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 |