Blood is a complex biological fluid composed of deformable cells and platelets suspended in plasma, a protein-rich liquid. The peculiar nature of blood needs to be considered when designing a drug delivery strategy based on systemically administered carriers. Here, we report on an in vitro fluid dynamic investigation of the influence of the microcapillary flow of red blood cells (RBCs) on micron sized carriers by high speed imaging methods. The experiments were carried out in a 50 m diameter glass capillary that mimicked the hydrodynamic conditions of human microcirculation. Spherical particles (-Ps), with sizes ranging between 0.5 and 3 m, were tested. Images of the flowing RBCs and -Ps were acquired by a highspeed/high-magnification microscopy. The transport and distribution of rigid particles in a suspension of RBCs under shear flow were followed for: i) the migration of RBCs towards the vessel centerline due to their deformability; ii) the cross-flow migration of -Ps towards the vessel wall due to their hydrodynamic interactions with RBCs; iii) the radial distribution of Ps in the presence of RBCs. This study suggests that the therapeutic efficacy of Ps could be ultimately affected by their interactions with the flowing RBCs in the vasculature.