Overview of routes of drug administration with their advantages and disadvantages
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Oral
Advantages:- Convenient, non-invasive, cost-effective, suitable for self-administration.
Disadvantages:- Slower onset, variable absorption, not suitable if vomiting or unconscious, drug inactivation by gastric acid.
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Intravenous (IV)
Advantages:- Rapid onset, precise control over dosage, 100% bioavailability.
Disadvantages:- Requires skilled personnel, risk of infection, invasive, more costly.
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Intramuscular (IM)
Advantages:-Moderate onset, useful for depot preparations, can be used when veins are inaccessible.
Disadvantages:-Painful, limited volume, risk of nerve or tissue injury.
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Subcutaneous
Advantages:-Slow, sustained absorption, useful for insulin, vaccines.
Disadvantages:-Limited to small volumes, may be painful or cause irritation.
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Inhalation
Advantages:-Rapid absorption, useful for respiratory conditions, lower systemic side effects.
Disadvantages:-Technique-dependent, unsuitable for some drugs, risk of local irritation.
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Topical
Advantages:-Localised effect, minimizes systemic side effects.
Disadvantages:-Limited to surface applications, variable absorption, risk of skin reactions.
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Transdermal
Advantages:-Sustained release, non-invasive, user-friendly.
Disadvantages:-Limited to drugs that penetrate skin, risk of skin irritation.
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Rectal
Advantages:-Useful for unconscious or vomiting patients, partial avoidance of first-pass metabolism.
Disadvantages:-Uncomfortable, variable absorption, may cause local irritation.
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Sublingual/Buccal
Advantages:-Rapid absorption, bypasses first-pass metabolism.
Disadvantages:-Limited to small doses, not suitable for all drugs, unpleasant taste.
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Ophthalmic/Nasal
Advantages:-Localised effect, minimises systemic exposure.
Disadvantages:-Difficult administration, local irritation, small doses only.
MBH/AB