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Absorption and routes of administration

Explains why route changes speed, peak and risk — the same drug can be gentle or dangerous depending on how it enters.

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04812162024HoursBlood level
Oral: blood level peaks at about 2.0 hours.

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What speeds absorption

More surface area, a drug that matches the local pH (its pKa), and higher lipid solubility. Many drugs are slightly basic, so they absorb better in the intestine (pH ≈ 7) than the stomach (pH ≈ 1).

Analogy and worked example

Analogy: Getting into a stadium: IV is being dropped onto the field by helicopter; inhalation is the players' tunnel straight to the pitch; oral is the public entrance with security, queues and bag checks (some fans are turned away); a patch is a slow trickle of fans all game long.

Suboxone is sublingual buprenorphine + naloxone. Why doesn't naloxone block the buprenorphine when taken as prescribed — but does when injected?

  1. Sublingual bioavailability: buprenorphine ~30%, naloxone <10%.

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Full lesson: Absorption and bioavailability · Oral and rectal administration · Inhaled and mucosal routes · Skin delivery and injection routes

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