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. 2022 Jan 1;12(2):689–719. doi: 10.7150/thno.64806

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