Journals / Ankara Üniversitesi Eczacılık Fakültesi Dergisi / 2026 / Cilt: 50 Sayı: 2

AN INNOVATIVE APPROACH TO PEDIATRIC FORMULATIONS: THREE-DIMENSIONAL (3D) PRINTING TECHNOLOGY

PEDİATRİK FORMÜLASYONLARA YENİLİKÇİ BİR YAKLAŞIM: ÜÇ BOYUTLU (3B) BASKI TEKNOLOJİSİ

Özlem Nekük(MERSİN ÜNİVERSİTESİ, ECZACILIK FAKÜLTESİ, ECZACILIK TEKNOLOJİSİ BÖLÜMÜ, FARMASOTİK TEKNOLOJİ ANABİLİM DALI)0009-0007-7294-8027
Müge Kılıçarslan(Ankara Üniversitesi Eczacılık Fakültesi)0000-0003-3710-7445
Pages
502–516
Publication Date
2026-05-19
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

To date, studies conducted using this technology indicate that dose flexibility for pediatric applications can be achieved by modifying printing parameters; that dosage forms with low doses, improved organoleptic properties, and increased bioavailability can be produced; and that 3D printing technology may be used as an important innovation in pediatric drug manufacturing in community and hospital pharmacies in the future.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This review aims to evaluate the role of three-dimensional (3D) printing technology in the design of pediatric drug formulations, which needs it addresses for this population, and study examples of various drug formulations produced for this purpose.
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Key Findings & Data:However, this practice may compromise product stability and safety; inaccurate dosing can increase the risk of adverse drug reactions or change drug bioavailability.
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Conclusion & Impact:To date, studies conducted using this technology indicate that dose flexibility for pediatric applications can be achieved by modifying printing parameters; that dosage forms with low doses, improved organoleptic properties, and increased bioavailability can be produced; and that 3D printing technology may be used as an important innovation in pediatric drug manufacturing in community and hospital pharmacies in the future.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:3B baskı teknolojisi · kişiselleştirilmiş tedavi · pediatri

Abstract

Objective: This review aims to evaluate the role of three-dimensional (3D) printing technology in the design of pediatric drug formulations, which needs it addresses for this population, and study examples of various drug formulations produced for this purpose. Result and Discussion: Various anatomical and physiological differences in pediatric population affect pharmacokinetics of drugs. Since many medicines used in children are not commercially available in age- or weight-adjusted or divisible doses, dosage modification is often required. In such cases, solid dosage forms such as tablets or capsules are commonly dispersed or dissolved in a liquid to facilitate administration. However, this practice may compromise product stability and safety; inaccurate dosing can increase the risk of adverse drug reactions or change drug bioavailability. Using 3D printing technology with various design software, personalized dosage forms with complex designs can be developed. To date, studies conducted using this technology indicate that dose flexibility for pediatric applications can be achieved by modifying printing parameters; that dosage forms with low doses, improved organoleptic properties, and increased bioavailability can be produced; and that 3D printing technology may be used as an important innovation in pediatric drug manufacturing in community and hospital pharmacies in the future.

Özet

Amaç: Bu derlemede üç boyutlu (3B) baskı teknolojisinin pediatrik ilaç formülasyonlarının tasarımındaki yeri, bu popülasyona yönelik hangi ihtiyaçlara çözüm olduğu ve bu amaçla üretilmiş çeşitli ilaç şekillerine ait çalışma örneklerinin değerlendirilmesi amaçlanmıştır. Sonuç ve Tartışma: Pediatrik popülasyondaki çeşitli anatomik ve fizyolojik farklılıklar ilacın farmakokinetiğini etkilemektedir. Çocukların tedavisinde kullanılan birçok ilacın yaşa ve kiloya göre çeşitlendirilmiş ya da bölünebilir dozu piyasada bulunmadığından doz ayarlaması gerektiğinde tablet, kapsül vb. ilaç şekillerinin bir sıvı içerisinde dağıtılarak veya çözülerek daha kolay kullanabileceği hale getirilmesi yaygın bir uygulamadır. Bu durum ürünün stabilitesini ve güvenliğini bozar, hatalı dozlamalar advers ilaç reaksiyonları riskini artırabilir veya ilacın biyoyararlanımını değiştirir. 3B baskı teknolojisi ile çeşitli tasarım programları kullanılarak kişiye özel kompleks tasarımlı ürünler geliştirilebilir. Günümüze kadar bu teknoloji ile yapılan çalışmalar baskı parametreleri değiştirilerek pediatrik uygulamalar için doz esnekliği sağlanabileceğini, küçük dozlarda, organoleptik özellikleri iyileştirilmiş, biyoyararlanımı artırılmış ilaç şekillerinin üretilmesinin mümkün olacağını ve 3B baskı teknolojisinin gelecekte toplum ve hastane eczanelerinde pediatrik ilaç üretiminde önemli bir yenilik olarak kullanılabileceğini göstermektedir.

