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Who is God? This question would sound awkward to 80% of us. Moreover, this question would infuriate all of this 80%. I though, do not have any intentions to hurt or disrespect their sentiments. As for the residual 20%, some people do not

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

believe in God and the rest would like to believe in God but do not find any reason why to do so. Let’s talk.

Who created this Earth? If we do not try to explain it scientifically, the most obvious answer would be God. Now, since we al

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

Examples of combination products may in

are part of this world, it must be accepted that we also were created by God. Now then, who created God? When we were born, we saw our parents worshipping some deities, which they regarded as God. And this system must have gone on for g

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

enerations that preceded until the generation that saw these Gods as living figures. Now, where from did these living figures occur? Again, without trying to explain it scientifically, they must have been created by some individuals whom

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

they considered as Gods, which will give rise to another identical debate. And if some further Gods did not create them, then we created them because they cannot create themselves on their own.

While gathering substance for this topic,

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

Combination pro

I had talked to three different individuals who belonged to the three different categories mentioned above, viz., those who firmly believe in God, those who don’t believe in God, and those would like to believe in God, but can’t find any

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

compact reason why to do so.

In this attempt, I chose to talk only to trespassers. I did not choose from people I knew from before for this project so that I could not read their emotions and mould their opinions in my favour. In this

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

attempt, I faced three different people and placed the same questions in front of them, which were,
1> Do you believe in God?
2> Who created God?
3> Why do you believe or disbelieve in God?

In the process I first met Iren

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

, an octogenarian lady who has been dwelling in Kolkata for quiet some time now. When faced with the first question, her answer was immediate and direct- “Yes. Of course.” To the next question, she reacted- “Who the hell are you to quest

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

ion the identity of God. What do you know about the greatness of God? What do you know about anything?” and after keeping my nerves to more of such sweet words at the bus stop for about five more minutes, I came out with my third questio

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

. “God is almighty. You dare not disbelieve his existence. He shall punish you for your sin. Whenever people have disregarded his rules, he has punished them earthquake, plagues, diseases, droughts, and famines. And say for example, whil

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

Following aspects would a

drowning into sea deep water, won’t you utter “Jesus” even for once? That was Irena for you, satisfying my first category. And during this conversation, I had found the person to fit my second category.

Mr. Sachilal Guha. He too had a

dd to the challenges in developing combination products:

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

clear cut answer to my first question- “No.” To the second question, “this had been an unanswerable question even to me at your age. But now, I think it is an illusion of the common man.” And by his case in explaining why he did not beli

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

ve in God, I could understand that he had given a sanguine thought into this subject from much before.” I don’t believe in God for various reasons. Firstly, I haven’t seen him. Secondly, there are different stories about the same God, wh

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

ich contradict each other. Thirdly, I haven’t seen any supernormal things happening in front of my eyes, which does not include any trick of science. I firmly believe that God is believed by only the weak and coward people who find it ex

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

remely difficult to believe in themselves.” His words sounded Promethean but had enough substance in it.

To fulfill my third category, I had Atul. He was so reluctant to open his shoes while boarding the stairs of a Mandir that he offer

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

Professional from academic institutions, pharmaceutical industries, health care indust

ed his prayers to God from down below. At the first question, his eyes seemed to bubble with doubts, but he somehow answered back- “Yes.” The second question took him all by surprise. After letting him give it a thought, his answer disap

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

ointed me. “That is not a matter of concern for me.” Having no proper answer to my third question he said, “Because my parents believe in God.” That was Atul Thande for you.

And now for myself, solemnly I belong to the third category. F

.

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

or the first question, my answer is “No.” For the second question I feel that we created God. For the third I have no proper answer but I liked what Mr. Sachilal Guha had to say. Even then, whenever a difficult situation occurs, I don’t

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

Companies that provide selfless information through particip

ind praying to God for help. God has been a matter of serious thought and discussion for me since I was a six-year-old kid. And today even after eleven years of thought and discussion, I haven’t been able to draw any conclusion. Have you

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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The following story appeared in 24 Hours Vancouver. It is a story on: Infidelity and what to do if you are facing this ugly beast.

Is thought actually this powerful? Yes it is. Our mental photos reveal how we've viewed, judged, and reacted to the people and events in our lives. Discover what will happen when you allow your mental photos to develop...

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