Sublingual can be defined as medication that is taken by dissolving it under the tongue. The medicine is absorbed through the membranes underneath the tongue and directly into the blood vessels. Sublingual administration allows the medication to be directly absorbed by the rich network of blood vessels found under your tongue. By bypassing the digestive system, the medication can take effect more quickly and provide prompt relief.

Sublingual medication administration is a method where medication is placed under the tongue for absorption through the mucous membranes directly into the bloodstream, bypassing the digestive system.

This approach is particularly suitable for individuals who have difficulties swallowing or digesting medications, require rapid absorption into the system, or when digestion might reduce the medication’s effectiveness. The advantages of this method include quick absorption, suitability for patients with swallowing or digestive issues and avoiding liver metabolism, allowing for lower dosages. However, its efficacy can be affected by eating, drinking, or smoking at the time of administration and it’s not suitable for drugs that need slow absorption or can irritate the mouth in the presence of sores.

To administer sublingual medication effectively, one should wash hands thoroughly, wear disposable gloves to avoid germ transmission, ensure the medication is meant for sublingual use and prepare the correct dosage. The patient should be in an upright position to avoid accidental aspiration, avoid eating, drinking, or smoking before taking the medication and place the medicine under the tongue without swallowing it immediately. After the medication has fully dissolved, a waiting period is recommended before drinking or rinsing the mouth to ensure optimal absorption.

Buprenorphine / Naloxone

Buprenorphine and naloxone sublingual tablets are used to treat opioid use disorder by reducing withdrawal symptoms and cravings. Administered by placing the tablet under the tongue to dissolve, buprenorphine is most effective alongside counselling and behavioral therapy. Before taking this medication, it’s essential to inform your care team about any existing conditions such as brain tumors, dental issues, addiction history, heart or liver disease, among others. The medication should be taken as prescribed, without the need for water, allowing it to dissolve under the tongue. It is crucial to follow the dosage instructions precisely and consult the advice provided by your pharmacist with each prescription for safe use. This medication may also be prescribed for children as young as 16 under specific conditions with necessary precautions. In case of overdose, contact emergency services immediately.

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