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CHANNELS OF
DRUG
ADMINISTRATION
ENTERAL PARENTERAL TOPICAL
ENTERAL
ORAL
RECTAL
BUCCAL
SUBLINGUAL
ORAL ROUTE
 Oral refers to
two methods of administration:
 applying topically to the mouth
 swallowing for absorption along the gastrointestinal
(GI) tract into systemic circulation
ORAL
 Advantages
 Convenient - can be self- administered, pain free,
easy to take
 Absorption - takes place along the whole length of
the GI tract
 Cheap - compared to most other parenteral routes
ORAL
 Disadvantages
 Sometimes inefficient - only part of the drug may
be absorbed
 First-pass effect - drugs absorbed orally are
initially transported to the liver via the portal
vein
 irritation to gastric mucosa - nausea and vomiting
ORAL
 Disadvantages cont.
 destruction of drugs by gastric acid and
digestive juices
 effect too slow for emergencies
 unpleasant taste of some drugs
 unable to use in unconscious patient
Oral Dosage Forms
 Common dose forms for oral administration
 tablets
 capsules
 liquids
 solutions
 suspensions
 syrups
 elixirs
SUBLINGUAL ROUTE
 Sublingual administration is
where the dosage form is
placed under the tongue
rapidly absorbed by
sublingual mucosa
SUBLINGUAL ROUTE
ADVANTAGES
 ECONOMICAL
 QUICK TERMINATION
 FIRST-PASS AVOIDED
 DRUG ABSORPTION IS QUICK
DISADVANTAGES
 UNPALATABLE & BITTER DRUGS
 IRRITATION OF ORAL MUCOSA
 LARGE QUANTITIES NOT GIVEN
 FEW DRUGS ARE ABSORBED
10
BUCCAL ROUTE
 Buccal
administration is
where the dosage
form is placed
between gums and
inner lining of the
cheek (buccal
pouch)
absorbed by
buccal mucosa
BUCCAL ROUTE
ADVANTAGES
– Avoid first pass effect
– Rapid absorption
– Drug stability
DISADVANTAGES
– Inconvenience
– advantages lost if
swallowed
– Small dose limit
RECTAL ROUTE
ADVANTAGES
 USED IN CHILDREN
 LITTLE OR NO FIRST PASS EFFECT
 USED IN
VOMITING/UNCONSCIOUS
 HIGHER CONCENTRATIONS RAPIDLY ACHIEVED
DISADVANTAGES
 INCONVENIENT
 ABSORPTION IS SLOW AND ERRATIC
 IRRITATION OR INFLAMMATION OF RECTAL
MUCOSA CAN OCCUR
13
SYSTEMIC-PARENTERAL
 Parenteral administration is
injection or infusion by means of
a needle or catheter inserted into
the body
 The term parenteral comes from
Greek words
 para, meaning outside
 enteron, meaning the intestine
 This route of administration
bypasses the alimentary canal
SYSTEMIC-PARENTERAL
15
 INJECTABLES
I. INTRAVENOUS
II. INTRAMUSCULAR
III. SUBCUTANEOUS
IV. INTRA-ARTERIAL
V. INTRA-ARTICULAR
VI. INTRATHECAL
VII. INTRADERMAL
 INHALATION - Absorption through the lungs
INTRAVENOUS
ADVANTAGES
 BIOAVAILABILITY 100%
 DESIRED BLOOD
CONCENTRATIONS ACHIEVED
 LARGE QUANTITIES
 VOMITING & DIARRHEA
 EMERGENCY SITUATIONS
 FIRST PASS AVOIDED
 GASTRIC MANUPALATION
AVOIDED
DISADVANTAGES
 IRRITATION & CELLULITIS
 THROMBOPHELEBITIS
 REPEATED INJECTIONS NOT
ALWAYS FEASIBLE
 LESS SAFE
 TECHNICAL ASSISTANCE
REQUIRED
 DANGER OF INFECTION
 EXPENSIVE
 LESS CONVENIENT AND
PAINFUL
16
INTRAMUSULAR ROUTE
ADVANTAGES
 ABSORPTION
REASONABLY UNIFORM
 RAPID ONSET OF
ACTION
 MILD IRRITANTS CAN BE
GIVEN
 FIRST PASS AVOIDED
 GASTRIC FACTORS CAN
BE AVOIDED
DISADVANTAGES
 ONLY UPTO 10ML DRUG
GIVEN
 LOCAL PAIN AND ABCESS
 EXPENSIVE
 INFECTION
 NERVE DAMAGE
17
SUBCUTANEOUS
 Injected under the skin.
