Administration, routes

Effects in Animals. The LD ia rats for all light chlorophenols, irrespective of the administration route, ties between 130 and 4000 mg/kg body weight. The toxicity of these compounds ia order of increasing strength is tetrachlorophenols > monochloropheno1 s > dichlorophenols > trichlorophenols when the chlorophenol is administered either orally or by subcutaneous iajection. 

For the majority of drugs, the preferred administration route is by oral ingestion which requires good intestinal absorption of drug molecules. Intestinal absorption is usually expressed as fraction absorbed (FA), expressing the percentage of initial dose appearing in a portal vein [15]. 

If possible, give glucocorticoid via administration routes that minimize systemic absorption (such as inhalation or dermal). 

Sociocultural, illness, and biological factors affect individual attitudes towards psychotropic medications. Health beliefs or explanatory models, particularly causal attributions regarding the illness and the treatment options afforded within such models, exert a profound influence on patients attitudes and behavior regarding medications (Smith, Lin Mendoza, 1993). Such effects can be subtle and can occur during the course of treatment even if there has been initial successful negotiation about the nature of the illness and treatment. In psychiatric illness little research has been leveled at the personal meaning that patients bring to treatment practices such as electro-convulsive therapy (ECT), oral medications, and depot injections, or to the transition between different administrative routes and types of medications. 

The fate of injected liposomes is drastically altered by administration route, dose and size, lipid composition, surface modification, and encapsulated drugs. Liposomes encapsulating drugs are often administered iv, therefore, the stability of liposomes in plasma is important. When liposomes composed of PC with unsaturated fatty acyl chains are incubated in the presence of serum, an efflux of internal solute from the liposomes is observed. This increase in permeability is caused by the transfer of phospholipids to high density lipoprotein (HDL) in serum (55). To reduce the efflux of liposomal contents, cholesterol is added as a liposomal component... 

Liposomes tend to remain at the injection site when they are administered intramuscularly or subcutaneously. Therefore, these administration routes are useful for slow and sustained release of drugs at the injection site. 

Nanoparticles show great promise as devices for the controlled release of drugs, provided that the choice of material for nanoparticle formation is made with the appropriate considerations of the drug cargo, administration route, and the desired site of action. The use of nano- and microparticles as controlled drug-delivery devices has recently been extensively reviewed [97]. 

These findings suggest that CNT exposure should be evaluated as a potential cardiovascular risk factor. It should be noted, however, that no thrombosis or other adverse effects on the cardiovascular homeostasis were reported after intravenous injection in healthy animals, when this administration route was used for investigating the biokinetics of CNTs [119-126]. 

In neurochemical terms, amphetamine and cocaine boost monoamine activity. Amphetamine has a threefold mode of action first, it causes dopamine and noradrenaline to leak into the synaptic cleft second, it boosts the amount of transmitter released during an action potential and third, it inhibits the reuptake of neurotransmitter back into presynaptic vesicles. These three modes all result in more neurotransmitter being available at the synapse, thus generating an increase in postsynaptic stimulation. Cocaine exerts a similar overall effect, but mainly by reuptake inhibition. The main neurotransmitters affected are dopamine and noradrenaline, although serotonin is boosted to a lesser extent. These modes of action are outlined in Chapter 3, and the neurochemical rationale for drug tolerance is covered more fully in Chapter 10. The main differences between amphetamine and cocaine are their administration routes (summarised above) and the more rapid onset and shorter duration of action for cocaine. 

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