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Vakratund Education Society’s
GENESIS GROUP OF INSTITUTIONS, RADHANAGARI.
SECOND YEAR DIPLOMA IN PHARMACY
SUBJECT: PHARMACOLOGY AND TOXICOLOGY
SUBJECT CODE: (0813)
CHAPTER: ROUTES OF ADMINISTRATION OF DRUG
Presented by:
Miss. Prajakta D. Sawant
Lecturer,
Guided by:
Mr. Shobhraj B. Malavi
Principal,
Genesis Institute of Pharmacy Radhanagari.
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 1
Routes of administration 0f drugs
First pass metabolism
 Metabolism of drug before it reaches the systemic circulation is known as first
pass metaboliosm .
 It is also known as first pass metabolism .
Defination :-
“ The phenomenon in which concentration of drug reduced cause of metabolic
inactivation before it reaches the systemic circulation is known as first pass metabolism .’
Fig No :01 Schematic diagram showing first pass metabolism
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 2
ROUTES OF ADMINISTRATION OF DRUGS
Defination :-
A path by which drug is taken into body is known as a routes of administration of drugs .
Factors governing choice of routes :-
The choice of appropriate route in a given situation depend on the drug as well as patient
related factors .
1) Physical and chemical properties of drugs :-
Solid / Liquid / Gas , Solubility,Stability ,Irritancy ,PH.
2) Site of desired action :-
Localised and approachable or generalized and not approachable .
3) Rate and extent of absorption of drugs from different routes .
4) Effect of digestive juices and first pass metabolism on drugs .
5) Accuracy of dosage required ( IV and inhalational can provide fine tuning ) .
6) Condition of patient (Unconcious ,Vomiting etc.).
Classification of routes of administration of drugs
Possible routes of drug entry into body may be divided into three classes .
 Enteral
 Parenteral
 Topical
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 3
Enteral Parenteral Topical
 Oral
 Buccal
 Sublingual
 Rectum
 Intravenous
 Intramuscular
 Subcutaneous
 Intradermal
 Intra_ Osseous
 Intra arterial
 Intrathecal
 Intrasynivial
 Epidural
 Intra coronary
 Intra –peritonial
 Inhalational
 Trasdermal
 Transcutaneous
 Transmucosal
 Opthalmic
 Vaginal
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 4
ENTERAL ROUTE
This route of administration involve any part of GI tract .
ORAL ROUTE ADVANTAGES DISADVANTAGES EXAMPLES OF
ORAL DOSAGE
FORMS
 It is the most
common route of
drug administration
.
 In this route drug is
given through the
oral cavity .
 It is safe route.
 It is convenient .
 Self administered
 Pain free
administration.
 Non –invasive &
easy to take .
 It is economical as
compared to
parenteral
preperations.
 No need for
sterilization.
 Varieties are
available.
 Withdrawal is
possible .
 Slow absorption
and slow oncet of
action.
 Cannot be used
in emergency.
 Irritable and
unpalatable drugs
can causes
nausea and
vomiting.
 Cannot be used
in uncooperative
,vomiting and
unconscious
patients.
 First pass effect .
 Food – drug
interaction &
drug – Drug
interaction can
occur .
 Capsules
 Tablets
 Syrups
 Powders
 Spansules
 Emulsions
 Suspensions
 Elixirs
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 5
Buccal route :-
 It involve placing a
drug between gums
and cheeks ,where it
dissolve and absorp
into the blood.
Advantages
 Drug absoption is
quick..
 Quick termination.
 Avoid first pass
metabolism.
 It can be self
administered .
 It is economical.
 Avoid destruction
of drugs by GI
acidity.
 Rapid absorption
through the
capillary network
into systemic
circulation.
 No interaction
with food .
 Fast oncet of
action.
 Useful in
unconscious
patients.
Disadvantages
 Unpalatable and
bitter drugs are
diificult to
administer.
 It can cause
irritation of oral
mucosa.
 Large quantities
are not given
through this
route.
 Advantages lost
if swallowed .
 Not used in
childrens .
