Il legame proteico superiore al novanta per cento limita la frazione libera del Tadalafil, ma assicura stabilità cinetica e prolungata distribuzione. L’assorbimento gastrointestinale è rapido e non risente significativamente della presenza di cibo. L’eliminazione avviene per via biliare con scarsa quota renale. L’interazione con forti inibitori del CYP3A4 determina incremento marcato delle concentrazioni plasmatiche. Per queste caratteristiche, cialis online italia viene catalogato tra i farmaci a lunga emivita del gruppo PDE5.

Archive for March 4th, 2008

4 Mar

Adenomatous Goiter in 34 years old Female

4 Comments | Category: Cancer

microsA few days ago, I’ve done a fine needle aspiration biopsy(FNAB) on a big lump in the neck of a female patient, 34 years of age. She has the lump since 20 years ago, it grows bigger and bigger until a diameter of 15 cm, when the first time she saw me. At that time I made a diagnose of adenomatous goiter, due to the abundant macrophages seen on her slides. Read the rest of this entry »

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4 Comments | Category: Cancer

  • About

    Dr. Sukma Merati, DSPADr. Sukma Merati is founder and owner of Riau Pathology Center in Pekanbaru, Riau. Dr. Merati has had various international experience and training, including as a fellow doctor at The Mount Sinai Hospital in New York City, NY, USA (2000-2002). More >

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