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When my dad was nearing the end of his life he began searching his heart to see if there was anything left undone - some unconfessed sin, a misdeed, anything at all he

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

needed to make right before he faced God. He constantly prayed that the Holy Spirit would bring to his remembrance anything he needed to make right with his fellowman.

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

Examples of combination products may in

It was during this time that he came across a rusty old garden tiller at the edge of his garden. It belonged to a farmer down the road who had sold it to Dad, but, when

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

it didn't work, the farmer returned his money to him and told Dad just to bring it back any time.

"I thought I took this back years ago," he told my mother as he pull

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

ed the tiller out of the mass of weeds.

"Well, I know you meant to do so," Mom replied. "It never did work. Just haul it to the dump and forget it."

"It doesn't belon

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

Combination pro

to me," Dad responded and started cleaning the tiller up, breaking it free from the years of corrosion and debris. Finally, he loaded it on to his pickup truck and dro

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

ve to the farmer's house. The man was surprised to say the least when Dad showed up with the forgotten tiller after so many years. When Dad apologized and offered to pa

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

y him for it, the man responded with tears in his eyes, "Why, that thing never was any good! I am the one who tried to cheat you. You are an honest man."

When talking

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

with him about the incident a few days later I remarked. "Dad, that was such a small thing! Surely you don't think God required you to take that old tiller back to him?

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

"

"I don't rightly know," Dad acknowledged. "But when you pray and things like this happen, it's best not to take chances on missing out on receiving or being a blessi

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

g." Then his beautiful blue eyes misted with unshed tears, "And besides, I want to hear Jesus say, 'Well done'."

Small things. As I have learned to walk with God throu

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

Following aspects would a

gh the years, He has taught me how one small act of obedience can lead to major blessings. The Bible tells us: "Unless you are faithful in small matters, you won't be f

dd to the challenges in developing combination products:

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

aithful in large ones." (Luke 16:10 NLT).

It is the little things that can add spice to or spoil your life. Solomon said, "the little foxes spoil the vine."

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

>- That "little white lie" does hurt.

- "What they don't know" may not hurt them -- but could very well hurt YOU.

- The clerk gave you to much change? It does

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

not belong to you. Return it.

- Two cokes came out of the machine when you paid for only one? Return the other to the vendor.

- Did "something" tell you to p

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

rform an act of kindness to a stranger? Do it without question.

- Learn to be faithful in the little things that (seemingly) do not matter.

Just lit

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

Professional from academic institutions, pharmaceutical industries, health care indust

tle things. Just insignificant matters. But, it is when we are faithful in the small matters that God entrusts us with more. Be assured God will not use you to change t

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

he world until you have been faithful in the small things in your own house, on your own street, in your own town. Listen to the Holy Spirit within you. Be obedient to

.

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

his gentle nudgings. God wants to know that he can count on you to obey him in seemingly insignificant matters simply because he brings it to your attention. It may see

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

Companies that provide selfless information through particip

m like a "small thing" to you, but truth is, nothing is "small stuff" to him.

"Be faithful in small things because it is in them that your strength lies." Mother Teres

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 first ever national gangster history convention was held outside Chicago on September 10, 11 and 12, 2004. I am proud to have been involved with the planning and promotion of this unique event.

The Apostle Paul was well aware of teamwork--with God and with his brothers and sisters. This awareness he expresses by using compound Greek words that begin with the prepositional prefix, sun-. This is a brief survey of the words Paul employed to express this sharing of ministry. You will discover that such sharing continues among 21st-century Christians.

For the many companies that offer hearing loss solutions, how do you know where to go? Some may obtain referrals from physicians or friends, but if that is not possible you may have to do some research to determine where you should be fitted. If you are in need of hearing aid services, here are some things to consider in your search.

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