Because of the effectiveness of the blood-brain barrier in preventing the passage of substances into the brain, medications must be delivered directly into the patient's veins (intravenously, or by IV), at very high doses.
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The drug is intended to be given to the patient either in an intramuscular injection - or by intravenous infusion. Used orally - it can cause problems in patients that have impaired liver functionality.
By the time the antibiotic gets into the stomach it has lost the full strength of the medicine.