Table 6. Routes of Administration To Be Avoided for Treatment of Cancer Pain
Routes of Administration
Rationale for Not Recommending
Intramuscular
Painful.
Absorption unreliable.
Should not be used in children or patients prone to develop dependent edema or patients with thrombocytopenia.
Transnasal
The only drug approved by the FDA for transnasal administration is butorphanol, an agonist-antagonist drug that generally is not recommended. (See opioid agonist-antagonists above.)