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.

Dear yo,

Golytely/Nulytely/Colyte Bowel Preparation Instructions
PLEASE READ ALL OF THESE INSTRUCTIONS CAREFULLY
At anytime should you have any questions about the instructions, please contact our office at (520) 327-3454 (during normal business hours) so a staff member can go over them with you. Please visit our website atfor additional patient information.


5 DAYS BEFORE YOUR EXAM
 STOP taking all anticoagulants; Coumadin, Heparin, Lovenox, Plavix , Aggranox (if okay with your Primary Care physician
or Cardiologist). If you must continue them, please let us know.  STOP any bulking agents; Metamucil, Citrucel, Gemfibrozil, Ginseng, Ginkgo, Garlic tablets, Vitamin E, Multi Vitamins, &

DAY BEFORE YOUR EXAM – Clear liquid diet only after light breakfast.
 Do not take any oral diabetic medications the day before or the morning of your exam.
 Insulin dependent diabetics should take ½ the usual dose of Insulin the day before your exam and ½ the usual dose on the
day of your exam. Continue to monitor blood sugar as usual.  Take any heart and/or blood pressure medications as usual.
 IN THE MORNING mix the NULYTELY/GOLYTELY/COLYTE (1 gallon laxative) with water & refrigerate. If it is the
unflavored powder & you wish to flavor the beverage, add Crystal Light powder (lemon or lime flavor) into the gallon mix.  You may have a light breakfast prior to 9:00 am the day before your exam which may include any of the following items:
o Any items from the “Clear Liquids Diet List”
o One boiled or poached egg or a small portion (4 ounces) of skinless chicken, turkey or fish.
o 1 piece of white toast – NO butter
o One 8 oz. can of Ensure (do not take Ensure Plus)
 Drink as much of the clear liquid diet as you can through out the day which includes; Beverages- Soft drinks (orange,
ginger ale, cola, Sprite, 7-Up, etc), Gatorade, Kool-Aide, strained fruit juices w/o pulp (apple, white grape, lemonade, etc.), water, tea, or coffee. No milk or non-dairy creamer. No beverages that are red or purple in color. Soups- Low sodium
chicken or beef bouillon/broth. Desserts- Hard candies, Jell-O (lemon, lime, or orange; no fruit or toppings), or popsicles
(no sherbets or fruit bars).
 Lunch and Dinner ~ LIQUID DIET ONLY Drink all the clear liquids you like. NO SOLID FOOD.
 AT 5 PM ~ Start drinking the NULYTELY/GOLYTELY/COLYTE. Drink only ½ of the 1 gallon laxative.
 Refrigerate the remaining ½ gallon of laxative for tomorrow.
 Individual responses to laxatives vary. Remain close to a toilet, as multiple bowel movements will occur.
DAY OF YOUR EXAM – Clear liquids only as directed. NO solid food until exam has been completed.
 Starting at ______________ drink the remainder of the 1 gallon laxative within 2 hours.
 Take any heart and/or blood pressure medications as usual.
 STOP DRINKING CLEAR LIQUIDS 2 HOURS PRIOR TO YOUR EXAM.
 Please wear sensible shoes (NO heals) and comfortable clothing.
 Please bring a list of your medications with you.
***YOU MUST HAVE SOMEONE DRIVE YOU HOME AFTER YOUR EXAM. WE REQUEST
THAT YOUR DRIVER REMAIN DURING YOUR EXAM***
We open our doors promptly at 6:30 a.m. so please plan your arrival accordingly
Tucson Gastroenterology Specialists, PC
3040 N. Swan Road, Ste B ●Tucson, Arizona 85712
Phone (520) 327-3454 Fax (520) 327-3431

Source: http://www.tucsongastro.com/wp-content/uploads/Golytely%20Prep.pdf