Tadalafil appartiene alla classe degli inibitori selettivi della fosfodiesterasi di tipo 5, con un profilo farmacocinetico caratterizzato da un’emivita terminale di circa diciotto ore. Dopo somministrazione orale viene assorbito rapidamente e raggiunge concentrazioni plasmatiche massime in due ore. La biotrasformazione avviene principalmente tramite CYP3A4 con formazione di metaboliti inattivi, escreti in prevalenza con le feci. L’elevato legame alle proteine plasmatiche (>90%) assicura una distribuzione stabile. Nei confronti delle altre molecole della stessa classe, cialis compresse italia è noto per la durata prolungata dell’attività farmacologica.
KU Integrative Medicine Mental Changes: Symptoms: Rate symptoms on a scale of 0 - 5 for absence or severity
____ Pervasive sense of fatigue, wake up tired, “Brain fog” ____ Feeling depressed or negative ____ Feeling stressed or “burned out” ____ Feeling Irritable or angry more often ____ Anxiety or increased nervousness or “panic attacks” ____ Forgetful, poor memory ____ Unable to concentrate or maintain focus ____ Decreased assertiveness ____ Loss of motivation or initiative to start new projects, hobbies ____ Becoming a “Couch potato” ____ Feeling that work, relationships, past pleasures have lost significance ____ Total Score Sexual Function: Symptoms: Rate symptoms on a scale of 0 - 5 for absence or severity
____ Decreased Early Morning Erections ____ Diminished Libido ____ Difficulty achieving an erection ____ Decreased fullness or turgidity ____ Decreased ability to maintain full erection after penetration ____ Diminished strength of orgasm ____ Decreased volume of ejaculate ____ Reduced of sensation of the penis ____ Premature ejaculation ____ recent ____ long term ____ Length of time in years since first changes noted ____ Response to Viagra, Levitra or Cialis ____ Use of other methods (pump, injections) ____ Total Score Physical Changes: Symptoms: Rate symptoms on a scale of 0 - 5 for absence or severity
____ Feeling sore all over, aches in muscles or joints ____ Frequent neck or back pains ____ Decreased strength or stamina ____ Decrease in muscle size, fullness, tone, increased “flabbiness” ____ Increased stiffness or decreased flexibility, mobility ____ Harder to recover from heavy exercise or workout ____ Diminished effects from workouts – strength, tone, muscle ____ Increased tendency fro strains, pulled muscles ____ Shortness of breath at lower levels of exertion ____ Lack of competitive drive in sports ____ Total Score Urologic Problems Answer yes (+) or no (-)
____ Enlarged prostate (BPH) ____ mild ____ moderate ____ severe ____ Urinary frequently. Reduced flow, dribbling or leakage ____ Nighttime urination ____ X per night ____ Non-medical treatments ____ Saw Palmetto or combination ____ Medical Treatment: ____ Proscar / Propecia ____ Avodart ____ Flomax ____ Prostatitis ____ mild ____ moderate ____ severe ____ recurrent ____ ____ Increased or ____ normal range PSA (range ______________ ng/dl) ____ Treatment for BPH ____ TURP ____ TUNA ____ Laser – Year? ____ ____ Prostate cancer (Year diagnosed) ____ Gleason score ____ ____ Treatment(s) ____ surgery ____ radiation ____ Cryo ____ Lupron ____ Vasectomy ____ Varicocele ____ Hydrocele ____ Hernia ____ Year? ____ ____ Infertility Problem ____ Total Positives Physical Changes Answer yes (+) or no (-)
____ Weight Gain ____ Increasing central weight – “Beer Belly” ____ Increase in breast fat ____ Lightheadedness, dizziness, ringing in ears ____ Headaches or recent onset of migraine type headaches ____ Leg cramps or swollen ankles ____ Sleep problems, sleep apnea, night sweats, or “Hot flashes” ____ Emphysema or asthma ____ Chronic inflammatory disease, colitis, rheumatoid arthritis ____ Arthritis in shoulders, hands, hips, knees, or feet ____ Varicose veins, hemorrhoids, or varicocele ____ Loss of body hair or decreased beard growth rate ____ Total Positives Metabolic changes Answer yes (+) or no (-) ____ Increased cholesterol, triglycerides or decreased HDL ____ Higher blood sugar or the onset of adult type 2 Diabetes ____ High Blood Pressure ____ Shortness of breath with exercise, exertion, climbing stairs ____ Racing heart, extra beats, atrial fibrillation ____ Chest pains, heart problems, or blocked arteries ____ Past heart attack, Bypass surgery or stent ____ Past stroke or TIA (mini-stroke) ____ Thyroid gland problems ____ Adrenal gland problems ____ Kidney problems, stones, cysts, infection ____ Total Positives ____ Sum Total Positive Name_______________________________________________ Date_____________________
CODIGO DEONTOLOGICO O DE CONDUCTA DE RADIO TROPICANA 96.5 FM SPIN S.A. Radio Tropicana 96.5 FM , en acatamiento a las disposiciones obrantes en la Ley Orgánica de Comunicación, publicada en el Registro Oficial No. 22 de martes 25 de junio de 2013, expide el presente Código Deontológico o de Conducta, incorporando al mismo las disposiciones y normas que obran del artí