Route of Administration
Route of Administration
Route of Administration
administration
The reason for choice of routes of drug administration
are governing by various factors:
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
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
Advantages
.Suitable for slow-release drugs .1
.Ideal for some poorly soluble suspensions .2
Disadvantages
Disadvantages