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  • References - The Gingerbread Nightmare

    Do you ever see those beautiful gingerbread houses during the holiday seasons that are so beautiful? They look so simple, and look like such a fun project to do with the kid
    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
    s making gifts for grandma and grandpa. I could just feel it... soft Christmas music in the background, the warm, spicy smell of gingerbread filling the air, the cozy warmth
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    of the fire on a snowy day, and my children and I building these luscious goodies sure to bless our family and friends, and all inexpensively as well.

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

    . Where was my mind? How could I forget about the little thing we call REALITY? Ever notice how professionals make things look easy? That’s the very mark of a professional.
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    The first reality check was the store. Money was very tight and these looked like a great way to give a quality to gift to several loved ones. After we did the shopping for
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    the candy and the ingredients for these gingerbread houses, the bill totaled nearly $75. I almost fainted. (We could have bought some great gifts with that, or even bought b
    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
    autiful gingerbread houses).

    As for Christmas music, the children insisted upon the Chipmunk’s Christmas carols. Have you ever listened to more than 1 chipmunk song at a ti
    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
    e? Have you ever noticed what that does to a brain?

    The fire was nice, but then we had the fights over whose turn it was to stoke the fire. Two boys can fight over anything
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    and anything involving work makes a worthy fight indeed.

    We started with the dough, and that part turned out! It was SO delicious…..in fact we had to make more because a
    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
    fter all of us eating dough, there wasn’t enough for the houses. So….back to making more dough.

    This particular dough had to be chilled, then rolled, then you cut pieces of
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    the house out from a paper mold with a knife. Ok, got that part. We put it in the oven for baking, and half of the pieces burnt terribly. The other half were perfect, but yo
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    can’t build a house with half the parts. So…..we had to make MORE dough. By now, we’re not having fun anymore. It’s getting late and mom is beginning to want to get this
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    ess cleaned up now.We finished making new house pieces and it was like midnight, I had long put the children to bed and was cranky now at this point. The only thing to do no
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    w was to let everything cool (including tempers), and attempt the decorating tomorrow.

    Whew….new day, it’s a wonder what a little sleep will do ya. Now we make the hard f
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    osting that will act as glue to hold the pieces of the house together, time to build. Time for the fun to begin, boy are we ready!

    We begin assembling the house, and half t
    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
    e roof piece breaks in two on one of the houses. On the second house, we find the pieces to not match correctly. On a third house, we overcome all these first two obstacles,
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    and now have great difficulty getting props to hold the house together while the “glue” dries, and it’s repeatedly falling apart and causing the oldest child to have a tem
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    per tantrum in frustration (mom too). Somehow through this fiasco, we end up with 1 viable house. (The others became, hard dog biscuit type things for the family pet).

    Oh w
    .

    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
    ll, she needs her Christmas goodies too, right?

    We frosted the house and each child decorated half. The end result? A $75. UGLY gingerbread house that only a grandma (with
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    pologizes from mom), would take and not be too insulted by. But, we did accomplish one of our goals... it was a memory. A memory we fondly call “The Gingerbread Nightmare”


    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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