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Routes of Administration

Routes of Drug Administration • PARENTERAL


• ENTERNAL - Administration of drugs
- Routes by which drug is by bypassing the GIT.
placed into the GIT. - The routes of injection

1. Intravenous Injection - the


Oral Route
drug is introduced directly to the
Advantages
bloodstream.
● Simple
● Convenient
Advantages
• Most rapid onset
Disadvantages
(immediate)
● Longer onset
• Can
● Stomach and intestinal
accommodate largest
irritation
volume of drug
● Inactivation by GIT
• More predictable
acidity or enzymes
drug response
● First-pass effect
• Emergency
● Less predictable blood
route
levels
• Constant
plasma level can be
Rectal Route maintained
Advantages
● Nausea and Disadvantages
unconsciousness does • Occurrence of
not prevent drug hazardous reactions
administration • Recall not
● Has both local effect and possible
systemic absorption • Too rapid
injection can have
Disadvantages adverse effects
● Few drugs can only be • Most dangerous
absorbed rectally route
● Absorption of many drugs
is irregular and 2. Intramuscular -
incomplete Delivery of the drug deep into the
muscle
Advantages
Routes of Administration

• Rapid onset • front of the thigh


• Irritating drugs
are tolerated 4. Intradermal
• Less pain - Drug is injected
compared to into the skin
subcutaneous - Sensitivity testing

Disadvantages 5. Intrathecal
• Not - a.k.a. Intraspinal
recommended for - For local and
repetitive drug rapid effect of
administration drugs on the
meninges or
Injection Site cerebrospinal
• Deltoid region axis
• Gluteal mass underlying - drugs are injected
the upper outer quadrant directly into the
• Triceps spinal
• Rectus femoris subarachnoid
space
3. Subcutaneous - Inject
a drug into the tissue layer
between the skin and the muscle

Advantages
• Rates of drug
absorption may be
modified

Disadvantages
• Irritation
• Slow absorption
-> Pellet
implantation

Site of injection
• outer surface of
the arm
Routes of Administration

Advantages:
• Rapid absorption
• Bypass of GIT
• Unconscious patient

Disadvantages
• Eating, drinking, and
smoking
• INHALATION • Irritation of existing
- Gaseous, sores
microcrystalline, and
volatile drugs
- Absorption is through
pulmonary endothelium
at the alveoli and mucous
membrane of reparatory
tract
- Fast absorption

• TOPICAL ADMINISTRATION
- Application of drug to the
skin and other epithelial
surfaces
- Used for local drug
effects
- Low systemic side effect

• SUBLINGUAL
- SUBLINGUAL
administration is when
medication is placed
under the tongue to be
absorbed by the body.
- BUCCAL administration
involves placement of the
drug between the gums
and the cheek

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