Kingjoe97034

Kingjoe97034 t1_j2kkdx7 wrote

They would love to deliver it the way that is most likely to be done correctly and most welcomed by the patients and doctors. That’s oral pills. They’ve come up with clever ways to do slow release that is protected from the stomach but absorbed in the intestines, for some drugs. Then it has to be protected from degrading enzymes so it stays in the blood or liver at the right level the longest before another pill is needed. Then the degradation products have to be harmless.

When a drug can’t be designed for this, you end up with things like multiple pills per day, or injections, or liquids, or patches, or nasal sprays, or rectal suppositories. Sometimes a patch is best because it can be slow release.

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Kingjoe97034 t1_j2kiyqs wrote

It depends on the drug. They are going to already know what delivery will likely work without further modification. For example, oral delivery is going to need to survive the stomach and get absorbed. Timing of release and half-life in the blood stream also factor into delivery method. They take these into account when deciding the best way to deliver the drug. Target organ also matters.

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Kingjoe97034 t1_ixoj8ye wrote

It isn’t countries doing this. It is companies. Just because a company has access to a resource, and someone in the same country wants that resource, it doesn’t mean they have arranged to sell to the closer buyer. They may have a better deal to sell to someone in another country. The same goes for the buyer. They might have a better seller lined up elsewhere.

It sounds inefficient, but not necessarily, depending on how the supply lines are set up.

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