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Presented by:
Yusuf Nawaz Khan
RY1507A06
• May be classified as
• Enteral
• Parenteral.
• Enteral means through the GI tract and includes
oral, buccal, and rectal.
• Parenteral means not through GI and commonly
refers to injections such as IV, IM, and SC; but
could also include topical and inhalation.
• They have to cross at least one membrane
before reaching the systemic circulation (except
in IV).
Buccal/Sublingual Administration
• Drug is taken as smaller tablets which are held
between cheek and gum or under the tongue.
• Buccal tablets are often harder tablets, designed
to dissolve slowly ; on the other hand sublingual
tablets are having less hardness to show fast
action.
• Main barrier is epithelial of oral mucosa.
• This ROA is also used for some steroids such as
testosterone and oxytocin; other than that we
are using antianginal drugs.
• Mainly passive diffusion is major mechanism of
absorption.
• Nutrients can follow carrier mediated process.
Advantage and disadvantage
• Advantages –
i. Rapid absorption due to high vasculature.
ii. No first pass hepatic metabolism.
iii. No degradation due to neutral pH of saliva.
• Disadvantages –
Only small dose can be given due to limited mucosal surface
area.
Factors affecting absorption
i. Lipophilicity of the drug:
• Slightly higher lipid solubility required than for GI absorption.
ii. Salivary secretion:
• Drug must be soluble in aqueous buccal fluid.
• Absorption is delayed if mouth is dry.
iii. pH of the saliva:
─ Favorable absorption rate for drug unionised at pH 6.
iv. Binding to oral mucosa:
• Binding decreases bioavailability.
v. Thickness of oral epithelium:
• Sublingual faster than buccal.
Topical Administration
Drug can diffuse by-
• Intracellular (passive diffusion)
• Intercellular (paracellular)
• Transappendageal –
i. Hair follicles.
ii. Sweat glands.
iii. Sebaceous glands.
Main barrier is stratum corneum.
Factors affecting absorption
• Thickness of stratum corneum- absorption is slow in foot and
more in palm.
• Presence of hair follicles – more in follicles regions.
• Trauma- increase absorption.
• Hydration – promotes absorption.
• Age – infants absorbs more than adults.
• Ionized and soluble drug absorbs more.
• Permeation enhancer increase absorption.
• Exposer to chemical enhance absorption by shedding off of
stratum corneum.
• Chronic use of keratolytic enhance penetration.
Rectal Administration
• Most commonly used for suppository or enema.
• Some drugs given by this route include:
• Aspirin, theophylline, paracetamol and barbiturates.
• Advantages:
• By-pass liver - Some of the veins draining the rectum lead
directly to general circulation - by-passing the liver.
• Useful for patients unable to take drugs orally or with younger
children.
• Disadvantages:
• Presence of fecal matter retards absorption.
• Slow absorption due to limited surface area.
• Not well accepted.
Intravenous Administration
• The drug is injected as a bolus or infused slowly over
hours in one of the superficial veins.
• The drug reaches directly into the blood stream
• Rapid injections are used to treat epileptic seizures,
acute asthma, or cardiac arrhythmias etc.
• No absorption barrier is there.
• Quick response is possible.
• Large dose can be given by infusion.
• Require trained personnel.
• Expensive and chances of toxicity or infection.
Intramuscular
Administration
• Absorption is rapid but in comparison to i.v. it is slower.
Factors affecting absorption
i. Vascularity at injection site –
(deltoid)>(vastus lateralis)>(gluteus maximus)
ii. Lipid solubility and ionisation – highly lipid soluble drug are
more absorbed quickly and hydrophilic/ionised drug are
slowly absorbed by capillary pores.
iii. Molecular size – small molecules and ion go to capillary
through pores and larger go to lymphatic system.
iv. Volume and drug conc – Conc and high volume absorbed
rapidly.
v. pH and viscosity – drug solution in acidic/basic or
nonaqueous solvent result in slow release.
Subcutaneous Administration
• This involves administration of the drug dose just under the
skin.
• Absorption is slower in comparison to i.m.
• Important when rapid response is not required or drug
degrade when taken orally (insulin).
• Increasing the rate of absorption –
i. Enhancing blood flow – massage, applying heat,
vasodilators, exercise.
ii. Increasing drug-tissue contact time – administering enzyme
hyaluronidase.
• Decreasing the rate of absorption – Cooling , vasoconstrictors,
immobilization of limb.
• Mainly use controlled release medication.
Pulmonary Administration
• In principle we can use all systemic effective drug can be
administered.
• Only use for bronchodilator, anti-inflammatory steroids,
anesthetics and anti-allergic.
• Lipid soluble drug absorbed by passive diffusion.
• Polar drug by pore transport.
Nasal Administration
• Utilized only for local effects.
• For drugs that are destroyed in the GI
environment (or first-pass effect).
• As an alternative to intravenous administration
• Better safety and patient acceptance
Mechanism of drug transport-
i. Faster rate depend upon lipophilicity.
ii. Slower rate depend upon molecular weight.
Intraocular Administration
• Preparation should be sterile aqueous.
• Barrier is cornea (lipophilic + hydrophilic).
• Higher pH decrease tear flow and lower pH increase
lachrymation/decrease absorption.
• Small concentrated solution is more effective than large
volume/less concentrated.
• Oily or viscous solution are more effective.
Vaginal Administration
Drug intended to act locally-
i. In treatment of bacterial or fungal infection.
ii. To prevent conception.
• No first pass metabolism.
• Controlled delivery and termination of action when desired is
possible.
• Biopharmaceutics And Pharmacokinetics-
A Treatise By D.M.Brahmankar And Sunil B.