Examples of dosage
forms
 Films
 Patches
 Chewing gums
 Gels
 Ointments
 Buccal spray
 Tablets
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 6
Sublingual Route Advantages Disadvantages Examples of dosage
forms
 It is derived from latin
word “Under the
tongue .”
 It involves the
administration of drug
by placing the drug
under the tongue .
Same as a buccal
route
Same as buccal route Same as buccal route
Rectal route Advantages Disadvantages Examples of
dosage forms
This involve administration of
drug via rectum .
 Avoid first
pass
metabolism.
 Used in
childrens and
unconscious
patients.
 Used in case
of nausea &
vomiting .
 Avoid food
drug
interaction
 Absorption is slow and
erratic .
 It is inconvenient method .
 Irritation of rectal mucosa
can occur.
 Psychological patients may
be embarrassed & dislike
this method.
 Supposotor
ies
 Ointments
 Creams
 Enemas
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 7
Parenteral routes Defination & explaination
Intradermal Route
 In this route drug is injected into the layer of
skin .
 Drug is injected in very small amount NMT 1
ml at 15 Degree celcious .
 This route is applied in the injection of
vaccines like B. C.G. vaccine & also applied
in injection of local anaesthetics.
Parenteral Route
 ( Per- Beyond &
Enteral – Intestinal)
 It involve direct
delivery of drug into
systemic circulation
without intestinal
mucosa.
 It involves route of
administration other
 than oral route.
Advantages
 High bioavailability.
 Fast oncet of action .
 Avoid first pass
metabolism .
 No gastric irritation.
 No food drug
interaction.
 Suitable for vomiting &
unconscious patients .
 Irritant & unpalatable
drugs can be given.
Disadvantages
 Expensive.
 It is inconvenient
method .
 Self
administration is
not possible.
 It should be
sterilize before
injection to avoid
infection.
 It is painfull
method.
 It must be
administered by
skillfull person .
 Chances of
inflammation at
the site of
injection .
Examples of
dosage forms
 Ampoules
 Vials
 IV Infusions
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 8
Parenteral routes Defination and explaination
Intramuscular route
 In this route drug is injected deep
into the muscular tissue.
 It is mostly used in application of
steroids .
Subcutaneous route
 In this route drug is injected into
the loose connective tissue
( Subcutaneous tissue under the
skin ).
 Upto 2 ml drug can be injected by
this route at 45 degree angle .
 Examples :- Dermojet
Pellet implantation
Biodegradable &
non biodegradable
implants .
Intravenous route
 In this route drug is introduced
into lumen of vein.
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 9
Parenteral routes Defination
Intra-arterial
 In this route drug is injected
into the arteries.
Intrathecal route
 It involve administration of
drug via injection into spinal
cord or into subarachinoiud
space .
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 10
Intrasynovial route
 It involve administration of
drug via injection within the
synovial cavity of a joint .
Topical route Advantages Disadvantages Examples of
dosage forms
 It involves
application of drugs
directly to the surface of
the skin or mucous
membrane
(
eye,nose,ear,lungs,vagina,
urethra,colon )
 Avoid first pass
metabolism.
 Easy to apply.
 Avoid fluctuation
in the drug level
like inter and intra
patient variations .
 Easy termination
of medication
when needed.
 Suitable for self
medication.
 Relatively large
area of application.
 Avoid
gastrointestinal
irritation.
 Drug can be
delivered more
selectively to
specific sites.
 Chances of skin
irritation / contact
dermatitis due to
drug or excipient.
 Possibility of
allergic reaction.
 Drug with larger
particle size are
difficult to get
absorbed through
the skin.
 Poor permeability
of some drugs
through the skin .
 Ointments
 Creams
 Lotions
 Emulsions
 Liniments
( Balm).
 Lotion
 Gels & jellies
 Paste
Pharmacology and Toxicology Routes of administration of drug
Miss.Prajakta .D.Sawant Page 11
Inhalational Route Advantages Disadvantages Examples of
dosage forms
 It involves
administration of
drug by inhalation
through the mouth
 This route is
applicable for
gaseous and
volatile agents &
aerosols.
 Rapid oncet of
action because
lungs have large
surface area for
absorption and
they are reachly
supplied with
blood.
