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.
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MEDICINES TYPICALLY NEEDED AT CLINIC
NAME BRAND OR GENERIC NUMBER OF PATIENTS ANTACID and ELECTROLYTES Calcium Carbonate 500mg chewable Oral Rehydration Salts ANALGESICS AND ANTIINFLAMATORY Acetaminophen 325 mg tabs Acetaminophen 500 mg tabs Acetaminophen 80 mg chewable children tabs Acetaminophen drops 80 mg/0.8ml; 15ml Ibuprofen 200 mg tabs Ibuprofen 400 mg Ibuprofen Liquid Medrol Dospaks ANTIBIOTICS Amoxicillin 250 mg chewable tabs Amoxicillin 500 mg Amoxicillin for o/s 250mg/5ml; 100ml Cephalexin 500mg caps (like Keflex) Cipro 500 mg tabs Doxycycline hyclate tabs 100 mg Erythromycion sitearate BP 250mg tabs Flagyl 500 mg Fluconazole 150mg tab (like DIFLUCAN) Metronidazole 500mg tabs (like FLAGYL) Zithromax Suspension Z-pak or similar ANTIDIARRHEALS & ANTISPASMOTIC Loperamide HCL 2mg caps (like IMMODIUM) Imodium Liquid Donnatal tablets Mylicon Drops Dramamine Antiacid tablets ANTIHISTAMINE, DECONGESTANTS, COMBINATIONS Albutenol sulfate syrup 2mg 5m; 1 pint(473ml) (like VENTOLIN) Guaif/PSE/DM Syrup Antihistamine/Decongest. Syrup Adult Cold Tablets Childrens Cold Tablets Albuterol Tablets ANTIHYPERTENSIVE & DIURETIC Hydrochlorothiazide 25mg tabs -- HCTZ Potassium other BP medication of choice ANTISPASMODIC, ANTICHOLENERIGIC BRONCHIAL DILATORS Albuterol sulfate 0.083% 2.5mg/3ml inhalation solution DIABETES, HYPOGLYCEMICS Glipizide 5mg tabs (like GLUCOTROL) Metformin HCL 500mg tabs (like GLUCOPHAGE) OTIC & OPTHALMIC Gentamacin Sulfate 0.3% Opthalmic Solution, 5ml Cortisporin Otic Sys. Vo Sol HC Otic Erythromycin Opthalmic Oint. VITAMINS (30 DAY SUPPLY) Adult Multivitamin with Iron and Iodine Childrens chewable Infant vitamin drops Iron tablets Prenatal Vitamin INJECTABLES Lidocaine HCL 2% inj. 20mg/ml; 50ml m.d.v. Xylocaine 2% w/epinephrine 10mg/ml; 20ml (MDV) 1 - more if surgeon is part of team Adrenalin Epinephrine Sterile water for inject Benadryl SKIN CONDITIONS Hycortisone 1% Cream 1oz (30gm) tube Nystatin and triamcinolone acetonide cream 1.2 oz (15gm) tube Scabies Solution - non-toxic enzyme concetrate 32 oz 16 treatments/bottle Scabies soap Antibiotic ointment Silvadene 1 large jar VAGINALS Clotrimazole vaginal cream USP 1% antifungal 45gm (1.5oz) w/app MISCELLANEOUS Birth control pills all you can get all you can get Pregnancy tests all you can get Insulin needles OTHER CLINIC NEEDS Adhesive bandage 1"x3" sterile non stick (like BAND AIDS) Alcohol Preps 200/box Gauze Sterile 4.5" x 147" 6 ply roll kinked Glove latex surgical sterile Glove non sterile large - 100/box 1 box per medical professional per day Glove non sterile medium - 100/box Glove non sterile small - 100/box Syringes, Assorted Sizes Tape, Adhesive surgical paper 1" x 120 yd Thermometer DIGITAL with beeper, case, battery Thermometer DIGITAL probe covers patient medical record sheets autoclave instrument sleeves all you can get LABORATORY NEEDS Urine Dip Strips Multi lab stix BS monitor stix urine collection cups 2 x 2 gauze sponges hematocrit tubes(micro-capillary tubes) 1 container microscope slides with frosted ends slide covers OTHER PHARMACY NEEDS Zip Loc Bags 3" x 5" x 2mil; Zip Loc Bags 3" x 4" x 2mil; Tote Bags for Patients to carry multiple medicines home.
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PROTOCOL KRENTENBAARD ALGEMENE INFORMATIE Wat is het? Krentenbaard of impetigo is een besmettelijke aandoening van de huid die veroorzaakt wordt door de stafylokok of streptokok bacterie. Door de infectie ontstaan rode plekken, blaasjes met geel vocht en geelbruine korstjes. De infectie komt meestal in het gezicht voor rond de neus of mond, vandaar de naam krentenbaard. De infe