Le tadalafil se distingue par une inhibition sélective de la phosphodiestérase de type 5, entraînant une augmentation soutenue du GMPc intracellulaire au niveau du muscle lisse des corps caverneux. Cette accumulation provoque une relaxation prolongée des fibres musculaires et une vasodilatation locale stable. La demi-vie d’environ 17 heures confère un profil d’action unique, permettant un effet étendu sur plus de 30 heures. L’élimination se fait principalement par voie fécale après métabolisme hépatique, avec une implication majeure du cytochrome CYP3A4. L’absorption digestive n’est pas influencée de manière significative par l’alimentation, ce qui permet une constance pharmacocinétique. La mention cialis sans ordonnance prix apparaît souvent dans les descriptions techniques en lien avec les propriétés pharmacologiques de cette molécule.

Oralsurgeonvista.com

Dr. Blalock - Oral and Maxil ofacial Surgeon POST- OPER ATIVE INSTRUC TIONS
No rinsing or spit ting for the f ir st day following surger y. Do not use drinking straws or
smoke 7 to 10 days following surger y. No alcoholic beverage s (including mouthwash)
for 3 days or while t aking any pain medications. Tomorrow, st ar t rinsing with warm salt
water 36 to 4 time s a day for a week or until tenderne ss is gone. No carbonated drink s
or sof t drink s one week following surger y.
Pre ssure : Helps control bleeding, swelling and holds the gum tissue against the bone to
promote proper and rapid healing. Bite on gauze for 2- 6 hour s then remove. When a lit tle
blood mixes with saliva in the mouth it may appear to be a lot. If bleeding continues af ter several hours apply gauze or a moist tea bag (t annic acid) to the area to control the bleeding. If bleeding still continues call the doc tor.
Diet : Nourishment for the f irst day is ver y impor t ant. Af ter the gauze is removed, a sof t diet is
recommended for the f ir st day (example: Jell- O, pudding, mashed pot atoes, fruit smoothies with a spoon, no straw, etc.) and normal diet should be resumed as soon as possible. A lot of liquids should be t aken, but nothing hot on the f ir st day, due to numbness. Note : Medic ations should
not be t aken on an empt y stomach.
Pain : The f irst 24 to 48 hours af ter surger y are usually the most dif f icult. Take a pain pill
af ter removing the gauze and before the anesthetic wear s of f. From there on, please follow the Ice : Controls swelling and pain. Should be used for 48 hours continuously with shor t break s
ever y 20 minutes. Elevations of the head (20 degrees, about 2 pillows) for 48 hours will help control swelling. Maximum swelling usually occurs 24 to 72 hours following surger y.
Nausea : May occur especially af ter general anesthesia. Clear liquids should be t aken such as
broth, f lat 7-up, Jell- O, or tea until nausea subsides, af ter which a normal diet may be resumed. Dramamine or Meclizine (Bonine) are both over the counter medications that are advisable for Brushing : You may brush and f loss the f irst day af ter surger y. Brush lightly in the area of the
Misc . : Pain in the ear, dif f icult y in swallowing, opening and closing of your mouth and some
local discoloration of the skin are additional f indings which occur with var ying frequenc y. Any symptoms lasting longer than 5 days should be check by the doc tor.
IN C A SE OF AN EMERGENC Y, C ALL (760) 724 -8891
MON – THUR 8AM – 5PM, FR I 7AM – 3PM
IN C A SE OF AN EMERGENC Y AF TER HOUR S (760) 720 -8151 Pager
Dr. Blalock - 145 Cedar Road - Vist a, C A 92083 - (760) 724 -8891 - OralSurgeonVist a.com

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