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Pharmacology C.V.S 46141e8f

GTN is given sub-lingually, why?

A
To avoid first pass metabolism
B
Rapid effect
C
Gastric irritation
D
To avoid side effects
High-Yield Explanation
Ans: a (To avoid first pass metabolism) Ref: Goodman & Gilman, 11th ed, p. 3SUBLINGUAL ADMINISTRATIONVenous drainage from the mouth is to the superior vena cava, which protects highly soluble drugs like nitroglycerin from rapid hepatic first-pass metabolism. If a tablet of nitroglycerin were swallowed, the accompanying hepatic metabolism would be sufficient to prevent the appearance of any active nitroglycerin in the systemic circulation.

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