Jaiswal.
Routes of drug administration

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Routes of drug administration

  • 1. Presented by: Yusuf Nawaz Khan RY1507A06
  • 2. • May be classified as • Enteral • Parenteral. • Enteral means through the GI tract and includes oral, buccal, and rectal. • Parenteral means not through GI and commonly refers to injections such as IV, IM, and SC; but could also include topical and inhalation. • They have to cross at least one membrane before reaching the systemic circulation (except in IV).
  • 3. Buccal/Sublingual Administration • Drug is taken as smaller tablets which are held between cheek and gum or under the tongue. • Buccal tablets are often harder tablets, designed to dissolve slowly ; on the other hand sublingual tablets are having less hardness to show fast action. • Main barrier is epithelial of oral mucosa. • This ROA is also used for some steroids such as testosterone and oxytocin; other than that we are using antianginal drugs. • Mainly passive diffusion is major mechanism of absorption. • Nutrients can follow carrier mediated process.
  • 4. Advantage and disadvantage • Advantages – i. Rapid absorption due to high vasculature. ii. No first pass hepatic metabolism. iii. No degradation due to neutral pH of saliva. • Disadvantages – Only small dose can be given due to limited mucosal surface area.
  • 5. Factors affecting absorption i. Lipophilicity of the drug: • Slightly higher lipid solubility required than for GI absorption. ii. Salivary secretion: • Drug must be soluble in aqueous buccal fluid. • Absorption is delayed if mouth is dry. iii. pH of the saliva: ─ Favorable absorption rate for drug unionised at pH 6. iv. Binding to oral mucosa: • Binding decreases bioavailability. v. Thickness of oral epithelium: • Sublingual faster than buccal.
  • 6. Topical Administration Drug can diffuse by- • Intracellular (passive diffusion) • Intercellular (paracellular) • Transappendageal – i. Hair follicles. ii. Sweat glands. iii. Sebaceous glands. Main barrier is stratum corneum.
  • 7. Factors affecting absorption • Thickness of stratum corneum- absorption is slow in foot and more in palm. • Presence of hair follicles – more in follicles regions. • Trauma- increase absorption. • Hydration – promotes absorption. • Age – infants absorbs more than adults. • Ionized and soluble drug absorbs more. • Permeation enhancer increase absorption. • Exposer to chemical enhance absorption by shedding off of stratum corneum. • Chronic use of keratolytic enhance penetration.
  • 8. Rectal Administration • Most commonly used for suppository or enema. • Some drugs given by this route include: • Aspirin, theophylline, paracetamol and barbiturates. • Advantages: • By-pass liver - Some of the veins draining the rectum lead directly to general circulation - by-passing the liver. • Useful for patients unable to take drugs orally or with younger children. • Disadvantages: • Presence of fecal matter retards absorption. • Slow absorption due to limited surface area. • Not well accepted.
  • 9. Intravenous Administration • The drug is injected as a bolus or infused slowly over hours in one of the superficial veins. • The drug reaches directly into the blood stream • Rapid injections are used to treat epileptic seizures, acute asthma, or cardiac arrhythmias etc. • No absorption barrier is there. • Quick response is possible. • Large dose can be given by infusion. • Require trained personnel. • Expensive and chances of toxicity or infection.
  • 10. Intramuscular Administration • Absorption is rapid but in comparison to i.v. it is slower. Factors affecting absorption i. Vascularity at injection site – (deltoid)>(vastus lateralis)>(gluteus maximus) ii. Lipid solubility and ionisation – highly lipid soluble drug are more absorbed quickly and hydrophilic/ionised drug are slowly absorbed by capillary pores. iii. Molecular size – small molecules and ion go to capillary through pores and larger go to lymphatic system. iv. Volume and drug conc – Conc and high volume absorbed rapidly. v. pH and viscosity – drug solution in acidic/basic or nonaqueous solvent result in slow release.
  • 11. Subcutaneous Administration • This involves administration of the drug dose just under the skin. • Absorption is slower in comparison to i.m. • Important when rapid response is not required or drug degrade when taken orally (insulin). • Increasing the rate of absorption – i. Enhancing blood flow – massage, applying heat, vasodilators, exercise. ii. Increasing drug-tissue contact time – administering enzyme hyaluronidase. • Decreasing the rate of absorption – Cooling , vasoconstrictors, immobilization of limb. • Mainly use controlled release medication.
  • 12. Pulmonary Administration • In principle we can use all systemic effective drug can be administered. • Only use for bronchodilator, anti-inflammatory steroids, anesthetics and anti-allergic. • Lipid soluble drug absorbed by passive diffusion. • Polar drug by pore transport.
  • 13. Nasal Administration • Utilized only for local effects. • For drugs that are destroyed in the GI environment (or first-pass effect). • As an alternative to intravenous administration • Better safety and patient acceptance Mechanism of drug transport- i. Faster rate depend upon lipophilicity. ii. Slower rate depend upon molecular weight.
  • 14. Intraocular Administration • Preparation should be sterile aqueous. • Barrier is cornea (lipophilic + hydrophilic). • Higher pH decrease tear flow and lower pH increase lachrymation/decrease absorption. • Small concentrated solution is more effective than large volume/less concentrated. • Oily or viscous solution are more effective.
  • 15. Vaginal Administration Drug intended to act locally- i. In treatment of bacterial or fungal infection. ii. To prevent conception. • No first pass metabolism. • Controlled delivery and termination of action when desired is possible.
  • 16. • Biopharmaceutics And Pharmacokinetics- A Treatise By D.M.Brahmankar And Sunil B. Jaiswal.