First-Pass Effect · Pharmacology

Which alternative route is often used to avoid the first-pass effect for drugs like nitroglycerin?

  1. Oral tablet
  2. Deep intramuscular injection
  3. Topical ointment
  4. Sublingual administration
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Correct answer: Sublingual administration

Sublingual administration allows the drug to be absorbed directly into systemic circulation through oral mucosa. This route bypasses the liver's first-pass metabolism.

Difficulty: Medium Question 7 of 20

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