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Every workday, five days a week, I take the light rail into downtown Dallas. Only last week, this routine finally taught me a lesson about prayer.

In case you're not familiar with it a light rail commuter train, it runs on 25,000 volts of alternating cu

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

rrent. All of this electricity runs through lines suspended above the tracks. It is transmitted to the train through a spring-loaded arm called a pantograph. Once the energy is on board, it is transformed into the direct current that supplies the locomot

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

Examples of combination products may in

ive’s motors. Without that constant supply of 25,000 volts, the train would go nowhere. That pantograph has to be in constant contact with the high-power lines.

Paul told the Thessalonians, "Pray unceasingly" (1 Thess. 5:17). Part of what that means is

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

hat we must continually stay in contact with God, who supplies us with the of spiritual power we need to keep going. In other words, wherever we go and whatever we do, we have to maintain an awareness that we are in the presence of the Almighty.

King Da

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

vid knew of this need. In Ps. 139:7-12, he asks:

Where can I go from your Spirit?
Where can I flee from Your presence?
If I go up to the heavens, you are there;
if I make my bed in the depths, You are there.
If I rise on the win

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

Combination pro

gs of the dawn,
if I settle on the far side of the sea,
even there Your hand will guide me,
Your right hand will hold me fast.
If I say, "Surely the darkness will hide me,
and the light become night around me,"
even the darkness will no

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

be dark to You;
the night will shine like the day,
for darkness is as light to You.

As a spiritual Being, on limited by time and space, God is omnipresent and omniscient. Nothing happens to us that He doesn't know about, nor is ther

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 a place we can go that is beyond His presence.

David's descendant, King Hezekiah, demonstrated his awareness of the same truth by his actions. When Sennacherib, king of Assyria, ordered that a threatening letter be read to Hezekiah and all of Jerusale

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

m, 2 Kings 19:14 reports: "Hezekiah received the letter from the messengers and read it. Then he went up to the temple of the Lord and spread it out before the Lord.” It is as if Hezekiah were saying to the Lord, " Here, read this!" Then, in the verses t

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

at follow, he asks the Lord to do something about it, and the Lord honors his request with an outstanding miracle.

It is true that devotional writers have long emphasized the spiritual discipline called "practicing the Presence." Nicholas Herman (c. 160

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

5-1691), also known as "Brother Lawrence," in what is now known as The Practice of the Presence of God, wrote:

That it was a great delusion to think that the times of prayer ought to differ from other times. That we are as strictly o

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

Following aspects would a

bliged to adhere to God by action in the time of action, as by prayer in its season. That his prayer was nothing else but a sense of the presence of God, his soul being at that time insensible to everything but Divine love: and that when the appointed ti

dd to the challenges in developing combination products:

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

es of prayer were past, he found no difference, because he still continued with God, praising and blessing Him with all his might, so that he passed his life in continual joy; yet hoped that God would give him somewhat to suffer, when he should grow stro

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

nger" ("Fourth Conversation").

Such a concept has not been invented out of thin air. Jesus himself, just before ascending to the Father, promised his disciples, “ I am with you always, even to the end of the age" (Matt. 28:20). notice that

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

Jesus neither says, "I was with you," nor does he say "I will be with you." he says, " I am with you always." This " I am" seems to run parallel to his statement to the unbelieving Jews: " I tell you the truth, before Abraham was born, I am" (John 8:58)

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

“not I was.” If the parallel is a valid one, Jesus’ use of the present tense seems to signify that he is not limited by time or any other constraint on his ability to be aware of our needs and to bless. (After this thought occurred to me, I have found t

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

Professional from academic institutions, pharmaceutical industries, health care indust

he same analysis in A. B. Bruce's commentary on Matthew in The Expositor's Greek Testament.)

Like the power lines strong above the light rail train, the power is always present and available. But we must make and maintain our connection with that

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

power. With a constant awareness of God's presence, we will include him in every decision we make. We will give more care to where we go, what we do, and what we listen to, knowing that he goes with us, witnesses our actions, and hears what we hear. we

.

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

ill choose our words more carefully-not only the ones that express our petitions to him, but all of our words--realizing that we can not prevent him from listening to us.

And whenever we do pray, whether we offer praise, thanksgiving, petitions, confess

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

Companies that provide selfless information through particip

ions of Sin, or intercessions for others, a constant awareness of God's presence bolsters our confidence that he hears our prayers and will answer them according to his will. Don't let your pantograph droop. Oil its hinges, fix its spring. Stay connected

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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