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    I recently called for technical support from my ISP, (because I could not connect about my issue any other way I tr
    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
    ied,) to check with them about an issue I wanted to confirm my own suspicions about.

    After spending a half hour on
    ; 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 phone with the foreign gentleman, I decided to end the conversation because we were not connecting well. Follow
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    ing the call, I received an email from the "engineer" who attempted to answer my question. Here are actual excerpts
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    from that message: “hi John, i am mailing this link for u to get ur problem of bouncing back emails be fixed pls
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    make sure that u down load the software and run it on ur computer, the link is (excluded) with regards Sam tech
    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
    ical voice support”

    Now, in my own background, I provided complex support at an engineering level for a number of
    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
    companies, and though I could not always give customers the answers they wanted to hear, I did use reasonable Engl
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    sh in my vocal and written correspondences. In this particular case, the advice I received did not even come close
    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
    to identifying the real problem, much less an adequate solution. Communications like the one above have become th
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    norm for today's quality of support, because they took it away from us to save the company money and please the sh
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    reholders. Proportionately, the shareholders of such companies receive a far smaller cut of the improved profits t
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    han the executives that choose to do business this way.

    One thing I am certain about; I would have been fired the
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ame day I produced a customer response like the one shown above. If we need to go to a far away land to find this q
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    uality of communication, perhaps we could obtain the equivalent of an HB-1 visa in that country to have the opportu
    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
    ity to train them how to speak and write in English. If American customers are not worthy of receiving adequate En
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    glish speaking support in their own country, what does this tell us about the value of our consumer dollars and our
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    work ethics?

    Seeking to do business with an uneven playing field will result in the ultimate degradation of the pr
    .

    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
    iority objective for preserving the prosperity and focus on the people we serve in this country. For American busi
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    esses, raising the standard of living for foreign interests should not be a higher priority than preserving our 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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