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When the Internet is used for communications by voice, facsimile, or video conferencing the process is called Internet telephony. Known as voice over the Intern

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

et VoI or voice over IP, VoIP, in this system, sound is converted into digital packets that are then transmitted over the internet to the receiver where it is o

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

nce again converted into sound or text.

All one needs is a multimedia computer, a high speed Internet connection, a sound card, speakers, and a microphone. Sin

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

ce it reduces telecommunication costs significantly, many individuals and businesses are adopting this system. The charges of internet telephony are not dependa

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

t on the distance but just a flat fixed rate for use of bandwidth. The only thing is that both you and the person you are calling will need to have the same or

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

compatible software.

First introduced in 1995 the PC-to-PC telephony is set to grow from US$ 1.96 billion in 2003 to US$9.08 billion in 2007. Industry experts

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

predict that over half the phone traffic in the world will be based on IP protocol.

To use the VoIP system, all you need is a regular phone, an adapter, broadb

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

and Internet service, and a subscription to a VoIP service. All your offices on a LAN or WAN can benefit from a common phone system with extension dialing, sea

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

less call transfers, voice mail, caller ID, conference calls, music-on-hold, free phone calls, as well as ability to transfer data.

Even while making or receiv

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

ing calls, you can surf the web or use other web based applications. You will also be able to retain your existing PSTN phone number if the provider you use has

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

this facility. A VoIP provider is a telecommunications company that will handle the technical aspects of the calls and provide the interconnection between VoIP

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

and PSTN networks. Internal calls are transmitted as data on your company network while external calls are transmitted through the network to a gateway which i

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

turn connects to a public telephone network.

The advantages of Internet telephony are numerous the first being cost effectiveness. With a high speed internet

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

connection phone calls can be made all over the world for almost free. By signing up with a VoIP provider you can get unlimited calls within the country at very

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

low costs. The system is portable and you can take the headset or internet phone along with you when traveling. When plugged in to an internet connection anywh

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

ere in the world you can both make and receive calls at no extra costs. Wonderful features like call waiting, call forwarding, voice mail, caller ID, and three

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

way calling are all included with the Internet telephone connection at no extra cost.

The system is flexible and you will be able to send documents as well as

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

pictures over the system while you are talking on the phone. The problems you are likely to encounter are: inability to call emergency services, loss of service

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

during power outages, problems with clarity of sound, and scrambling of data. These are however being addressed on a war footing and problems small or big shou

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ld be ironed out quickly.

VoIP is all set to be the industry standard for telephone communication in the future and is all set to change communications forever

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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