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Are you a diabetic? Do you smoke? Do people around you smoke? We all

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

know smoking is a direct cause of cancer but if you have diabetes sm

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

Examples of combination products may in

oking - including passive smoking - leads to other health problems...

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

Here are 7 reasons why mixing diabetes with smoking is a very bad id

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

ea:

1) You are more likely to get nerve damage (neuropathy). If th

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

Combination pro

s happens to be in your feet it could lead to infections and, if not

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

taken care of properly, even amputation.

2) You could develop kidne

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

y disease.

3) When you smoke your blood pressure increases.

4) Di

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

betics who smoke increase, 3-fold, the risk of dying of heart (cardio

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

vascular) disease.

5) By smoking you increase your blood-sugar leve

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

s, making it more difficult to control your diabetes, which in turn l

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

Following aspects would a

eads to other problems.

6) And it increases your cholesterol levels

dd to the challenges in developing combination products:

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

, which increases the risk of a heart attack.

7) Doubles your chanc

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

s of getting limited mobility in your joints. It's no fun trying to b

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

end, climb stairs or lift something when you have a painful joint.

I

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

fact smoking - and passive smoking - have a seriously detrimental ef

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

Professional from academic institutions, pharmaceutical industries, health care indust

fect on the ABC's of diabetes management:

A1C - the measureme

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

nt of your blood glucose over a 3-month period

B - your blood

.

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

pressure, which should be below 130/80

C - your cholesterol l

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

Companies that provide selfless information through particip

evels

And, of course, on top of all that there is the risk of cancer

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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