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    Dear You,

    In this newsletter I address the issue of change. So far I have changed the first sentence only three times. What this points out is that the nat
    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
    ure of the mind ever wavers towards betterment, as do we all. There are many aspects to change, some are pleasant and some are not so pleasant. It is the process of dealing
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    ith changes that we come to realize our own inner strengths and our capacity to expand.

    It is a New Year and while the calendar displays a different number and explains a n
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    w period of time, we still feel much as we did the previous year. Have you made your New Year’s resolutions? Have you lived up to them? Whatever changes we decide to make, w
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    have to begin with the change itself so that we know its nature, its origin. There are so many ideas and concepts being illuminated by conscious awareness of their origins.
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro

    In the past I thought making a change was as simple as editing a word in one of my writings, or perhaps wearing something different, or taking on a new diet. All these are
    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
    ndeed changes of a kind. Yet, in order to actually make a change takes much greater effort than this. To actually change you should know what it is to change.

    Becoming othe
    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
    than what is would be one definition of change, yet not nearly as apt or significant as the change that accompanies us when real change takes place from within. Changing fr
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    m who we are to whom we really are is still another feat—one we all inwardly seek and yet feel so eluded by.

    How do we experience this kind of change? By what measure do we
    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
    realize its importance? If you recall being a child there was a time when you simply changed from enjoying a particular toy or other to preferring something else. Yet this i
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    also not an indication of genuine change.

    What is it we seek? Inner change, that which takes us from what we so dislike about ourselves to what we so desperately wish to b
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ecome. The origin of change is recognition. When we recognize our true desires, our pure and wise desires, we change from what we think we are to a more accurate picture of
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    ho we really are. This kind of change is dramatic, life altering, and very rare.

    I invite you to consider the myriad ways you consider change as a part of your daily life,
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    nd also to shift your perspective from what you generally consider change to be to what change can actually mean for you.

    Recognizing the deeper qualities within you can be
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    done in so many ways. Sometimes all it takes is a simple statement. Sometimes it is the moment of quiet solitude afforded you by a well planned day. At other times this reco
    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
    nition takes place directly in the midst of your daily activities. A flash of inner calm and a deep knowing arises from within you and shines brilliantly in your mind enabli
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    g you to act from your heart.

    We all have our various desires about what we wish to do, what we need to do, what we would like to become. And to one degree or another all t
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    ese require a kind of change (or recognition) that while something may appear one kind of way, it truly has a different quality about it that is beyond your limited percepti
    .

    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
    n.

    Finding this deep change, this great recognition, can be so inspiring, so profound, and so blissful you sometimes want to simply remain in that state of change, that sta
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    e of recognition.

    As you find yourself changing throughout this year whether it is mundane change or rather more profound inner changes, keep in mind its origin—recognition


    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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