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Cite This Article

Nekük, Ö., Kılıçarslan, M. (2026). AN INNOVATIVE APPROACH TO PEDIATRIC FORMULATIONS: THREE-DIMENSIONAL (3D) PRINTING TECHNOLOGY. Ankara Üniversitesi Eczacılık Fakültesi Dergisi, Cilt: 50 Sayı: 2, 502–516. https://doi.org/10.33483/jfpau.1759094

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References (68)

  1. Strouse, P.J., Trout, A.T., Offiah, A.C. (2022). Editors' notebook: What is 'pediatric'? Pediatric Radiology 52(12), 2241-2242. [CrossRef]
  2. Domingues, C., Jarak, I., Veiga, F., et al. (2023). Pediatric drug development: Reviewing challenges and opportunities by tracking innovative therapies. Pharmaceutics, 15(10), 2431. [CrossRef]
  3. Williams, K., Thomson, D., Seto, I., et al. (2012). Standard 6: Age groups for pediatric trials. Pediatrics, 129 Suppl 3, S153-S160. [CrossRef]
  4. Juarez-Hernandez, J.E., Carleton, B.C. (2022). Paediatric oral formulations: Why don't our kids have the medicines they need? British Journal of Clinical Pharmacology, 88(10), 4337-4348. [CrossRef]
  5. Vieira, I., Sousa, J.J., Vitorino, C. (2021). Paediatric medicines - regulatory drivers, restraints, opportunities and challenges. Journal of Pharmaceutical Sciences, 110(4), 1545-1556. [CrossRef]
  6. Balan, S., Hassali, M.A., Mak, V.S.L. (2017). Challenges in pediatric drug use: A pharmacist point of view. Research in Social and Administrative Pharmacy, 13(3), 653-655. [CrossRef]
  7. Khan, D., Kirby, D., Bryson, S., et al. (2022). Paediatric specific dosage forms: Patient and formulation considerations. International Journal of Pharmaceutics, 616, 121501. [CrossRef]
  8. Galande, A.D., Khurana, N.A., Mutalik, S. (2020). Pediatric dosage forms-challenges and recent developments: A critical review. Journal of Applied Pharmaceutical Science, 10(7), 155-166. [CrossRef]
  9. Batchelor, H.K., Marriott, J.F. (2015). Paediatric pharmacokinetics: Key considerations. British Journal of Clinical Pharmacology, 79(3), 395-404. [CrossRef]
  10. Al-Japairai, K., Hamed Almurisi, S., Almonem Doolaanea, A., et al. (2023). A review on taste masked multiparticulate dosage forms for paediatric. International Journal of Pharmaceutics, 632, 122571. [CrossRef]
  11. Tong, H., Zhang, J., Ma, J., et al. (2024). Perspectives on 3D printed personalized medicines for pediatrics. International Journal of Pharmaceutics, 653, 123867. [CrossRef]
  12. Marques, M.S., Lima, L.A., Poletto, F., et al. (2022). Nanotechnology for the treatment of paediatric diseases: A review. Journal of Drug Delivery Science and Technology, 75, 103628. [CrossRef]
  13. Meyers, R. (2020). A wish list for drug development in pediatrics. Journal of Pharmaceutical Sciences, 109(2), 939-943. [CrossRef]
  14. Gerrard, S.E., Walsh, J., Bowers, N., et al. (2019). Innovations in pediatric drug formulations and administration technologies for low resource settings. Pharmaceutics, 11(10), 518. [CrossRef]
  15. Moreira, M., Sarraguca, M. (2020). How can oral paediatric formulations be improved? A challenge for the XXI century. International Journal of Pharmaceutics, 590, 119905. [CrossRef]
  16. Kılıçarslan, M., Büke, A.N., Nekük, Ö. (2023). 3B Baskı Teknolojisi ve Çok Katmanlı Farmasötik Filmler. Eds: Bozkır, A., Yıldız İ. Eczacılıkta Yenilikler 4, Ankara Üniversitesi Basımevi, Ankara, 381-397.
  17. Kılıçarslan, M., Gencel, C. (2020). İlaç Üretiminde Üç Boyutlu Baskı Teknolojileri. Eds: Özçelikay G., Yıldız, İ. Eczacılıkta Yenilikler 3, Ankara Üniversitesi Basımevi, Ankara, 371-390.
  18. Pitzanti, G., Mathew, E., Andrews, G.P., et al. (2022). 3D printing: An appealing technology for the manufacturing of solid oral dosage forms. Journal of Pharmacy and Pharmacology, 74(10), 1427-1449. [CrossRef]
  19. Kocabas, L.I., Ayyoubi, S., Tajqurishi, M., et al. (2024). 3D-printed prednisolone phosphate suppositories with tunable dose and rapid release for the treatment of inflammatory bowel disease. International Journal of Pharmaceutics, 649, 123639. [CrossRef]
