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Give examples of other routes of administration for solid dosage forms
buccal, sublingual, vaginal, ocular
Define palatability
the voluntarily uptake/ appreciation of a medicine by organoleptic properties; appearance, smell, taste, aftertaste and mouth feel and possibly also sound
What is the first-pass effect?
when drug metabolism occurs before the drug enters the systemic circulation
What is the effect of the first-pass effect on drugs?
Results in decreased bioavailability and therapeutic response
Describe sublingual administration
drug is dissolved under the tongue through mucous membranes
Sublingual/buccal administration bypasses the ...?
digestive system and liver's 1st pass metabolism
Glyceryl Trinitrate SL tablets, buprenorphine or buprenorphine and naloxone SL tablets, are administered...?
sublingually
Describe buccal administration
medication is placed or absorbed through the mucous membranes of the buccal mucosa (between cheek and gum)
give 4 advantages of sublingual and buccal administration
1) rapid onset of action
2) good option for drugs with poor absorption in GIT/degradation in stomach
3) bypasses first-pass metabolism
4) suitable for patients with difficulty swallowing or nausea
give 2 disadvantages of sublingual and buccal administration
1) not all medications can be administered effectively
2) requires patient to hold drug without swallowing/spitting
give 2 disadvantages of vaginal administration
1) limited drugs
2) discomfort/irritation
give 3 advantages of vaginal administration
1) targeted delivery
2) bypasses 1st pass metabolism
3) minimised systemic effects/ localised treatment
How many taste buds do we have?
9000
Define dysphagia
difficulty swallowing