first-pass effect

Liver metabolizes first

The first-pass effect is the rapid metabolism of a drug by the liver before it reaches general circulation.

When medication is taken orally, it passes through the liver after absorption from the gut, where enzymes may break down a significant portion before it can act elsewhere in the body.

This explains why some drugs require higher oral doses than injected ones, or why certain medications must bypass the digestive system entirely.

Related

drug metabolism · bioavailability · oral · absorption · portal · circulation · blood supply · drug · elimination · intestinal · enzymes · cytochrome · bloodstream · swallowed · pill · tablet · bypass · injection

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route of administration/metabolic bypass

first-pass effectintramuscular injection

Medication into muscle tissue

subcutaneous injection

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