 Absorption is slow, so action is prolonged.
IMPLANT :a tablet or porous capsule is inserted into
the loose tissues by incision of the skin, which is
then stiched up.
example : certain hormonal drugs
INTRA-ARTERIAL
 Rarely used
 Anticancer drugs are given for localized effects
 Drugs used for diagnosis of peripheral vascular
diseases
INTRA-ARTICULAR
 injections of antibiotics
and corticosteroids are
administered in
inflammed joined
cavities by experts.
example: hydrocortisone
in rheumatoid arthritis
INTRADERMAL
 drug is given within skin layers
(dermis)
 Painful
 Mainly used for testing sensitivity
to drugs.
e.g. penicillin, ATS (anti tetanus
serum)
INOCULATION :administration of
vaccine (like small pox vaccine )
Topical Routes of Administration
 Topical administration is the application of a drug
directly to the surface of the skin
 Includes administration of drugs to any mucous
membrane
 eye – vagina
 nose – urethra
 ears – colon
 lungs
Topical Dosage Forms
Dose forms for topical administration include:
 Skin:
 creams
 ointments
 lotions
 gels
 transdermal patches
 disks
• Eye or ear:
– solutions
– suspensions
– ointments
• Nose and lungs:
– sprays and powders
Transdermal
absorption of drug through skin (systemic action)
i. stable blood levels
ii. no first pass metabolism
iii. drug must be potent or patch
becomes too large

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Routes of drug administration1

  • 1.
  • 4. ORAL ROUTE  Oral refers to two methods of administration:  applying topically to the mouth  swallowing for absorption along the gastrointestinal (GI) tract into systemic circulation
  • 5. ORAL  Advantages  Convenient - can be self- administered, pain free, easy to take  Absorption - takes place along the whole length of the GI tract  Cheap - compared to most other parenteral routes
  • 6. ORAL  Disadvantages  Sometimes inefficient - only part of the drug may be absorbed  First-pass effect - drugs absorbed orally are initially transported to the liver via the portal vein  irritation to gastric mucosa - nausea and vomiting
  • 7. ORAL  Disadvantages cont.  destruction of drugs by gastric acid and digestive juices  effect too slow for emergencies  unpleasant taste of some drugs  unable to use in unconscious patient
  • 8. Oral Dosage Forms  Common dose forms for oral administration  tablets  capsules  liquids  solutions  suspensions  syrups  elixirs
  • 9. SUBLINGUAL ROUTE  Sublingual administration is where the dosage form is placed under the tongue rapidly absorbed by sublingual mucosa
  • 10. SUBLINGUAL ROUTE ADVANTAGES  ECONOMICAL  QUICK TERMINATION  FIRST-PASS AVOIDED  DRUG ABSORPTION IS QUICK DISADVANTAGES  UNPALATABLE & BITTER DRUGS  IRRITATION OF ORAL MUCOSA  LARGE QUANTITIES NOT GIVEN  FEW DRUGS ARE ABSORBED 10
  • 11. BUCCAL ROUTE  Buccal administration is where the dosage form is placed between gums and inner lining of the cheek (buccal pouch) absorbed by buccal mucosa
