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International Journal of Bioprinting                                     Stability of 3D-printed PEO tablets
































                    Figure 10. Comparison of dissolution behavior of the four formulations (F –F ) prepared by physical mixture (PM) method.
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            Peppas) to investigate changes in the mechanism of drug   mechanism and dissolution rate can be less sensitive to
            release due to manufacturing methods. According to Table 8,    M  changes.
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            the manufacturing method appears to impact the release   Considering the dissolution profiles and mechanism of
            kinetics of tablets. The drug release from PM tablets of F    drug release, it can be concluded that FDM 3D printing
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            and F  (containing high M  PEO) fits best with the first-  can produce tablets with increased hardness and porosity,
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            order mechanism (R > 0.99), while the same formulations   but lower density and crystallinity, compared to PM and
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            made by HME and 3D printing best follow the Higuchi   HME methods. Although porosity and density can affect
            model (R > 0.99). Meanwhile, F  and F  tablets (containing   the release profile, their effect can be outweighed by the
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            low M  PEO) made by the PM method follow a zero-order   effect of hardness and formulation composition. Previous
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            drug release (R > 0.99), but the release mechanism changed   work indicates that increased hardness can extend the
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            to Higuchi (R ≥ 0.99) in HME and 3D-printed tablets.
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                                                               release profile of printed tablets  when a considerable
               For the release mechanism,  n values from the   amount (>40%) of hydrophobic material is included in the
            Korsmeyer-Peppas model determine the drug release   formulation. 16,26,41  However, the delayed release effect of
            mechanism associated with each manufacturing method.   elevated hardness can be minimized when the formulation
            All  tablets  displayed  good  fitting  with  the  Korsmeyer-  is completely hydrophilic.  PEO, as a polymer, can suffer
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            Peppas model (0.84 <  R < 0.99). F  and F  (containing   from degradation and  M  reduction under  thermal
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            lower M  PEO, 0.9 M) have similar release mechanisms   conditions of HME and 3D printing, subsequently reducing
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            with  n  > 0.85,  indicating diffusion  in all manufacturing   its gelling ability to extend drug release. Its crystallinity
            methods despite significant changes in DE%. However,   also decreases, which can increase DE%. Thus, an increase
            formulations containing PEO 7 M exhibited different   in DE% may be observed after heat processing, such as 3D
            patterns. F  features an anomalous transport (diffusion   printing, as observed for F  and F . Moreover, the impact
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            and swelling) mechanism in PM tablets (n  = 0.766).   of  heat-induced  PEO  M   reduction  on  drug  release  has
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            However, in HME and 3D-printed tablets, the mechanism   its limitations. When high  M  PEO is used (7 M),  M
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            is polymer relaxation (n = 1.287 and 1.157, respectively).   degradation in  HME  could  significantly  change DE%
            F  also demonstrated the same  pattern  with  n-values  of   and its release mechanism, like in F . However, further
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            0.845, 1.282, and 0.939 for PM, HME, and printed tablets,   degradation during the printing method (evidenced by
            respectively. Upon observation, PM tablets of F  and F    GPC) displayed negligible impact on DE% or its release
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            (with 7 M PEO) transformed into a thick gel ball at the   mechanisms.  Similarly,  variations  in  DE%  of  F ,  which
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            end of the dissolution test, but this was absent in HME and   contains a lower M  of PEO (0.9 M), were minimal, and
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            printed tablets; this was also observed in other studies.    the release mechanism was consistent across PM, HME,
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            It is assumed that below a specific grade of M , the release   and printed tablets.
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            Volume 10 Issue 5 (2024)                       420                                doi: 10.36922/ijb.4055
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