Subcutaneous administration of parenteral drugs
DISEASE INTERVENTION COMPARISON RESULTS
J Antimicrob Chemother. 2025 Nov 12:dkaf381. doi: 10.1093/jac/dkaf381. Epub ahead of print. Clinical Trial (non-controlled, non-randomized)
IN antibiotics, amoxicillin/clavulanic, subcutaneous administration, clinical pharmacology The Use of
subcutaneous (SC) administration of amoxicillin/clavulanic acid
As Treatment, Acute
Is equal Than
intravenous (IV) administration of amoxicillin/clavulanic acid
To achieve similar trough concentrations at 5h post-administration. Cmax values were ∼45% lower with SC. Only 3 patients in SC group. Local SC adverse events: transient oedema, erythema and pain
Forum Infectious Diseases. 2025 Jun;12(6):ofaf313, doi: 10.1093/ofid/ofaf313 Clinical Trial (non-controlled, non-randomized)
IN antibiotics, cephalosporins, ceftriaxone, subcutaneous administration, clinical pharmacology The Use of
administering ceftriaxone as subcutaneous, same doses
As Treatment, Acute
Is equal Than
administering it intravenously
To achieve similar bioavailability (99%), concentrations and good probability of target attainment
Infect Dis Now. 2025 Dec 11;56(2):105232. doi: 10.1016/j.idnow.2025.105232. Epub ahead of print Consensus, Guideline
IN antibiotics, various, subcutaneous administration, clinical pharmacology The Use of
subcutaneous (SC) administration of ceftriaxone, Cefazolin, ertapenem, meropenem, piperacillin–tazobactam, temocillin, and benzathine benzylpenicillin. Possible also for teicoplanin, amoxicillin, amoxicillin–clavulanic acid, ceftazidime and daptomycin
As Treatment, Acute
Is equal Than
intravenous (IV) administration of same drugs
To achieve similar trough concentrations and clinical effectiveness. Pic concentrations (Cmax) are lower, however, and local reactions and hematome are frequent adverse events
Eur Heart J Cardiovasc Pharmacother. 2025 Feb 8;11(1):94-104. doi: 10.1093/ehjcvp/pvae083 Systematic Review
IN diuretics, furosemide, subcutaneous administration, clinical pharmacology The Use of
subcutaneous furosemide, specially new pH-neutral preparations of subcutaneous furosemide
As Treatment, Acute
Is equal Than
conventional intravenous furosemide
To achieved similar diuresis, natriuresis, and bioavailability. SC conventional furosemide was associated with substantial skin irritation (3-23% of patients)