  20. Suárez-González, J., Magariños-Triviño, M., Díaz-Torres, E., et al. (2021). Individualized orodispersible pediatric dosage forms obtained by molding and semi-solid extrusion by 3D printing: A comparative study for hydrochlorothiazide. Journal of Drug Delivery Science and Technology, 66, 102884. [CrossRef]
  21. Chachlioutaki, K., Karavasili, C., Mavrokefalou, E.E., et al. (2022). Quality control evaluation of paediatric chocolate-based dosage forms: 3D printing vs mold-casting method. International Journal of Pharmaceutics, 624, 121991. [CrossRef]
  22. Malebari, A.M., Kara, A., Khayyat, A.N., et al. (2022). Development of advanced 3D-printed solid dosage pediatric formulations for HIV treatment. Pharmaceuticals, 15(4), 435. [CrossRef]
  23. Karavasili, C., Gkaragkounis, A., Moschakis, T., et al. (2020). Pediatric-friendly chocolate-based dosage forms for the oral administration of both hydrophilic and lipophilic drugs fabricated with extrusion-based 3D printing. European Journal of Pharmaceutical Sciences, 147, 105291. [CrossRef]
  24. Racaniello, G.F., Pistone, M., Meazzini, C., et al. (2023). 3D printed mucoadhesive orodispersible films manufactured by direct powder extrusion for personalized clobetasol propionate based paediatric therapies. International Journal of Pharmaceutics, 643, 123214. [CrossRef]
  25. Pistone, M., Racaniello, G.F., Rizzi, R., et al. (2023). Direct cyclodextrin based powder extrusion 3D printing of budesonide loaded mini-tablets for the treatment of eosinophilic colitis in paediatric patients. International Journal of Pharmaceutics, 632, 122592. [CrossRef]
  26. Boniatti, J., Januskaite, P., Fonseca, L.B.D., et al. (2021). Direct powder extrusion 3D printing of praziquantel to overcome neglected disease formulation challenges in paediatric populations. Pharmaceutics, 13(8), 1114. [CrossRef]
  27. Wang, Z., Han, X., Chen, R., et al. (2021). Innovative color jet 3D printing of levetiracetam personalized paediatric preparations. Asian Journal of Pharmaceutical Sciences, 16(3), 374-386. [CrossRef]
  28. Parulski, C., Bya, L.A., Goebel, J., et al. Development of 3D printed mini-waffle shapes containing hydrocortisone for children's personalized medicine. International Journal of Pharmaceutics, 642, 123131. [CrossRef]
  29. Zhang, P., Wang, H., Chung, S., et al. (2024). Fabrication of suppository shells via hot-melt extrusion paired with fused deposition modeling 3D printing techniques. Journal of Drug Delivery Science and Technology, 94, 105491. [CrossRef]
  30. Persaud, S., Eid, S., Swiderski, N., et al. (2020). Preparations of rectal suppositories containing artesunate. Pharmaceutics, 12(3), 222. [CrossRef]
  31. Chen, H., Zheng, K., Bu, T., et al. (2024). Fabrication of 3D-printed hydrocortisone triple pulsatile tablet using fused deposition modelling technology. American Association of Pharmaceutical Scientists-PharmSciTech, 25(3), 58. [CrossRef]
  32. Palekar, S., Nukala, P.K., Mishra, S.M., et al. (2019). Application of 3D printing technology and quality by design approach for development of age-appropriate pediatric formulation of baclofen. International Journal of Pharmaceutics, 556, 106-116. [CrossRef]
  33. Krause, J., Muller, L., Sarwinska, D., et al. (2021). 3D printing of mini tablets for pediatric use. Pharmaceuticals, 14(2), 143. [CrossRef]
  34. Scoutaris, N., Ross, S.A., Douroumis, D. (2018). 3D printed "starmix" drug loaded dosage forms for paediatric applications. Pharmaceutical Research, 35(2), 34. [CrossRef]
  35. Saydam, M., Takka, S. (2020). Improving the dissolution of a water-insoluble orphan drug through a fused deposition modelling 3-dimensional printing technology approach. European Journal of Pharmaceutical Sciences, 152, 105426. [CrossRef]
