Tadalafil gehört zur Gruppe der PDE5-Hemmer und wirkt über eine hochselektive Blockade des Enzyms Phosphodiesterase Typ 5. Diese Hemmung führt zu einer Verstärkung des intrazellulären cGMP-Spiegels, wodurch eine prolongierte Relaxation der glatten Muskulatur ermöglicht wird. Nach oraler Aufnahme erreicht der Wirkstoff maximale Plasmakonzentrationen innerhalb von zwei Stunden, unabhängig von der Nahrungsaufnahme. Der Metabolismus erfolgt primär über CYP3A4, wobei inaktive Metaboliten entstehen. Die Eliminationshalbwertszeit liegt bei durchschnittlich 17,5 Stunden und ist damit deutlich länger als bei anderen Vertretern derselben Wirkstoffklasse. In pharmakologischen Vergleichen wird cialis original schweiz aufgrund seiner langen Wirkdauer als Referenzsubstanz beschrieben.
Mr/mrs/miss/ms first name __________________________ surname _______________________________________
Mr/Mrs/Miss/Ms First Name __________________________ Surname _______________________________________ Today’s Date ________________ Date of Birth __________________ Age _____________________________________ Address __________________________________________________________________________________________ e-mail address
Home tel _____________________ Mobile ______________________ Work ________________________________ No. of dependent children ________ Occupation __________________ GP ____________________________ Questions about your smoking How recently has your GP advised you to stop smoking? In the last year / More than a year ago / Never Did your GP suggest you contacted Quitline on this occasion? Yes / No What is your main reason for wanting to stop now? To save money / Protect my health / To please others / How many cigarettes do you usually smoke each day?
What type of cigarette do you usually smoke? Ultra lights / lights / standard / roll ups / cigars Do you regularly use cannabis or legal highs? No / Yes With tobacco / Yes but not with tobacco How old were you when you first started smoking regularly ?
How soon after waking do you usually smoke? Within 5mins / 6-15mins / 16-30mins / after 1 hour Does your partner or anyone you live with smoke? No / Live alone / Yes Partner / Yes someone else How often do you wake up in the night and smoke? Never / Rarely / 1-2 times a week / Most nights Do you find it difficult not to smoke in non-smoking areas? Yes / No
Do you smoke more in the first few hours of the day? Yes / No Do you smoke if you are so ill you are in bed for most of the day? Yes / No How many times have you tried to stop in the last 5 years? Never / Once / 2-3 times / 4-5 times / over 5 times What is the longest time you’ve succeeded in stopping for? Hours / days / weeks / 1-3 months / over 3 months Which of these have you tried to help you stop? Nicotine Replacement Therapy, please specify type __________ Zyban / Champix / Any other method eg hypnotherapy, please specify ______________________ Have you had any side effects from a) Zyban Yes / No b) Champix Yes / No c) NRT Yes / No What was the main thing that led you back to smoking last time? Got too miserable / Craved too much / Put on weight / Got bad tempered / Got too stressed / Thought I could stop again easily / Cannabis smoking / Getting drunk / Something else On a scale of 1-10 (1 least determined/confident and 10 very determined/confident)
How determined are you to stop for good in the next few weeks? How confident are you of succeeding? 1 2 3 4 5 6 7 8 9 10 How did you hear about Quitline? Doctor / nurse / friend or family / radio / newspaper / poster or leaflet / other Have you been to Quitline before? Yes / No - If yes how long ago _______________ Are you a permanent Guernsey resident?
Questions about your health
How many times have you been to your GP about your health in the last year? Not at all / 1 or 2 times / 3 or 4 times / 5 -10 times / more than 10 times. In a typical WEEK how many alcoholic units (small glass of wine / half beer / single spirit) do you usually drink? None / 1-10 / 11-20 / 21-30 / 31-40 / 41-50 / more than 50 If you are female, are you Pregnant / Trying to conceive / Breast feeding / None of these Have you ever suffered from these illnesses? Are you still being treated ?
(circle one) Name of any medicines you are STILL taking
Any other current illness not listed above?
Any other medicines / tablets / injections not listed above?
Are you due for surgery? Yes / No If yes please give details Have you had recent surgery? Yes / No If yes please give details
All information collected is confidential and will be stored in accordance with Data Protection. I am aware I will be contacted by Quitline following my quit attempt to record progress. I understand and agree that the data may be passed on to my Doctor. Signed _____________________________________ Date _____________________
To be completed by Stop Smoking Specialist
Cessation method Quit date ____________________________________ Coppm ______________________________ Client seen : Group Drop In 1 to 1 Home visit Hospital inpatient Any further information NRT products given ……………………………………………. Received by ………………………………………………. Staff signature ………………………………………………….
Laborinformation / Klin. Chemie 15 01/2008 Sinnvolle Labordiagnostik bei CK-Erhöhung Eine Erhöhung der Creatinkinase (CK) wird häufig unerwartet im Rahmen einer routinemäßigenBlutentnahme festgestellt. In Abhängigkeit von der Anamnese und dem klinischen Befund führtdies zu den Fragen: Wie ist die Erhöhung bei dem klinisch gesund erscheinenden Patienten zubewerten? Ist sie Folge des bek