mites_____ Grasses_____ Foods_____ Other__________________ 6. Have you ever been on allergy shots? Y / N If so, when? __________ How long? _____________ Was shot therapy helpful? Y / N 1. Do you have any known allergic reactions? Y / N 2. Are you allergic to Latex or Rubber? Y / N 3. Have you ever had an allergic reaction from a stinging insect such as a fire ant, wasp, bee, etc.? Y / N Was the reaction local or systemic? ___________ 4. Are you allergic to any medications or foods? Y / N 5. If so, list medications and type of reaction (rash, swelling, wheezing, shortness
Severity of Symptoms: Please (√) rate symptoms when they are active
Symptom None
Moderate
Please list any other medical conditions you may have:_______________________ ___________________________________________________________________ Have you had any surgeries or hospitalizations? Y / N If yes, When? (i.e. Gallbladder 01/03, Tonsillectomy 02/03 etc.) • _______________________________________________________________ • _______________________________________________________________ • _______________________________________________________________ 1. Occupation_______________________________________________________ 2. Marital status: Single 3. Do you have children at home? Y / N If yes, how many? ___________ 4. Do you smoke? Current____ Past_____ Never_____ 5. How long did/have you smoked? _________ How many packs a day ________ 6. If you quit smoking, what year did you quit? _________ 7. Are you exposed to second hand smoke? Y / N 8. Do you drink alcohol? Y / N 9. Do you/have you use/used recreational drugs? Y / N 10. Do/have you use/used IV drugs? Y / N 11. Do you have HIV risk factors? Y / N 12. What is your ethnic background? ____________________ 1. Have you received a pneumonia vaccination? Y / N If yes, when?______ 2. Do you get a flu shot every year? Y / N 3. Are your immunizations up to date? Y / N 4. How many steroid injections and/or oral steroids, such as Prednisone or Medrol dose pack(s), have you taken in the past year? 1-3_______ 3+______ 1. What was the first day of your last menstrual period? __ __/__ __/__ __ 2. Are you pregnant? Y / N 1. Do you have any pets? Y / N What type? Cats_____ Dogs_____ Other _____ 2. Are they: Inside_____ Outside_____ Both_____ 3. Do they sleep in your bedroom? Y / N 4. How old is your home? _______________ 5. What type of flooring is in your living room/bedroom? 6. What type of window covering? Cloth Wood Plastic/Metal Other 7. Do you have ceiling fans? Y / N 8. Is there a fan in your bedroom? Y / N 9. Has there been any water damage to your home? Y / N 10. Was it repaired? Y / N 11. If the patient is a child, does he/she go to daycare? Y / N 12. Are there any disputes/divorce situations that make your child’s care more difficult? Y / N If yes, please describe__________________________ What is your family history of illness? ( please limit to allergy, asthma, eczema, immune deficiency, etc.) -Please list relative(s) and condition(s) • _______________________________________________________________ • _______________________________________________________________ • _______________________________________________________________ Please mark problems experienced in the past 12 months. If yes, describe. 1. Fever? Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________ Y / N __________________________________
Current Meds

List all your current medications (Include over-the-counter medications, eye drops, nose
sprays, multi-vitamins, herbal supplements, hormones, high blood pressure meds, etc.)
Medications Tried Past or Present

Medications continued
Emergency Contact Information Name _________________________________ Relationship ____________________________ Home phone# ___________________________ Work/Cell phone # _______________________ Signature ________________________________ Date___________________________ History reviewed by ___________________________ Date________________________

Source: http://www.aaiadallas.com/docs/patient_questionaire.pdf