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Recovery from Alcohol and Drug Addiction requires a balanced approach of the mind, body and spirit. The whole person is injured in mind, body and spirit. Therefore, the recovery of the whole

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

person also involves the mind, body and spirit. One cannot function independently of the other. The mind, body and spirit are interconnected at all times.

Many recovery programs advocate sup

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

Examples of combination products may in

ort groups, spiritual development and counseling. These are excellent interventions to deal with the mind and the spirit, but what about the body. What is the role of physical fitness and we

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

ll being in a healthy recovery program? Does a recovering individual lead a quality life if he is physically sick? Can he honestly boast about having ten years of sobriety even when he smok

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

s cigarettes, is 40 pounds overweight and is suffering from diabetes and heart disease?

Before embarking upon the physical component of any recovery program, it is absolutely imperative that

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

Combination pro

the recovering individual obtain an accurate and comprehensive assessment of his current health status.

Some key questions that need to be addressed are:

• Is the individual capable and wi

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

ling to begin a fitness program?

• What are the physical limitations of the individual?

• What is the ultimate goal for the individual’s recovery? ( To walk, to play the piano, to return to

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

work)

• Which health professionals can help with the physical component of the recovery process?

The Four Key Components in Determining a Fitness Program are:

• Current Health Status

• R

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

alistic Long Term Goals (e.g. Quit smoking, maintain ideal body weight, normalize blood sugar etc.)

• Incremental Short term Goals (Focusing on making small improvements day in and day out

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

will allow you to reach your goals more quickly, easily and with less stress than any other method.)

• Utilize a Variety of Health Professionals (e.g. Medical Care, Chiropractic Care, Massag

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

Therapy, Physical Therapy, Acupuncture, Naturopathy etc.)

What is the best physical exercise to help a person recovering from Alcohol and Drug addiction?

There is probably not one single a

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

Following aspects would a

tivity or exercise that can cover all the bases. In order to develop an individualized fitness program, a fitness professional will consider the five components of fitness.

The generally ac

dd to the challenges in developing combination products:

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

cepted five components of fitness are:

1. Cardio-vascular endurance: (e.g. swimming, biking or running)

2. Muscular strength: (e.g. lifting weights or performing resistance exercises)

3. M

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

scular endurance (e.g. cardio-vascular activities such as walking, jogging, bicycling, or dancing)

4. Body composition: (Refers to the relative amount of muscle and fat in a person’s body.

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

A person's total body weight may not change over time -- but the bathroom scale does not assess how much of that body weight is fat and how much is lean mass)

5. Flexibility: (The range of m

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

tion allowed by a joint and its surrounding musculature. Good flexibility in the joints can help prevent injuries through all stages of life. If you want to improve your flexibility, try act

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

Professional from academic institutions, pharmaceutical industries, health care indust

ivities that lengthen the muscles such as Yoga, Pilates or a basic stretching program)

The program may not include all five fitness components due to physical limitations and considerations.

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

However, a good fitness program will allow the individual to move forward and gain strength in his overall recovery. Getting started and moving forward are far more important than satisfying

.

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

the requirements of a text book or an insurance company.

I strongly believe that the physical aspect of recovery from addiction is often neglected or minimized. It is a great accomplishment

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

Companies that provide selfless information through particip

to stay clean and sober for any period of time. However, a healthy recovery is a balance of the mind, body and spirit. Let’s move forward and embrace a healthy and balanced recovery program

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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