oral advantages
easy
prefered by patients
drugs can be formulated to protect them from digestive enzymes
oral disadvantages
unsuitable for patients who are vomitting
absorbed slowly
unpredictable absorption due to stomach acid + enzymes
rectal advantages
good aborption - vein drain directly into inferior vena cava avoiding hepatic first pass metabolism
rectal disadvantages
may not be suitable after rectal surgery
may dislike suppositories
subcut or IM advantages
good absorption
onset more rapid
depending on formulation can have very long duration of action (contraceptatives)
subcut or IM disadvantages
absorption may still be unpredictable
injections hurt
intravenous advantages
dependable and reprodible effects
entire administered
entire dose reaches systemic circulation immeditaley
intravenous disadvanatages
rquires cannula
more expenzive
cannulation disstressing
prone to infection
local reactions
topical advanatages
easy
non-invasive
high levels of patient satisfaction
topical disadvanatages
most drugs have high molecular weight so cannot be absorbed via skin
very slow absorption
inhaled advantages
very rapid absorption due to huge surface area of respiratory endothelium
bronchodilators can be targeted to lungs
inhaled disadvanatages
bioavailability depends on patient technique