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3D printing for drug manufacturing: A perspective on the future of pharmaceuticals

           drug dosing by making multi-drug and multi-dose     and likely imprecision involved in the pharmaceutical
           carriers not only possible, but simple to fabricate.   making process. Solving these potential risks is the
           So called “polypills” can be created by combining   precision of custom 3D printing drugs. Leveraging 3D
           different drugs, materials with varying concentrations   printing’s control over release characteristics of drugs
           of the same or different drugs, and various materials   and its ability to produce precise and unique doses,
           with differing release characteristics into the same pill.   individualized medicine can provide prescription-based
           3D printing is the most effective and efficient method   pharmaceutical products with the safety of digital control
           for accomplishing this [103,104] . Multiple drugs can be   and the personalization of 3D printing.
           combined in a pill by printing with multiple filaments   5. Conclusion and Future Perspectives
           or inks, each loaded with a different drug. Likewise,
           multiple materials can be printed simultaneously to form   Through this article, we have provided our perspective
           a single pill comprising multiple release characteristics.   on the merits of 3D printing for drug manufacturing.
           These capacities come together to produce a myriad   Selective laser sintering, inkjet printing, and extrusion-
           of possibilities, including, but not limited to: multiple   based printing were presented as applicable 3D printing
           layers, self-contained compartments, and inner-to-  methods for drug manufacturing. Solid filament
           outer variation, each with either different doses or even   materials and natural and synthetic hydrogels were
           different drugs. Such polypills made possible by 3D   con sidered as possible materials for drug loading and
           printing may very well be the future of precise and   printing. Various rationales for the 3D printing of drugs
           unique drug dosing.                                 were also presented, including control over the release
           4.3  On-Demand Capabilities                         characteristics of drugs, the ability to print precise and
                                                               unique doses, and the on-demand capabilities inherent
           Point-of-care and pharmacy-based drug production may   with the printing approach.
           be the future of pharmaceuticals. 3D printing fulfills this   3D printing for drug manufacturing represents the
           niche portion of drug manufacturing. By implementing   future of pharmaceuticals. While diverse industries
           3D printing as a fabrication method for pharmaceuticals,   across all of society are adopting 3D printing as a me-
           drugs can be on-demand in time-limited and resource-  thod for manufacturing, medicine and healthcare have
           limited settings [1,105] . The on-demand capabilities are   yet to fully harness the capabilities of 3D printing
           applicable to settings such as disaster relief, emergency   for the direct-write fabrication of medications. With
           and operating rooms, on board first response vehicles, or   continued research, we believe personalized medicine
           medical facilities for the military. Time is also a critical   will reach new levels of possibility, and pharmacies will
           factor when fabricating and delivering low-stability   be revolutionized by this particular application of 3D
           drugs, which is another instance of an application for on-  printing.
                                [97]
           demand printing of drugs .
            The printing of pharmaceutical products can also   Conflict of Interest
           be implemented to produce drugs on-the-spot and in
           accordance with specific, individualized prescriptions,   No conflict of interest was reported by the authors.
           thereby revolutionizing pharmacy compounding [106] .
           Currently, patient-centered pharmaceuticals are limited   Acknowledgments
           to compounding pharmacies. Traditionally, pharmacy
           compounding is reserved for patients with special   S.T. acknowledges the American Heart Association
           medical needs, offering custom medications which are   Scientist Development Grant (15SDG25080056),
           not commercially available. In particular, pharmacists   Connecticut Innovations Biopipeline Award, and
           prepare small-scale batches based on individual pre-  the University of Connecticut Research Excellence
           scriptions. However, the individual-centric practices of   Program award for financial support of this research.
           compounding pharmacies have associated risks [107] .  S.T. is founder of, and have an equity interest in
            Pharmacy compounding is traditionally reserved     mBiotics, LLC, a company that is developing micro-
           for cases in which a patient requires a dosage form,   fluidic technologies for point-of-care diagnostic so-
           strength, or medicine cocktail that is not commercially   lutions. S.T.’s interests were viewed and managed in
           available. In such cases, the risk-benefit ratio of using   accordance with the conflict of interest policies of the
           the compounded medicine is favorable for the pa-    University of Connecticut. The authors have no other
           tient [107] . However, the risk-benefit scale tips in the   relevant affiliations or financial involvement with any
           opposite direction for medications that have other more   organization or entity with a financial interest in or
           commercialized options. The reason for the variance   financial conflict with the subject matter or materials
           in the merit of compounding is the inherit variability   discussed in the manuscript apart from those disclosed.

           8                           International Journal of Bioprinting (2018)–Volume 4, Issue 1
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