All are true for sublingual route except ?
**Core Concept**
The sublingual route involves placing a drug under the tongue, where it dissolves and is absorbed into the bloodstream through the mucous membranes. This route is often used for medications that require rapid onset of action, such as nitroglycerin for angina.
**Why the Correct Answer is Right**
The sublingual route has several advantages, including avoiding first-pass metabolism (A) and allowing for rapid absorption (D) due to the high vascularity of the sublingual area. However, not all drugs can be given sublingually (B) because many are not soluble in saliva or require specific pH conditions for dissolution. The action of a sublingually administered drug can be terminated at any time (C) by spitting it out, but this is not a characteristic that distinguishes the sublingual route from other routes of administration.
**Why Each Wrong Option is Incorrect**
**Option A:** Escape first-pass metabolism is a characteristic of the sublingual route, as the drug is absorbed directly into the bloodstream without passing through the liver initially.
**Option C:** Action can be terminated any time is a true statement for the sublingual route, as the drug can be spat out to stop its effects.
**Option D:** Rapid absorption is a true statement for the sublingual route, as the high vascularity of the sublingual area allows for quick absorption of the drug.
**Clinical Pearl / High-Yield Fact**
When choosing a medication for sublingual administration, consider its solubility in saliva and the pH requirements for dissolution. Some drugs, such as nitroglycerin, are specifically designed for sublingual use and have been formulated to meet these requirements.
**β Correct Answer: B. All drugs can be given.**