Route of Administration

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 17

Routes of drug

administration
 The reason for choice of routes of drug administration
are governing by various factors:

♡ Physical and chemical properties of the drug.


-The physical properties are solid, liquid and gas.
-The chemical properties are solubility, stability, pH, irritancy etc

♡ Site of desired action: may be localized or generalize.


♡ Rate of extent of absorption of the drug from different routes.
♡ Effect of digestive juices and the first pass metabolism of drugs.
♡ Condition of the patient.
Routes of drug administration
Classification

Systemic Local
Enteral Parenteral • Skin topical
Inside the GIT Outside the GIT
• Ocular drops
• Oral • Sublingual
• rectal • Ear drops
• Inhalational
• Intranasal drops
• Intravenous

• Intramuscular

• Subcutaneous

• Transdermal
A. Enteral

1. Oral:Oral administration is a route of


administration where a substance is taken
through the mouth (Per os).

Advantages
1. Economical
2. Easily self-administered
3. The safest route; as the overdose of an oral drug may be overcomed
with antidotes, such as activated charcoal.

Disadvantages
1. The pathways involved in oral drug absorption are the most
complicated due to the first-pass metabolism.
2. The low gastric pH inactivates some drugs.
2. Sublingual/buccal:
Placement under the tongue allows a drug to diffuse into the
capillary network and enter the systemic circulation directly.
Example: Nitroglycerin.

Advantages
1. Ease of administration.
2. Rapid absorption.
3. Bypass destruction by stomach acid, bypass first-pass metabolism.

Disadvantages
1. Limited to certain types of drugs
2. Limited to drugs that can be taken in small doses
3. May lose part of the drug dose if swallowed.
3. Rectal:

Advantages:
1. Useful if the drug induces vomiting when given orally.
2. If the patient is already vomiting, or if the patient is unconscious.

Disadvantages:
1. Can't be used in diarrhea.
2. Rectal absorption is often irregular and incomplete.
3. Many drugs irritate the rectal mucosa.
B.Parenteral

Uses
1. Parenteral administration is used for drugs that are poorly absorbed from
the GI tract (for example, heparin) and unstable drugs in the GI tract (for
example, insulin)
2. If a patient unconscious.
3. In circumstances that require a rapid onset of action.

Advantages:
4. Parenteral routes have the highest bioavailability
5. The drugs are not subjected to the first-pass metabolism or the harsh GI
environment.

Disadvantages
1. These routes of administration are irreversible
2. May cause pain, fear, local tissue damage, and infections.
Intravenous .1
The most common parenteral route.

Advantages:
Can have immediate effects
Ideal if dosed in large volumes
In emergency situations
Ideal for high molecular weight
1. Proteins and peptide drugs (e.g. Albumin)
2. Ideal for irritant drugs because the substance is rapidly diluted by the
blood.

Disadvantages:
1. Unsuitable for oily substances.
2. Bolus injection may result in adverse effects.
3. Most substances must be slowly injected.
4. Strict aseptic techniques needed.
Intramuscular .3
Drugs administered IM can be in
aqueous solutions, which are
absorbed rapidly, or in specialized
depot preparations, which are
absorbed slowly.

Advantages
1. Suitable for oily vehicles and certain irritating substances
(e.g. iron dextran intramuscular injection)
2. Preferable to intravenous injection if the patient must self-
administrate

Disadvantages
1. Painful
2. Can cause intramuscular hemorrhage.
:Subcutaneous injection .3

Like IM injection, SC injection


provides absorption via simple
diffusion and is slower than the IV and
.IM route

Advantages
.Suitable for slow-release drugs .1
.Ideal for some poorly soluble suspensions .2

Disadvantages

.Pain or necrosis if drug is irritating .1


.Unsuitable for drugs administered in large volumes .2
4. Intradermal injection

It is a shallow or superficial injection


of a substance into the dermis.

This route is relatively rare compared


to injections into the subcutaneous
tissue or muscle. Due to the more
complex use.

It is used for certain therapies only,


such as tuberculose tests and allergy
tests.
(Because the body's reaction to
substances is more easily visible
since it is closer to the surface.)
5. Inhalation:

Inhalation routes, both oral and nasal , provide rapid delivery of a


drug across the large surface area of the mucous membranes of the
respiratory tract and pulmonary epithelium.
Advantages

 Drug effects are almost as rapid as those with IV bolus.

 This route is effective and convenient for patients with


respiratory disorders (such as asthma or chronic obstructive
pulmonary disease), because the drug is delivered directly to
the site of action, thereby minimizing systemic side effects..

Disadvantages

 Patient may have difficulty regulating dose.

 Some patients may have difficulty using inhalers.


6. Transdermal

This route of administration achieves


systemic effects by application of
drugs to the skin, usually via a
transdermal patch .

The rate of absorption can vary


markedly, depending on the
physical characteristics of the skin
at the site of application, as well as
the lipid solubility of the drug.

Example: Nicotine transdermal


patches, which are used to facilitate
smoking cessation.
Topical:
Topical application is used when a local effect of the drug
is desired.

For example: Clotrimazole is a cream, applied directly to


the skin for the treatment of fungal infections.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy