Routes of Administration in Medicine

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Questions and Answers

What is a significant disadvantage associated with the oral route of drug administration?

  • Minimal variation in drug absorption
  • Ability to easily reverse therapy
  • First-pass metabolism in the liver (correct)
  • Immediate effect of drug onset

Which of the following is NOT an advantage of using the oral route for drug administration?

  • High surface area for absorption
  • Good blood supply to the area
  • Most common and safe method
  • Immediate drug delivery with no lag time (correct)

What could be a consequence of drug formulation that makes it susceptible to first-pass metabolism?

  • Higher bioavailability
  • Improved gastrointestinal irritation
  • Decreased potency in systemic circulation (correct)
  • Increased therapeutic window

Which factor can contribute to variability in drug effects when administered orally?

<p>Chrono pharmaceutics affecting absorption (D)</p> Signup and view all the answers

What is a common physiological challenge for drug absorption through the oral route?

<p>Irritation to the gastrointestinal system (A)</p> Signup and view all the answers

How does the liver's role in first-pass metabolism affect oral drug dosing strategies?

<p>Higher doses are typically required to compensate for loss in metabolism (B)</p> Signup and view all the answers

What is one limitation of modified release forms of drugs administered orally?

<p>Reduced flexibility in dosing adjustments (D)</p> Signup and view all the answers

Which statement regarding the oral route of drug administration is incorrect?

<p>It is entirely free from gastrointestinal irritation. (A)</p> Signup and view all the answers

What percentage of solid dosage formulations are accounted for by tablets?

<p>70% (B)</p> Signup and view all the answers

Which type of tablet coating is designed to protect the drug from stomach acid and prevent release until it reaches the intestine?

<p>Enteric-coated tablets (B)</p> Signup and view all the answers

Which dosage form is characterized as a homogenous one-phase system where a drug is dissolved in a solvent?

<p>Solutions (D)</p> Signup and view all the answers

What is the primary form of gelatine used in capsules?

<p>Hard gelatine (A)</p> Signup and view all the answers

Which dosage form is most suitable for drugs that are poorly released from tablets and that need to mask taste or smell?

<p>Soft gelatine capsules (D)</p> Signup and view all the answers

What is a characteristic of parenteral drug administration?

<p>Better bioavailability for hydrophilic drugs (B)</p> Signup and view all the answers

Which of the following best describes emulsions?

<p>Homogeneous mixture of two immiscible liquids (A)</p> Signup and view all the answers

Which type of vehicle is used for suspensions?

<p>Suitable vehicle for insoluble drugs (C)</p> Signup and view all the answers

What is one potential issue associated with parenteral administration?

<p>Need for sterile conditions (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of solutions as a liquid dosage form?

<p>Contain insoluble drugs (D)</p> Signup and view all the answers

What is the primary purpose of dosage forms in drug administration?

<p>To ensure reproducible performance and controlled therapeutic response (C)</p> Signup and view all the answers

Which of the following correctly describes local and systemic routes of administration?

<p>Local administration affects only the target tissue, while systemic administration distributes the drug throughout the body. (D)</p> Signup and view all the answers

Why might a drug have different doses for different formulations?

<p>Because different formulations can affect the drug's absorption and efficacy. (D)</p> Signup and view all the answers

Which of the following is NOT a requirement of dosage forms?

<p>Invariable performance across all patients (B)</p> Signup and view all the answers

What is one critical material attribute that affects the manufacture and performance of a dosage form?

<p>The physical properties of the drug (A)</p> Signup and view all the answers

Which of the following routes of administration would likely lead to the most localized effect?

<p>Topical application (D)</p> Signup and view all the answers

What formulation can be used for rectal administration?

<p>Suppositories (B)</p> Signup and view all the answers

Which formulation type is appropriate for pulmonary delivery?

<p>Aerosols (B)</p> Signup and view all the answers

Flashcards

Route of Administration

The way a drug is delivered to the body, like swallowing a pill or getting an injection.

Formulation

How a drug is packaged and prepared for use, like a tablet, capsule, or liquid.

Dose

The amount of a drug needed to have a beneficial effect with minimal side effects.

Local Action

A drug works only in the specific area it's given, like a cream on a rash.

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Systemic Action

A drug enters the bloodstream and travels throughout the body.

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Reproducible Performance

A dosage form should consistently work as it's supposed to.

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Patient Acceptance

A dosage form must be easy and comfortable to use.

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Physical and Chemical Stability

A dosage form must be stable over time and under different conditions.

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Particle size

The size of individual drug particles affects various aspects of drug behavior, including dissolution (how quickly it breaks down), mixing with other ingredients, flow properties, and bioavailability (how much reaches the bloodstream).

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Biopharmaceutical considerations (ADME)

This refers to the study of how the body affects a drug. It encompasses absorption (how the drug enters the body), distribution (where it goes), metabolism (how it's broken down), and excretion (how it leaves the body).