  36. Fanous, M., Bitar, M., Gold, S., et al. (2021). Development of immediate release 3D-printed dosage forms for a poorly water-soluble drug by fused deposition modeling: Study of morphology, solid state and dissolution. International Journal of Pharmaceutics, 599, 120417. [CrossRef]
  37. Pawar, A., Karanwad, T., Banerjee, S. (2024). 3D printed tinidazole tablets coupled with melt-extrusion techniques for formulating child friendly medicines. European Journal of Pharmaceutics and Biopharmaceutics, 203, 114471. [CrossRef]
  38. Yang, T.L., Stogiannari, M., Janeczko, S., et al. (2023). Towards point-of-care manufacturing and analysis of immediate-release 3D printed hydrocortisone tablets for the treatment of congenital adrenal hyperplasia. International Journal of Pharmaceutics, 642, 123072. [CrossRef]
  39. Tabriz, A.G., Fullbrook, D.H.G., Vilain, L., et al. (2021). Personalised tasted masked chewable 3D printed fruit-chews for paediatric patients. Pharmaceutics, 13(8), 1301. [CrossRef]
  40. Patel, H., Raje, V., Maczko, P., et al. (2024). Application of 3D printing technology for the development of dose adjustable geriatric and pediatric formulation of celecoxib. International Journal of Pharmaceutics, 655, 123941. [CrossRef]
  41. Huang, L., Yang, W., Bu, Y., et al. (2024). Patient-focused programable release indomethacin tablets prepared via conjugation of hot melt extrusion (hme) and fused depositional modeling (fdm) -3D printing technologies. Journal of Drug Delivery Science and Technology, 97, 105797. [CrossRef]
  42. Wang, H., Dumpa, N., Bandari, S., et al. (2020). Fabrication of taste-masked donut-shaped tablets via fused filament fabrication 3D printing paired with hot-melt extrusion techniques. American Association of Pharmaceutical Scientists-PharmSciTech, 21(7), 243. [CrossRef]
  43. Roulon, S., Soulairol, I., Lavastre, V., et al. (2021). Production of reproducible filament batches for the fabrication of 3D printed oral forms. Pharmaceutics, 13(4), 472. [CrossRef]
  44. Khalid, G.M., Musazzi, U.M., Selmin, F., et al. (2021). Extemporaneous printing of diclofenac orodispersible films for pediatrics. Drug Development and Industrial Pharmacy, 47(4), 636-644. [CrossRef]
  45. Khuroo, T., Mohamed, E.M., Dharani, S., et al. (2022). Very-rapidly dissolving printlets of isoniazid manufactured by sls 3D printing: In vitro and in vivo characterization. Molecular Pharmaceutics, 19(8), 2937-2949. [CrossRef]
  46. Funk, N.L., Januskaite, P., Beck, R.C.R., et al. (2024). 3D printed dispersible efavirenz tablets: A strategy for nasogastric administration in children. International Journal of Pharmaceutics, 660, 124299. [CrossRef]
  47. Khan, A.A., Khuroo, T., Mohamed, E.M., et al. (2024). Development, pharmacokinetics and antimalarial evaluation of dose flexible 3D printlets of dapsone for pediatric patients. American Association of Pharmaceutical Scientists-PharmSciTech, 25(7), 217. [CrossRef]
  48. Rouaz-El Hajoui, K., Herrada-Manchon, H., Rodriguez-Gonzalez, D., et al (2023). Pellets and gummies: Seeking a 3D printed gastro-resistant omeprazole dosage for paediatric administration. International Journal of Pharmaceutics, 643, 123289. [CrossRef]
  49. Tagami, T., Ito, E., Kida, R., et al. (2021). 3D printing of gummy drug formulations composed of gelatin and an hpmc-based hydrogel for pediatric use. International Journal of Pharmaceutics, 594, 20118. [CrossRef]
  50. Goyanes, A., Madla, C.M., Umerji, A., et al. (2019). Automated therapy preparation of isoleucine formulations using 3D printing for the treatment of msud: First single-centre, prospective, crossover study in patients. International Journal of Pharmaceutics, 567, 118497. [CrossRef]
  51. Rodriguez-Pombo, L., de Castro-Lopez, M.J., Sanchez-Pintos, P., et al. (2024). Paediatric clinical study of 3D printed personalised medicines for rare metabolic disorders. International Journal of Pharmaceutics, 657, 124140. [CrossRef]
