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Basic Pharmacology
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Routes of administration

Drugs may act locally or systemically. Locally implies that the effects of the drug are confined to a specific area. Systemically means that the drug has to enter the vascular and lymphatic systems for delivery to body tissues. The main route of administration to provide a local effect is topical, whilst oral or parenteral administration of drugs are the main routes to provide a systemic effect. Some topical drugs can, however, have systemic effects, especially if given in large doses, in frequent doses or over a long period of time.

Topical administration

Topical preparations may be applied to the skin, mouth, nose, oropharynx, cornea, ear, urethra, vagina or rectum. These preparations may be administered in a variety of forms including:

  • creams
  • ointments
  • gels
  • lotions
  • aerosols
  • foams
  • plasters
  • powders
  • patches
  • suppositories
  • sprays

Oral administration

This route of administration, which implies ‘by mouth’, is most commonly used. It tends to be convenient, simple and usually safe. Preparations may be in a solid form and include:

  • tablets
  • capsules
  • powders
  • granules
  • lozenges

Other preparations may be provided in a liquid form and include:

  • solutions
  • emulsions
  • suspensions
  • syrups
  • elixirs
  • tinctures

Parenteral administration

Parenteral administration of a drug refers to the giving of a preparation by any route other than the gastrointestinal tract, by which a drug is injected or infused. This, therefore, includes intradermal, subcutaneous, intramuscular, intravenous, intrathecal and intraarticular routes. These sterile preparations are presented in ampules, vials, cartridges or large-volume containers.

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