In order for a patient to get therapeutic, pain-relieving, or other beneficial benefits from a prescribed prescription, doctors and pharmacists must prescribe it. You or a loved one may benefit from these impacts and other prescribed therapies in the therapy process.
If you want to get the most out of your prescription, you must follow the directions exactly, taking it at the precise time of day, and for the prescribed length of time.
Medication Adherence, which are also known as patient compliance or patient adherence concerns, can lead to life-threatening and even deadly outcomes when drugs are not taken as prescribed. It’s also estimated that as many as 50% of patients don’t follow the dosage or frequency guidelines that come with the medicines they take. Dysphagia, a disorder in which patients have difficulty swallowing or taking oral drugs, is the most common cause of non-compliance. If these situations sound familiar, sublingual medications may be a good solution for you.
What is Sublingual Drug Administration?
Sublingual administration of drug refers to the placement of drug under the tongue (Rehfeld et al., 2017). The sublingual route bypasses the first-pass metabolism and hence facilitates rapid absorption of the drug into the systemic circulation. Drug directly reaches the systemic circulation using blood vessels.
Compounding pharmacies such as Myerlee Pharmacy can work with you or your physician to custom mix a variety of drugs in sublingual form, which eliminates the need to swallow them—making medication adherence easier than ever. As previously stated, medications that are well-suited for sublingual delivery may offer a desirable alternative to the more often used oral formulations of the same medications.
This concise guide to sublingual tablets will provide additional information about the most common oral medication issues encountered by patients, the benefits of sublingual medications in resolving them, the different types of sublinguals available, the best steps for taking a sublingual medication, and which medications can be taken sublingually.
Advantages of Compounding Sublingual Medications
Due to their sublingual administration, sublingual drugs present several advantages over the traditional formulations of the same medications. Advantages include:
What Should I Be Aware of When It Comes to Sublingual Drugs?
For all of the reasons described above, sublingual medications can assist you in achieving the degree of compliance essential to guarantee that you receive all of your medication’s therapeutic, pain-relieving, and other treatment advantages. However, to achieve the greatest therapeutic effects, you must still follow a few sublingual drug best practices.
Recommendations for effective sublingual administration include the following:
1. Drink plenty of water prior to administration.
10 to 15 minutes before to inserting a sublingual pill, drink lots of water. This step ensures that you create enough saliva to dissolve the pill.
2. Insert the tablet into the proper area of your mouth.
When it’s time to insert the pill, confirm with the pharmacist whether sublingual or buccal (cheek) placement is recommended. To administer sublingually, slip the pill beneath your tongue and wait for it to dissolve. Place the pill between your cheek and gums for buccal administration.
3. Avoid washing the drug away.
After the pill has dissolved, wait at least 30 to 45 minutes before eating or drinking. Food and liquids might dilute your dosage, resulting in diminished results or the recurrence of your symptoms.
4. Avoid blocking absorption.
Brushing your teeth immediately before or after placing your medication is not recommended. Additionally, for two hours before and after taking your prescription, refrain from smoking or chewing tobacco. Both of these actions may impair the medication’s absorption via the mucosal membranes of your mouth.
5. Learn what to do if you forget to take your medication.
While many medications may be taken within a one- or two-hour window if you miss a dosage, some require a more rigid regimen. If you’ve forgotten to take your medicine, contact your pharmacist to obtain exact instructions for your dosage and medication.
Which Medications Are Sublingually Administered?
If you have an aversion to pills, trouble swallowing, or any of the other side effects associated with standard oral medications, sublingual formulations may be an appropriate alternative. Regrettably, not all drugs are available as pre-made sublingual tablets. Many drugs, however, may be compounded into sublingual formulations by a compounding pharmacy.
The majority of drugs are created in this manner. Sublingual formulations are advantageous for testosterone, zolmitriptan (Zomig), estradiol, and, in particular, nitroglycerine tablets, which dissolve beneath the tongue in the case of angina or a heart attack. A compounding pharmacy can determine the optimal sublingual form for your requirements based on the kind and nature of the prescription, including:
While many drugs are available in liquid form, sublingual liquids are specially formulated for sublingual delivery. Additionally, some are designed to be more quickly absorbed than standard liquid drugs.