Beyond Dysphagia in Parkinson’s Disease: 3D Printing of Orally Disintegrating Tablets (ODTs) for Optimized Treatment
Abstract
1. Introduction
2. Dysphagia in PD and Medication Challenges
3. Patient Compliance and “Do Not Crush” Limitations
4. Oral Disintegrating Tablet (ODT) Availability
5. Research and Product Examples of 3D Printing ODTs
6. Feasibility and Challenges of Producing 3D Printed ODTs
7. Conclusions
Funding
Data Availability Statement
Conflicts of Interest
Abbreviations
| PD | Parkinson’s disease; |
| ODT | Orally disintegrating tablet; |
| CD/LD | Carbidopa/Levodopa; |
| IR | Immediate release; |
| ER | Extended release; |
| API | Active pharmaceutical ingredient; |
| LD/BZ | Levodopa/benserazide; |
| QbD | Quality by design; |
| GMP | Good manufacturing products. |
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| Medication/Category | Conventional Form | Swallow-Friendly Formulations | Notes (Regulatory Status) |
|---|---|---|---|
| Carbidopa/Levodopa (CD/LD) | IR tablets ER tablets/capsules Intestinal gel infusion Inhalation powder | IR ODT: Parcopa®, discontinued in US. Inhaled: levodopa powder Inbrija®, FDA-approved in 2018. | Parcopa® ODT-approved in 2004 [40], removed 2022. No current CD/LD ODT in US. Inhaled levodopa bypasses gut, used for OFF periods. |
| Selegiline (MAO-B inhibitor) | Tablets Capsule Transdermal patch | ODT: Zelapar® (1.25 mg), FDA-approved in 2006 [19]. | Zelapar® ODT dissolves in seconds, increasing bioavailability and faster onset compared to 5 mg tablet. Used as adjunct in PD. |
| Apomorphine (Dopamine agonist) | Subcutaneous injection (Apokyn®) Pump infusion | Sublingual film: Kynmobi™ dissolves under tongue, FDA-approved in 2020 [41]. | Kynmobi™ film provides on-demand rescue for OFF episodes without needles. Not the ODT dosage form, but the concept is like ODT: no swallowing required. |
| Others (pramipexole, ropinirole, entacapone,) | Oral tablets (IR/ER formulations) | No ODT forms are available for these as of 2025. Some are available as liquid formulations via compounding or abroad. | ER formulations must not be crushed [15]. Crushing can cause dose dumping. Patients with dysphagia may consider switching to IR or liquid forms. |
| Research | Manufacturing Procedure | Formulations/Dosage Forms | Key Findings |
|---|---|---|---|
| Windolf et al. [50]. | FDM printing assisted by hot melt extrusion (multi-material and multi-layer) | 3D printed mini-floating polypill: prototype combining levodopa/benserazide, pramipexole in one small pill | Research stage shows feasibility of personalized dosing and dysphagia friendly design. Rapid pramipexole for early-morning OFF. ER levodopa/benserazide > 12 h, buoyant design prolongs gastric residence, and levodopa 15~180 mg with similar release enables personalized dosing. |
| Rosch et al. [51] | Direct powder extrusion, DPE | carbidopa/levodopa ODT | Carbidopa degrades during direct powder printing at 180 °C in a hospital setting, highlighting API-specific process compatibility. |
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Liao, Y.-J.; Liang, Y.-J. Beyond Dysphagia in Parkinson’s Disease: 3D Printing of Orally Disintegrating Tablets (ODTs) for Optimized Treatment. Pharmaceuticals 2025, 18, 1886. https://doi.org/10.3390/ph18121886
Liao Y-J, Liang Y-J. Beyond Dysphagia in Parkinson’s Disease: 3D Printing of Orally Disintegrating Tablets (ODTs) for Optimized Treatment. Pharmaceuticals. 2025; 18(12):1886. https://doi.org/10.3390/ph18121886
Chicago/Turabian StyleLiao, Ying-Ju, and Yao-Jen Liang. 2025. "Beyond Dysphagia in Parkinson’s Disease: 3D Printing of Orally Disintegrating Tablets (ODTs) for Optimized Treatment" Pharmaceuticals 18, no. 12: 1886. https://doi.org/10.3390/ph18121886
APA StyleLiao, Y.-J., & Liang, Y.-J. (2025). Beyond Dysphagia in Parkinson’s Disease: 3D Printing of Orally Disintegrating Tablets (ODTs) for Optimized Treatment. Pharmaceuticals, 18(12), 1886. https://doi.org/10.3390/ph18121886

