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. 2025 Jan 17;19(4):4011–4038. doi: 10.1021/acsnano.4c09566

Table 3. Advantages and Disadvantages of the Administration Routes of nano-DDSs337343.

Administration route Advantages Disadvantages
Intravenous (iv) Provides direct access to the bloodstream, ensuring a rapid onset of action. Invasive method which requires a skilled healthcare professional.
Avoidance of first-pass metabolism results in high bioavailability. Potential for infection at the injection site.
Precise dosing due to direct delivery into the systemic circulation. May cause undesirable immune reaction.
Oral Noninvasive. Subject to first-pass metabolism, reducing bioavailability.
Convenient and promotes better patient compliance. Absorption can be inconsistent due to factors such as gastrointestinal pH and enzymatic activity.
Cost effective.  
Transdermal Noninvasive. Limited permeability.
Allows for sustained and controlled release over an extended period. May cause enzymatic deterioration.
Prevents deterioration of drug due to gastrointestinal interaction.  
Inhalation Direct pulmonary delivery. Ensuring optimal particle size for deep lung penetration can be challenging.
Quick absorption, due to the large surface area of the lungs. May cause irritation in the respiratory tract.
Intramuscular (im)/Subcutaneous (sc) Allows for controlled release, especially with sustained-release formulations. Requires a healthcare professional for administration.
Bypasses first-pass metabolism to some extent, enhancing bioavailability. May cause local reactions at the injection site.
Intraperitoneal (ip) The peritoneal cavity provides a large surface area for drug absorption. Requires a skilled healthcare professional for administration.
Bypasses first-pass metabolism, leading to increased bioavailability. Potential for infection at the injection site.
Intranasal Noninvasive. Restricted to small drug volumes due to nasal cavity constraints.
Rapid absorption due to the rich blood supply in the nasal mucosa. Absorption may vary among individuals.
Prevents interaction with gastrointestinal tract. Intolerance in nasal mucosa.
Intrathecal/Intraventricular Direct drug delivery to the cerebrospinal fluid (CSF) for CNS disorders. Invasive, involves injection into the spinal canal or brain ventricles, requiring expertise.
Bypasses the blood–brain barrier, enhancing drug access to the CNS. Carries a risk of infection and potential neurological complications.
Rectal Bypasses first-pass metabolism, improving bioavailability. Absorption may be variable and dependent on rectal conditions.
Absence of enzymes helps in avoiding enzymatic degradation. Patient acceptance may be lower due to the nature of administration route.
Administered rectally, offering a noninvasive alternative.  
Ocular Allows for targeted drug delivery to the eyes for ocular conditions. Limited volume capacity in the eye for drug administration.
Minimizes systemic exposure, reducing potential side effects. Some formulations may cause eye irritation.
Vaginal Targeted delivery for gynecological conditions, minimizing systemic exposure. Absorption may vary among individuals.
Bypasses first-pass metabolism for improved bioavailability. May cause local irritation in the vaginal mucosa.