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0:00
Welcome to this short lecture on Routes of Drug Administration. I'm Karel Allegaert, clinical pharmacologist working both at KU Leuven in Belgium as well as Erasmus University of Rotterdam, the Netherlands.
0:16
You could question why we cover this topic. This is simply because various routes of administration will result in different exposure time profiles for a given drug. A commonly used abbreviation to quantify this is the F reflecting either absolute or relative bioavailability. We will come back to this definition in the next slide. Furthermore, there are also different formulation even if the same route of administration is drawn, for instance, a slow release versus a regular tablet or a syrup versus a tablet. These various routes of administration all have their advantages and disadvantages. Like for instance invasiveness, easiness, dose flexibility, or formulation-related issues. Finally, the selection of the route of administration should be based on patient preferences and therapeutic benefits. Like for instance, do you want an easy peak or is sustained exposure more preferable?
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Bioavailability is by definition the fraction of an administered drug that gains access to the systemic circulation after absorption in a chemically unchanged form. By definition it is between 0-100%. When we consider absolute bioavailability, we will compare a given route versus the intravenous administration like for instance oral to IV or inhalation to IV while the relative bioavailability will express the area under the curve between two non intravenous administered formulations like for instance oral to inhalation.

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