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    As I write this, the Boston Celtics basketball team is celebrating last night's victory. Not because it put them into first place… in fact, quite the opposite. Last night's win mercifully
    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
    broke a team record, 18 game losing streak.

    Things were very different around here twenty years ago. Back then, the Celtics were a great team, and – unlike today, where not only can you
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    get seats, you could probably suit up and play for a few minutes if you asked nicely – tickets were impossible to find. So when my boss handed me two "luxury box" tickets to a Celtics-La
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    kers game, I was thrilled.

    I'd been to the old Boston Garden a couple of times before, but when my friend Fred and I arrived for the game, we weren't quite sure where to go for the luxur
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    y boxes. After wandering around a bit, we found the entrance: A dilapidated-looking elevator, hidden in a corner and manned by an equally dilapidated-looking security guard.

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

    Combination pro
    reet smart, world travelers that we were, Fred and I took one look at the uninviting entrance and quickly deduced that there probably wouldn't be any food stands or roaming snack vendors
    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
    on the other side of that elevator ride. So we stopped to wolf down a couple of hot dogs each, and five minutes later, when we boarded the elevator, we were happy at having "planned ahead
    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
    ."

    You've probably already guessed the punch line.

    As we discovered, one of the things that makes the luxury boxes so luxurious is the fact that they are stocked to the gills with (free
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    ) soda, beer, snacks and a rich assortment of hot food. They even have a man in a white coat and chef hat who arrives pushing a dessert cart at halftime (a happy surprise that prompted Fr
    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
    ed to ask, "What's next, massages?").

    We consumed all we could that night, all the while wishing we hadn't "wasted space" on hot dogs. Clearly, thinking too far ahead does not always wor
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    k to your advantage.

    Similarly, in working with a new client on an E-Newsletter, one topic which invariably comes up is the "editorial calendar." Successful businesspeople tend to like p
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    lanning and structure, and my clients are no exception.

    I do my best, however, to convince them that this element of organization is a bad idea.

    You see, to me, the best E-Newsletter co
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    ntent is spontaneous – less like successive chapters in a book, and more like a series of great lunchtime conversations. A little of this, a little of that. A little business, a little pe
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    rsonal. A little humor, a little serious. You mix it all together, you have a nice time, and when you leave – although you may not remember exactly what was discussed – you make a mental
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    note to get together again soon.

    An E-Newsletter, after all, is just a glorified e-mail. On the communications continuum between writing a PhD thesis on the one hand and chatting with yo
    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
    ur boss in the men's room on the other (assuming you're both men), it's much more down at the men's room end of the equation.

    Consequently, the best E-Newsletters are not so much about p
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    ublishing, as they are about connecting. In my experience, planning topics in advance dampens this connection, and leads to dry, overly thought out, difficult to give birth to, missives.
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

    Bottom Line: Let yourself and your colleagues off the hook, and just write about what's on your mind today. I guarantee it will be more interesting for your readers, less effort for you,
    .

    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
    and a better reflection of your authentic point of view. Not a bad way to make the phone ring.

    P.S. Not creating an editorial calendar ahead of time does not preclude having a file of "
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    possible future ideas," something which in fact, I recommend. The idea, however, is to select the topic of the month based on your current state of mind, rather than a preplanned schedule


    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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