1. Printing T 3 and T 4 oral drug combinations as a novel strategy for hypothyroidism.
- Author
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Alomari M, Vuddanda PR, Trenfield SJ, Dodoo CC, Velaga S, Basit AW, and Gaisford S
- Subjects
- Administration, Oral, Drug Combinations, Drug Compounding, Drug Dosage Calculations, Drug Liberation, Equipment Design, Humans, Kinetics, Solubility, Technology, Pharmaceutical instrumentation, Thyroxine chemistry, Triiodothyronine chemistry, Hypothyroidism drug therapy, Printing, Three-Dimensional instrumentation, Technology, Pharmaceutical methods, Thyroxine administration & dosage, Triiodothyronine administration & dosage
- Abstract
Hypothyroidism is a chronic and debilitating disease that is estimated to affect 3% of the general population. Clinical experience has highlighted the synergistic value of combining triiodothyronine (T
3 ) and thyroxine (T4 ) for persistent or recurrent symptoms. However, thus far a platform that enables the simultaneous and independent dosing of more than one drug for oral administration has not been developed. Thermal inkjet (TIJ) 2D printing is a potential solution to enable the dual deposition of T3 and T4 onto orodispersible films (ODFs) for therapy personalisation. In this study, a two-cartridge TIJ printer was modified such that it could print separate solutions of T3 and T4 . Dose adjustments were achieved by printing solutions adjacent to each other, enabling therapeutic T3 (15-50 μg) and T4 dosages (60-180 μg) to be successfully printed. Excellent linearity was observed between the theoretical and measured dose for both T3 and T4 (R2 = 0.982 and 0.985, respectively) by changing the length of the print objective (Y-value). Rapid disintegration of the ODFs was achieved (<45 s). As such, this study for the first time demonstrates the ability to produce personalised dose combinations by TIJ printing T3 and T4 onto the same substrate for oral administration., (Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved.)- Published
- 2018
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