Paper I
2023 March (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

List the various routes of drug administration with suitable examples. Write the merits and demerits of Intravenous route of drug administration. (3+3)

Q16 marksEssays

Answer

Routes of drug administration, with examples

RouteExamples
OralParacetamol, Amoxicillin
SublingualGlyceryl trinitrate
IntravenousFurosemide, general anesthetics
IntramuscularAdrenaline (in anaphylaxis), Diazepam
SubcutaneousInsulin, Heparin
Topical/transdermalGTN patch, hydrocortisone cream
InhalationalSalbutamol, halothane
RectalDiazepam (in febrile seizures)

Merits and demerits of the intravenous route

Merits: 100% bioavailability (no absorption barrier), most rapid onset of action — essential in emergencies; permits precise, titratable dosing; large volumes and irritant/hypertonic solutions can be given (which would damage other tissues).

Demerits: irreversible once injected (cannot be recalled if an adverse reaction occurs); requires aseptic technique and trained personnel; risk of infection, thrombophlebitis, and extravasation injury; not suitable for oily or insoluble substances; higher cost and inconvenience compared to oral dosing.

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