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How Do You Take a Sublingual Tablet?

Published in Medication Administration 3 mins read

Taking a sublingual tablet involves placing the medication under your tongue, allowing it to dissolve and be absorbed directly into your bloodstream for quick and effective action.

Understanding Sublingual Administration

"Sublingual" literally means "under the tongue." This method of drug delivery allows medication to enter the bloodstream directly through the rich network of blood vessels located beneath the tongue, bypassing the digestive system and liver. This can lead to faster absorption and onset of action compared to tablets that are swallowed.

Step-by-Step Guide to Taking a Sublingual Tablet

To ensure your sublingual medication is absorbed correctly and safely, follow these essential steps:

  1. Preparation is Key:

    • Sit Upright: Before taking the medication, find a comfortable position and sit upright. This helps prevent accidental swallowing and ensures proper placement.
    • Wash Your Hands: Always start by washing your hands thoroughly to maintain hygiene.
  2. Proper Placement:

    • Place Under the Tongue: Gently place the tablet directly under your tongue. Avoid placing it on top of your tongue or against your cheek.
  3. Allow Complete Dissolution:

    • Leave it There: Keep the tablet under your tongue until it has completely dissolved. This process can take a few seconds to several minutes, depending on the specific medication.
    • Avoid Swallowing: It's crucial to avoid swallowing the tablet whole or chewing it. The medication is designed to be absorbed through the tissues under your tongue, not digested.
  4. Important Considerations During Dissolution:

    • No Eating, Drinking, or Smoking: Refrain from eating, drinking, or smoking while the sublingual medication is dissolving. These activities can interfere with absorption or cause you to swallow the tablet prematurely.
    • Limit Talking: Try to minimize talking during this time, as excessive movement of your mouth can dislodge the tablet or increase saliva production, leading to accidental swallowing.

Why Choose Sublingual?

Sublingual administration offers several advantages, which is why it's a preferred method for certain medications:

  • Rapid Absorption: The area under the tongue is rich in blood vessels, allowing for quick entry of the medication into the bloodstream.
  • Avoids First-Pass Metabolism: Unlike swallowed medications, sublingual drugs bypass the digestive system and the liver, preventing them from being metabolized or broken down before reaching their target. This can lead to a higher bioavailability of the drug.
  • Ease of Use: It's a convenient method, especially for individuals who have difficulty swallowing pills.

Dos and Don'ts of Sublingual Medication

Do Don't
Sit upright before taking the tablet. Swallow the tablet whole or chew it.
Place the tablet completely under your tongue. Eat, drink, or smoke while the tablet is dissolving.
Allow the tablet to dissolve naturally. Move your tongue excessively, which might dislodge the tablet.
Keep your mouth relatively still. Assume a partially dissolved tablet has delivered its full dose if swallowed.

When to Consult a Healthcare Professional

Always follow the specific instructions provided by your doctor or pharmacist for your particular sublingual medication. If you experience any of the following, consult a healthcare professional:

  • The tablet doesn't dissolve within the expected timeframe.
  • You experience discomfort, irritation, or an allergic reaction under your tongue.
  • You accidentally swallow the tablet and are unsure if you received the full dose.
  • You have questions about the proper administration of your medication.

For more information on proper medication administration, you can refer to reputable sources like the U.S. Food and Drug Administration (FDA) or your local pharmacy.