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    Sitting in the living room, listening to music, enjoying some personal time, the mind wanders across the recent pages of life reflecting on the decisions and choices that led to what is my lif
    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
    e right now. Despite the lack of material and financial success, based upon my own conditioned standards, I am very happy with where I've been and to where I've come. This isn't the destinatio
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    n, this is part of the journey.

    Reviewing what has happened, I see the values that exhibit themselves through my choices; the reasoning behind the result. Individually, they can appear to be
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    ationalizations but, seeing them linked over time, I recognize a value or, sets of values, that have a strong resonance with who I am. I can still wonder why my material and financial goals ha
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    ve not been realized. I can still wonder why this journey happened this late in life. Better yet, I can share some truth about the journey of life.

    We are raised in a system that educates us
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    and influences our future choices. This education takes place within the family and, within the social structure and, schooling of our society. We've become good at accepting the truth from ot
    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
    ers and have not been given full access to our own creative spirit and truth. Given the fairy tales we are conditioned by, we make our choices and can go astray. When the questioning, doubt, o
    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
    r failures give way to momentary reflection, isn't our spirit calling out?

    "Over here, over here! You've been going the wrong way. Your purpose and passion lives this way." the spirit calls.
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    Dismantling the past, dismantling the beliefs, and living a new way takes time and, trial and error. The conflict of the the old life lived can rebel, through the body and emotions, creating c
    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
    nflicting desires and results. With some time to reflect, they can be reviewed and the pattern discerned. A quieter, stronger self is fighting the good fight within, unwilling to settle for an
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ything less than ALL of who you are and what you stand for. One day, you will be grateful for all that you have been given.

    The fight, the struggle, the testing, all work to your good. With t
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    his battle for our purpose and passion we develop a character that understands much from a place that invites others in. We are not on this journey alone and each person is there for our bette
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    ment. Sometimes, rather than through what they give us, our gain is experienced through what we give them.With each step forward, a time comes when we can see the net effect beginning to shape
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    our future, a future we couldn't foresee but could sense.

    Change is challenging, big changes are stunning; in both senses of the word. It is this big a change in your life that is difficult
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    to envision. All that you believed being dismantled and a new possibility, unclear and overwhelming, looming on the horizon. There is nothing else to do but stay in motion and take each step a
    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
    day at a time. As the days add up, the events unfold, the path of the heart will become clear. As this clarity gains strength new choices and decisions will take a bolder step straight toward
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    your future. The battles will ease up and the blessings will be more clearly seen. The standards you measure with will shift from the values of adopted belief, to the values of who you truly a
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    re.

    The Year 2006 will soon be upon us. As you read this, it may even have passed. The Eve of Promises, of New Year's Resolutions, will hear whispers that will fall down unfulfilled. This yea
    .

    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
    , I give you your power back. With each uttered whisper, each promise to live the life you deserve, I will remind you that you will succeed with each failure that you get back up from and take
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    another step boldly toward your future. Your success will be born of the experiences combined when reflected upon. Give yourself the time.

    Have a happy, safe, and rich 2006!

    Best wishes, Le


    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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