 Very safe method
.
 Drug act at the
site of action.
 Used for
unconscious
patients.
 Avoid first pass
metabolism.
 Difficult in
consuming exact
amount of dosage.
 It is time
consuming method
.
 Some drugs may
induce cough.
 It is so expensive
method.
 Only limited drugs
can be used.
 Not suitable for
irritant drugs.
 Aerosols
 Nebulizers

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Routes of drug administration overview

  • 1. Vakratund Education Society’s GENESIS GROUP OF INSTITUTIONS, RADHANAGARI. SECOND YEAR DIPLOMA IN PHARMACY SUBJECT: PHARMACOLOGY AND TOXICOLOGY SUBJECT CODE: (0813) CHAPTER: ROUTES OF ADMINISTRATION OF DRUG Presented by: Miss. Prajakta D. Sawant Lecturer, Guided by: Mr. Shobhraj B. Malavi Principal, Genesis Institute of Pharmacy Radhanagari.
  • 2. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 1 Routes of administration 0f drugs First pass metabolism  Metabolism of drug before it reaches the systemic circulation is known as first pass metaboliosm .  It is also known as first pass metabolism . Defination :- “ The phenomenon in which concentration of drug reduced cause of metabolic inactivation before it reaches the systemic circulation is known as first pass metabolism .’ Fig No :01 Schematic diagram showing first pass metabolism
  • 3. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 2 ROUTES OF ADMINISTRATION OF DRUGS Defination :- A path by which drug is taken into body is known as a routes of administration of drugs . Factors governing choice of routes :- The choice of appropriate route in a given situation depend on the drug as well as patient related factors . 1) Physical and chemical properties of drugs :- Solid / Liquid / Gas , Solubility,Stability ,Irritancy ,PH. 2) Site of desired action :- Localised and approachable or generalized and not approachable . 3) Rate and extent of absorption of drugs from different routes . 4) Effect of digestive juices and first pass metabolism on drugs . 5) Accuracy of dosage required ( IV and inhalational can provide fine tuning ) . 6) Condition of patient (Unconcious ,Vomiting etc.). Classification of routes of administration of drugs Possible routes of drug entry into body may be divided into three classes .  Enteral  Parenteral  Topical
  • 4. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 3 Enteral Parenteral Topical  Oral  Buccal  Sublingual  Rectum  Intravenous  Intramuscular  Subcutaneous  Intradermal  Intra_ Osseous  Intra arterial  Intrathecal  Intrasynivial  Epidural  Intra coronary  Intra –peritonial  Inhalational  Trasdermal  Transcutaneous  Transmucosal  Opthalmic  Vaginal
  • 5. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 4 ENTERAL ROUTE This route of administration involve any part of GI tract . ORAL ROUTE ADVANTAGES DISADVANTAGES EXAMPLES OF ORAL DOSAGE FORMS  It is the most common route of drug administration .  In this route drug is given through the oral cavity .  It is safe route.  It is convenient .  Self administered  Pain free administration.  Non –invasive & easy to take .  It is economical as compared to parenteral preperations.  No need for sterilization.  Varieties are available.  Withdrawal is possible .  Slow absorption and slow oncet of action.  Cannot be used in emergency.  Irritable and unpalatable drugs can causes nausea and vomiting.  Cannot be used in uncooperative ,vomiting and unconscious patients.  First pass effect .  Food – drug interaction & drug – Drug interaction can occur .  Capsules  Tablets  Syrups  Powders  Spansules  Emulsions  Suspensions  Elixirs
  • 6. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 5 Buccal route :-  It involve placing a drug between gums and cheeks ,where it dissolve and absorp into the blood. Advantages  Drug absoption is quick..  Quick termination.  Avoid first pass metabolism.  It can be self administered .  It is economical.  Avoid destruction of drugs by GI acidity.  Rapid absorption through the capillary network into systemic circulation.  No interaction with food .  Fast oncet of action.  Useful in unconscious patients. Disadvantages  Unpalatable and bitter drugs are diificult to administer.  It can cause irritation of oral mucosa.  Large quantities are not given through this route.  Advantages lost if swallowed .  Not used in childrens . Examples of dosage forms  Films  Patches  Chewing gums  Gels  Ointments  Buccal spray  Tablets
