Tailor-Made Doses of Pharmaceuticals by Tunable Modular Design : A Case Study on Tapering Antidepressant Medication

© 2024 The Authors. Advanced Materials published by Wiley‐VCH GmbH.

Bibliographische Detailangaben
Veröffentlicht in:Advanced materials (Deerfield Beach, Fla.). - 1998. - 36(2024), 30 vom: 21. Juli, Seite e2403852
1. Verfasser: Ahola, Ilari (VerfasserIn)
Weitere Verfasser: Raijada, Dhara, Cornett, Claus, Bøtker, Johan, Rantanen, Jukka, Genina, Natalja
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:Advanced materials (Deerfield Beach, Fla.)
Schlagworte:Journal Article citalopram hydrobromide inkjet printing modular design personalized medicine tapering of antidepressants Antidepressive Agents Citalopram 0DHU5B8D6V Tablets
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520 |a An abrupt cessation of antidepressant medication can be challenging due to the appearance of withdrawal symptoms. A slow hyperbolic tapering of an antidepressant, such as citalopram hydrobromide (CHB), can mitigate the withdrawal syndrome. However, there are no viable dosage forms on the market to implement the tapering scheme. A solution using a tunable modular design (TMD) approach to produce flexible and accurate doses of CHB is proposed. This design consists of two parts: 1) a module with a fixed amount of preloaded CHB in a freeze-dried polymer matrix, and 2) fine-tuning the CHB dose by inkjet printing. A noncontact food-grade printer, used for the first time for printing pharmaceuticals, is modified to allow for accurate printing of the highly concentrated CHB ink on the porous CHB-free or CHB-preloaded modules. The produced modules with submilligram precision are bench-marked with commercially available CHB tablets that are manually divided. The TMD covers the entire range of doses needed for the tapering (0.5-23.8 mg). The greatest variance is 13% and 88% when comparing the TMD and self-tapering, respectively. Self-tapering is proven inaccurate and showcases the need for the TMD to make available accurate and personalized doses to wean off treatment with CHB 
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650 4 |a citalopram hydrobromide 
650 4 |a inkjet printing 
650 4 |a modular design 
650 4 |a personalized medicine 
650 4 |a tapering of antidepressants 
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650 7 |a Citalopram  |2 NLM 
650 7 |a 0DHU5B8D6V  |2 NLM 
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700 1 |a Raijada, Dhara  |e verfasserin  |4 aut 
700 1 |a Cornett, Claus  |e verfasserin  |4 aut 
700 1 |a Bøtker, Johan  |e verfasserin  |4 aut 
700 1 |a Rantanen, Jukka  |e verfasserin  |4 aut 
700 1 |a Genina, Natalja  |e verfasserin  |4 aut 
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773 1 8 |g volume:36  |g year:2024  |g number:30  |g day:21  |g month:07  |g pages:e2403852 
856 4 0 |u http://dx.doi.org/10.1002/adma.202403852  |3 Volltext 
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