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    Michelle has many friends. They call her often. She also has a devoted family. Michelle is only alone when she chooses to be, and she is never lonely.
    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
    This has always been the way for her. Since childhood, she has never lacked for companionship.

    Karen has just the opposite experience of life. She m
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    akes friends but loses them quickly. She seldom contacts her family, mainly because they often argue about small things. Loneliness is habitual for her
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    Even when she is with other people, she feels lonely…because she can’t feel a connection with them.

    Ram?n is shy. He opens up to people slowly and so
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    metimes likes and trusts them. But he is never quite sure of his relationships. He wants to reach out more but is never quite sure of other people. He
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    is often lonely, but sometimes enjoy wonderful companionship. Unfortunately these moments of bonding are not frequent and he spends a lot of time remin
    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
    scing on true friends who have since changed or moved away.

    Some people live in a loving world. They are surrounded by family, friends, and well-wisher
    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
    s. They move in circles of affection that seem to expand over time.

    Other people live in a hostile world. They spend lives full of broken relationship
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    s, forsaken trusts, and tarnished hopes. They lose touch with people quickly. They win new friends slowly, if at all.

    Most people live in-between thes
    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
    worlds and many times they’re not sure how they stand. The world to them is a shifting place, where boundaries blur and orientations change. They neve
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    r quite feel comfortable in it. It’s unpredictable. They embark on each relationship with doubt. Hesitation defines their world.

    Now, the funny thing
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    is this: it’s the same world.

    The world and it’s people does not happen to us. We happen to it. We impact it silently with our thoughts and feelings
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    ..and obviously with our words, actions, and attitudes.

    How do you move from a world of isolation to one of companionship?

    Perhaps a song from The Soun
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    d of Music written by the unforgettable Oscar Hammerstein can clue us in.

    A bell is no bell 'til you ring it,
    A song is no song 'til you sing it,
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    r> And love in your heart
    Wasn't put there to stay -
    Love isn't love
    'Til you give it away.

    You get from isolation to companionship by g
    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
    ving yourself away. You turn potentiality into actuality through self-sacrifice. Yet you never lose or have less because what you put out comes back to
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    you multiplied.

    Those who live in a loving world are natural givers. They give of their time, talent, and treasure. Others respond to them in kind.

    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    Those who live in a hostile world oppose everyone and share little of themselves.

    While those who live in a doubtful world wait in vain for others to wa
    .

    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
    m up to them.

    You choose, with every interaction, the world you live in.

    Reaching out and touching someone’s life in a positive way can be as simple as
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    a smile.

    When you give a little of yourself, you receive much more in return. It’s a simple little secret that can brighten up the world and your life


    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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