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Drug routes of administration

This refers to the way a drug is administered. Common routes include oral (swallowing), rectal (insertion), topical (skin application), parenteral (injection), respiratory (inhalation), nasal (nose), ocular (eye), and aural (ear).

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Oral route of drug administration

The oral route is the most common and often the simplest way to take medication. It offers advantages like ease of administration and diverse dosage forms, but also faces challenges like potential degradation in the stomach and variability in absorption.

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First-pass metabolism

This refers to the process where a drug's concentration is reduced before it reaches systemic circulation (the bloodstream). It primarily occurs in the liver, where enzymes break down the drug. This can significantly reduce the effectiveness of orally administered drugs.

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Dosage adjustment and routes for drugs susceptible to first-pass metabolism

The amount of a drug that enters systemic circulation after oral administration is often reduced due to the first-pass metabolism in the liver. This can necessitate adjusting the dose or using alternative delivery methods.

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Tablets

Solid dosage form containing an active drug in a solid matrix, usually in the form of a small, compressed disc.

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Capsules

Solid dosage form where the active pharmaceutical ingredient is enclosed in a shell, typically made of gelatin. Hard capsules are usually filled with powders or granules, while soft capsules can contain liquids or semi-solids.

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Solutions

A homogeneous one-phase system containing two or more components where the drug is dissolved in a solvent, usually water.

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Suspensions

A liquid dosage form where insoluble drug particles are suspended in a suitable vehicle, creating a heterogeneous mixture.

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Emulsions

A pharmaceutical formulation where two immiscible liquids (one dispersed finely within the other) are mixed to form a stable mixture. It involves an aqueous phase and an oily phase.

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Parenteral Route

A drug administered directly into the bloodstream via injection.

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Subcutaneous Injection

The process of administering a drug directly into subcutaneous tissue (the layer just beneath the skin).

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Intramuscular Injection

The process of administering a drug directly into the muscle.

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Intravenous Injection

The process of administering a drug directly into a vein.

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Study Notes

Routes of Administration

  • Medicine is a drug with excipients
  • Dose: amount needed for therapeutic effect with minimal side effects
  • Different drugs have different doses
  • Formulation: presentation to achieve predictable response; easily administered, convenient and controlled
  • Examples of routes of administration and their formulations include:
    • Oral: tablets, capsules, granules, powders, solutions, syrups, suspensions, emulsions, gels
    • Rectal: suppositories, creams, enemas, foams
    • Urethral: solutions
    • Vaginal: ointments, pessaries
    • Topical (skin): ointments, creams, pastes, lotions, gels, solutions, topical aerosols, patches
    • Parenteral: injections (solutions, suspensions, emulsions), implants
    • Pulmonary (respiratory): aerosols (solutions, suspensions, emulsions, powders), inhalations
    • Nasal (nose): solutions, inhalations
    • Ocular (eye): solutions, ointments, creams, inserts, lenses
    • Aural (ear): solutions, suspensions, ointments, creams
  • Local vs Systemic: Local acts on a target; Systemic goes everywhere via bloodstream
  • Dosage forms need: reproducibility, patient acceptance, large-scale production, stability, preservation

Dosage Form Design

  • New drug substance information helps design the dosage form
  • Drug factors are critical attributes affecting manufacture and performance
  • Biopharmaceutical considerations (ADME) are important
  • Routes include oral, rectal, topical, parenteral, respiratory, nasal, eye, ear

Oral Route

  • Advantages: most common, safe, good blood supply

  • Disadvantages: lag time, hostile environment (pH, enzymes), first-pass metabolism, difficulty reversing therapy, irritation

  • First-pass metabolism (pre-systemic clearance): drug metabolized by liver before systemic circulation, potentially requiring dose adjustment

  • Solid dosage formulations include tablets and capsules

  • Liquid dosage formulations include solutions and suspensions

  • Emulsions: Mixture of two immiscible liquids, one dispersed in the other

Parenteral Route

  • Injected into the body, rapid onset, avoids first-pass metabolism
  • Three main routes: subcutaneous, intramuscular, intravenous

Topical Route

  • Applied to skin, limited side effects, poor absorption
  • Formulation includes creams, ointments, gels, patches

Rectal Route

  • Rectal suppositories (less liquid- absorption ↓), local and systemic delivery, alternative to oral, avoid first-pass metabolism, erratical absorption

Respiratory Route

  • Local effect, delivered in gaseous form, minimal side effects, drug deposition, drug particle size
  • Formulations: pressurized metered-dose inhaler (PMDI), dry powder inhaler (DPI), nebulizer

Choice of Administration

  • Based on drug characteristics and desired effects
  • Bypassing hepatic metabolism, targeting specific sites are considerations

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