Intro Flashcards
po
oral, absorbtion is in the intestine. Gut villi increase SA. Gastric emptying and gut motility are things to consider with PO drugs. many forms: tablets capsules films liquids lozenges
CR SR ER
controlled release, extended release and slow release po medications
most appropriate for drugs with a short half life
increases compliance bc less dosing, but more expensive and can have capsule failure/ dumping
sublingual
avoid first pass metabolism
quick absorption
transdermal
skin patch
lipophilicity and increased surface area can increase success. Drugs on an oily base are easier absorbed and damaged skin absorbs more quickly.
intended for drugs that want systemic effects
pr
rectal
less first pass and no 3A4 interference like you get in the upper GI. absorbtion may be irregular and sometimes incomplete. allows for a more local delivery of drug, at times
IV
parenteral, intravenous
100% bioavailable. not usually good for self administration
SQ
parenteral
subcutaneous
consistent drug delivery, drug must penetrate capillary walls
can play with the rate of absorption by altering the consistency of the drug
IM
parenteral
intramuscluar, the arm is better than the buttocks, but be sure to always check manufacturer guidelines
based off of 70kg male so adjustments need to be made for deviants.
intra-arterial
parenteral
very rare
sometimes for chemo
intrathecal
parenteral
gets drug directly to CNS
some antibiotics, chemotherapy and pain control
Pulmonary drug delivery
large surface area, so good and fast absorption
no first pass
good for local effects
topical drug delivery
for mucous membranes, like eyes, nose, vulva, etc
good for localized effects
things to consider when choosing a drug
- efficacy (local or systemic) (health of the patient)
- side effects
- compliance
- cost
pharmacodynamics
what drugs do to the body (what happens to the body)
pharmakokinetics
what the body does to drugs (what happens to the drug)