  • 12. BUCCAL ROUTE ADVANTAGES – Avoid first pass effect – Rapid absorption – Drug stability DISADVANTAGES – Inconvenience – advantages lost if swallowed – Small dose limit
  • 13. RECTAL ROUTE ADVANTAGES  USED IN CHILDREN  LITTLE OR NO FIRST PASS EFFECT  USED IN VOMITING/UNCONSCIOUS  HIGHER CONCENTRATIONS RAPIDLY ACHIEVED DISADVANTAGES  INCONVENIENT  ABSORPTION IS SLOW AND ERRATIC  IRRITATION OR INFLAMMATION OF RECTAL MUCOSA CAN OCCUR 13
  • 14. SYSTEMIC-PARENTERAL  Parenteral administration is injection or infusion by means of a needle or catheter inserted into the body  The term parenteral comes from Greek words  para, meaning outside  enteron, meaning the intestine  This route of administration bypasses the alimentary canal
  • 15. SYSTEMIC-PARENTERAL 15  INJECTABLES I. INTRAVENOUS II. INTRAMUSCULAR III. SUBCUTANEOUS IV. INTRA-ARTERIAL V. INTRA-ARTICULAR VI. INTRATHECAL VII. INTRADERMAL  INHALATION - Absorption through the lungs
  • 16. INTRAVENOUS ADVANTAGES  BIOAVAILABILITY 100%  DESIRED BLOOD CONCENTRATIONS ACHIEVED  LARGE QUANTITIES  VOMITING & DIARRHEA  EMERGENCY SITUATIONS  FIRST PASS AVOIDED  GASTRIC MANUPALATION AVOIDED DISADVANTAGES  IRRITATION & CELLULITIS  THROMBOPHELEBITIS  REPEATED INJECTIONS NOT ALWAYS FEASIBLE  LESS SAFE  TECHNICAL ASSISTANCE REQUIRED  DANGER OF INFECTION  EXPENSIVE  LESS CONVENIENT AND PAINFUL 16
  • 17. INTRAMUSULAR ROUTE ADVANTAGES  ABSORPTION REASONABLY UNIFORM  RAPID ONSET OF ACTION  MILD IRRITANTS CAN BE GIVEN  FIRST PASS AVOIDED  GASTRIC FACTORS CAN BE AVOIDED DISADVANTAGES  ONLY UPTO 10ML DRUG GIVEN  LOCAL PAIN AND ABCESS  EXPENSIVE  INFECTION  NERVE DAMAGE 17
  • 18. SUBCUTANEOUS  Injected under the skin.  Absorption is slow, so action is prolonged. IMPLANT :a tablet or porous capsule is inserted into the loose tissues by incision of the skin, which is then stiched up. example : certain hormonal drugs
  • 19. INTRA-ARTERIAL  Rarely used  Anticancer drugs are given for localized effects  Drugs used for diagnosis of peripheral vascular diseases
  • 20. INTRA-ARTICULAR  injections of antibiotics and corticosteroids are administered in inflammed joined cavities by experts. example: hydrocortisone in rheumatoid arthritis
  • 21. INTRADERMAL  drug is given within skin layers (dermis)  Painful  Mainly used for testing sensitivity to drugs. e.g. penicillin, ATS (anti tetanus serum) INOCULATION :administration of vaccine (like small pox vaccine )
  • 22. Topical Routes of Administration  Topical administration is the application of a drug directly to the surface of the skin  Includes administration of drugs to any mucous membrane  eye – vagina  nose – urethra  ears – colon  lungs
  • 23. Topical Dosage Forms Dose forms for topical administration include:  Skin:  creams  ointments  lotions  gels  transdermal patches  disks • Eye or ear: – solutions – suspensions – ointments • Nose and lungs: – sprays and powders
  • 24. Transdermal absorption of drug through skin (systemic action) i. stable blood levels ii. no first pass metabolism iii. drug must be potent or patch becomes too large