  • 7. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 6 Sublingual Route Advantages Disadvantages Examples of dosage forms  It is derived from latin word “Under the tongue .”  It involves the administration of drug by placing the drug under the tongue . Same as a buccal route Same as buccal route Same as buccal route Rectal route Advantages Disadvantages Examples of dosage forms This involve administration of drug via rectum .  Avoid first pass metabolism.  Used in childrens and unconscious patients.  Used in case of nausea & vomiting .  Avoid food drug interaction  Absorption is slow and erratic .  It is inconvenient method .  Irritation of rectal mucosa can occur.  Psychological patients may be embarrassed & dislike this method.  Supposotor ies  Ointments  Creams  Enemas
  • 8. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 7 Parenteral routes Defination & explaination Intradermal Route  In this route drug is injected into the layer of skin .  Drug is injected in very small amount NMT 1 ml at 15 Degree celcious .  This route is applied in the injection of vaccines like B. C.G. vaccine & also applied in injection of local anaesthetics. Parenteral Route  ( Per- Beyond & Enteral – Intestinal)  It involve direct delivery of drug into systemic circulation without intestinal mucosa.  It involves route of administration other  than oral route. Advantages  High bioavailability.  Fast oncet of action .  Avoid first pass metabolism .  No gastric irritation.  No food drug interaction.  Suitable for vomiting & unconscious patients .  Irritant & unpalatable drugs can be given. Disadvantages  Expensive.  It is inconvenient method .  Self administration is not possible.  It should be sterilize before injection to avoid infection.  It is painfull method.  It must be administered by skillfull person .  Chances of inflammation at the site of injection . Examples of dosage forms  Ampoules  Vials  IV Infusions
  • 9. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 8 Parenteral routes Defination and explaination Intramuscular route  In this route drug is injected deep into the muscular tissue.  It is mostly used in application of steroids . Subcutaneous route  In this route drug is injected into the loose connective tissue ( Subcutaneous tissue under the skin ).  Upto 2 ml drug can be injected by this route at 45 degree angle .  Examples :- Dermojet Pellet implantation Biodegradable & non biodegradable implants . Intravenous route  In this route drug is introduced into lumen of vein.
  • 10. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 9 Parenteral routes Defination Intra-arterial  In this route drug is injected into the arteries. Intrathecal route  It involve administration of drug via injection into spinal cord or into subarachinoiud space .
  • 11. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 10 Intrasynovial route  It involve administration of drug via injection within the synovial cavity of a joint . Topical route Advantages Disadvantages Examples of dosage forms  It involves application of drugs directly to the surface of the skin or mucous membrane ( eye,nose,ear,lungs,vagina, urethra,colon )  Avoid first pass metabolism.  Easy to apply.  Avoid fluctuation in the drug level like inter and intra patient variations .  Easy termination of medication when needed.  Suitable for self medication.  Relatively large area of application.  Avoid gastrointestinal irritation.  Drug can be delivered more selectively to specific sites.  Chances of skin irritation / contact dermatitis due to drug or excipient.  Possibility of allergic reaction.  Drug with larger particle size are difficult to get absorbed through the skin.  Poor permeability of some drugs through the skin .  Ointments  Creams  Lotions  Emulsions  Liniments ( Balm).  Lotion  Gels & jellies  Paste
  • 12. Pharmacology and Toxicology Routes of administration of drug Miss.Prajakta .D.Sawant Page 11 Inhalational Route Advantages Disadvantages Examples of dosage forms  It involves administration of drug by inhalation through the mouth  This route is applicable for gaseous and volatile agents & aerosols.  Rapid oncet of action because lungs have large surface area for absorption and they are reachly supplied with blood.  Very safe method .  Drug act at the site of action.  Used for unconscious patients.  Avoid first pass metabolism.  Difficult in consuming exact amount of dosage.  It is time consuming method .  Some drugs may induce cough.  It is so expensive method.  Only limited drugs can be used.  Not suitable for irritant drugs.  Aerosols  Nebulizers