  52. Ganatra, P., Jyothish, L., Mahankal, V., et al. (2024). Drug-loaded vegan gummies for personalized dosing of simethicone: A feasibility study of semi-solid extrusion-based 3D printing of pectin-based low-calorie drug gummies. International Journal of Pharmaceutics, 651, 123777. [CrossRef]
  53. Chatzitaki, A.T., Mystiridou, E., Bouropoulos, N., et al. (2022). Semi-solid extrusion 3D printing of starch-based soft dosage forms for the treatment of paediatric latent tuberculosis infection. Journal of Pharmacy and Pharmacology, 74(10), 1498-1506. [CrossRef]
  54. Herrada-Manchon, H., Rodriguez-Gonzalez, D., Alejandro Fernandez, M., et al. (2020). 3D printed gummies: Personalized drug dosage in a safe and appealing way. International Journal of Pharmaceutics, 587, 119687. [CrossRef]
  55. Roche, A., Sanchez-Ballester, N.M., Aubert, A., et al. (2023). Preliminary study on the development of caffeine oral solid form 3D printed by semi-solid extrusion for application in neonates. American Association of Pharmaceutical Scientists-PharmSciTech, 24(5), 122. [CrossRef]
  56. Tabriz, A.G., Nandi, U., Scoutaris, N., et al. Personalised paediatric chewable ibuprofen tablets fabricated using 3D micro-extrusion printing technology. International Journal of Pharmaceutics, 626, 122135. [CrossRef]
  57. Zhu, C., Tian, Y., Zhang, E., et al. (2022). Semisolid extrusion 3d printing of propranolol hydrochloride gummy chewable tablets: An innovative approach to prepare personalized medicine for pediatrics. American Association of Pharmaceutical Scientists-PharmSciTech, 23(5), 166. [CrossRef]
  58. Han, X., Kang, D., Liu, B., et al. (2022). Feasibility of developing hospital preparation by semisolid extrusion 3d printing: Personalized amlodipine besylate chewable tablets. Pharmaceutical Development and Technology, 27(2), 164-174. [CrossRef]
  59. Rodriguez-Pombo, L., Gallego-Fernandez, C., Jorgensen, A.K., et al. (2024). 3D printed personalized therapies for pediatric patients affected by adrenal insufficiency. Expert Opinion on Drug Delivery, 21(11), 1665-1681. [CrossRef]
  60. Eduardo, D.T., Ana, S.E., Jose, B.F. (2021). A micro-extrusion 3D printing platform for fabrication of orodispersible printlets for pediatric use. International Journal of Pharmaceutics, 605, 120854. [CrossRef]
  61. Hu, J., Fitaihi, R., Abukhamees, S., et al. (2023). Formulation and characterisation of carbamazepine orodispersible 3D-printed mini-tablets for paediatric use. Pharmaceutics, 15(1), 250. [CrossRef]
  62. Lafeber, I., Tichem, J.M., Ouwerkerk, N., et al. (2021). 3D printed furosemide and sildenafil tablets: Innovative production and quality control. International Journal of Pharmaceutics, 603, 120694. [CrossRef]
  63. El Aita, I., Rahman, J., Breitkreutz, J., et al. (2020). 3D-printing with precise layer-wise dose adjustments for paediatric use via pressure-assisted microsyringe printing. European Journal of Pharmaceutics and Biopharmaceutics, 157, 59-65. [CrossRef]
  64. Yan, T.T., Lv, Z.F., Tian, P., et al. (2020). Semi-solid extrusion 3D printing odfs: An individual drug delivery system for small scale pharmacy. Drug Development and Industrial Pharmacy, 46(4), 531-538. [CrossRef]
  65. Chachlioutaki, K., Iordanopoulou, A., Katsamenis, O.L., et al. (2024). Tailored sticky solutions: 3D-printed miconazole buccal films for pediatric oral candidiasis. American Association of Pharmaceutical Scientists-PharmSciTech, 25(7), 190. [CrossRef]
  66. Krishnan, P.D., Durai, R.D., Veluri, S., et al. (2024). Semisolid extrusion 3D printing of dolutegravir-chitosan nanoparticles laden polymeric buccal films: Personalized solution for pediatric treatment. Biomedical Materials, 19(2), 25046. [CrossRef]
  67. Santamaría, K.J., Anaya, B.J., Lalatsa, A., et al. (2024). Engineering 3D printed gummies loaded with metformin for paediatric use. Gels, 10(10), 620. [CrossRef]
  68. Rycerz, K., Stepien, K.A., Czapiewska, M., et al. (2019). Embedded 3D printing of novel bespoke soft dosage form concept for pediatrics. Pharmaceutics, 11(12), 630. [CrossRef]