Table 5.
Prominent Routes of Drug Administration for the treatment of neurological disorders.
| S. No. | Route | Merits | Limitations |
|---|---|---|---|
| 1. | Oral | Easy to administer | Irritation and nausea in some cases |
| Easy absorption along the whole length of gastro-intestinal tract | First-pass effect | ||
| Suitable for administration of high doses | Low drug stability due to effects of gastric juices | ||
| Slow release of drug into the circulation | |||
| Not suitable for drugs to be delivered to different brain regions | |||
| 2. | Inhalation/Intranasal | Large surface area for absorption of drug into the circulation | Dose regulation and precision is not achieved easily |
| Direct drug delivery into the circulation | Only suitable for administration of low molecular weight drugs | ||
| Complete drug stability | Inconvenient for drug administration | ||
| Bypass first-pass effect | |||
| Bypass BBB, thus suitable for direct brain delivery of drugs | |||
| 3. | Intravenous | Direct delivery of drug into the circulation | Risk of infection and vessel puncture |
| Complete drug bioavailability in blood | Technical assistance required | ||
| Complete drug stability | Inconvenient and comparatively unsafe | ||
| No first-pass effect | |||
| Suitable for drugs to treat various CNS disorders | |||
| 4. | Rectal | Bypass first-pass effect | Irregular absorption |
| Steady release of drug | Inconvenient | ||
| Not suitable for drugs to treat several CNS disorders | |||
| Slow absorption rate | |||
| 5. | Intracerebral | Direct drug delivery to desired brain region | High technical expertise required |
| Maximum drug availability in affected brain region | Unsuitable for regular drug administration | ||
| Rapid drug release and effect | High risk of infection |