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Born in Baghdad as a minority Christian, I came to America when I was ten. Balancing the act between tribalism and democracy was my major challenge, especially since tribalism is looked down up

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

on.

Think about it. If you were asked to make a list of alternative lifestyles, I doubt tribal would be one of your top, or bottom, choices. I don’t blame you. When I looked up this subject in

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

Examples of combination products may in

the library, the books I found taught one how to make bows, arrows and snow goggles. It talked about the dimensions of igloos and wigwams and how to dress if planning to stay a day or two in ei

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

ther. The rest of the books on tribes had on their covers men with feathers sticking out of their hair.

Not very appealing, I agree. And definitely not how I live, although my home can be call

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

d tribal since in the dictionary tribal is defined, amongst other things, as a collection of families descending from one ancestor. Or, a group of people sharing an occupation, interest, or hab

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

Combination pro

it. In his book Beyond Civilization, Daniel Quinn describes a tribe as a social organization that facilitates making a living. He also writes that the tribal way has worked for millions of year

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

, in contrast to the hierarchal way, which has brought us face to face with extinction after a mere ten thousand years.

Perhaps the biggest difference between modern societies and tribal socie

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

ties is the importance placed on kin. In most modern societies, kin outside the immediate circle of close relatives such as mother, father, husband, wife, son and daughter rarely play much of a

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

role in each other’s lives and are usually only seen at family gatherings. In tribal societies, it is often the intricate networks of relationships among kin that form the very fabric of tribal

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

societies. Food gathering, political decision making, child rearing, inheritance of wealth, and other considerations are all affected by the kinship relationships among the people involved.

S

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

specifically, what does the tribal way offer? How is it different from a corporation or organization that looks out for the best interest of its employees and members? The latter is void of th

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

Following aspects would a

e children and elders who are as essential to our spiritual growth as food and water is to our body.

Children and elders provide a nurturing and educational day-to-day experience for the rest

dd to the challenges in developing combination products:

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

f us, as one represents the past, while the other will one day represent the future. Both are sensitive yet independent thinkers, loving yet will speak their mind. The wisdom and innocence that

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

they rub off on each other and those around them establishes the sense of compassion and responsibility that leads to a nonviolent society.

As long as there is narrow or old material on triba

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

living, where members are portrayed as mostly dwellers of the desert or the jungle that dress in layers of clothing or walk around naked as they hunt for food, the rewarding side of this ancie

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

nt tradition will be wasted. Alain de Benoist, a French philosopher and author, writes that peaceful modern societies which respect the individual evolved from age-old familistic ties. The tran

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

Professional from academic institutions, pharmaceutical industries, health care indust

ition from band-type societies, through clan and tribal organizations, into nation-states was peaceful only when accomplished without disruption of the basic ties which link the individual to t

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

he larger society by a sense of a common history, culture and kinship. The sense of "belonging" to a nation by virtue of such shared ties promotes cooperation, altruism and respect for other me

.

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

bers.

It’s natural for people to thwart the unfamiliar. But perhaps if you were to imagine a more modern tribal picture – like of members wearing shorts and bikinis, who live beneath a square,

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

Companies that provide selfless information through particip

not round, shaped roof, who eat Whoppers and put on lipstick while driving their cars, you would look at that lifestyle with a different perspective. And you might just make it one of your own

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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