Write You - Relationships

The hallmarks of the alignment stage are stability, understanding, achievement in both home and work, full acceptance of the relationship and – above all – friendship.

“It is not the lack of

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

love, but a lack of friendship that makes unhappy marriages,” said Friedrich Nietzsche, because true friends love and accept who you are, not wanting you to be someone else. They do not constantly

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

Examples of combination products may in

try to make you over or find fault with you, criticise or undermine you. They also see your potential and support you in your efforts to actualise your dreams and develop yourself. A friend will be

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

with you through changes in your personality or your circumstances and still cherish you – in both the bad times and the good. Real friends can criticise constructively without damaging your esteem

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

or battering your ego. They do not need to make you feel awful. They are likely to look out for your interests and be fiercely protective.

Genuine friends not only make you laugh, but are also ther

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

Combination pro

e to comfort you when you cry. They do not need gifts to reinforce your value, neither do they need to see you only at your best. Lovers who become friends are the best kind because there is no need

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

to pretend anymore and they also help to build stronger relationships through mutual respect and trust. Men and women with positive lifetime partners have discovered not only how to be one with eac

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

h other, but also how to give space to the other to allow the person to be all that he/she desires as an individual. It is insecurity, a lack of trust and low self-esteem that drive couples in long

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

relationships to live in a guarded and controlling manner. Love that endures has accommodation at its core and when two people align positively, as in the latter stages of a relationship, the best f

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

riendship emerges.

Desire to be Married
If the couple have not formalised their relationship through the public ritual of marriage, this is usually the stage when women, in particular,

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

feel vulnerable and insecure – perhaps wondering why there is no proposal on the cards or no talk of weddings after all the years of loyalty, love and commitment. Constant brooding on this question

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

Following aspects would a

lowers their esteem and makes them unhappy. It often irritates their partners too, whose expectations tend to be different. They are usually settled by then and are broadly happy with the status quo

dd to the challenges in developing combination products:

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

(some perhaps labouring under the delusion they are still single and still appealing to others!). Without any formal, long term commitment a bolthole is always open for them.

While this stage does

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

not sound nearly as heady and exciting as the earlier ones, it has a strength and depth that the couple learn to value and cherish over time. It is almost as if the constant battles are over and it

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

’s time to relax, to take stock and enjoy the victory – a time when communication, the desire to discover more about each other and the space for each partner to pursue his/her interests and dreams

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

are all exceedingly important. But, being stable and predictable, this is often the phase which inadvertently carries the most risk and becomes problematic. There is usually a sense of loss, and

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

Professional from academic institutions, pharmaceutical industries, health care indust

inevitable sadness, as you realise that you are both getting older and initial hopes and dreams are unlikely to be realised. And, if you feel resentful or disillusioned with unfulfilled expectat

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

ions, it could cause trouble in the next phase.

Familiarity breeds contempt and the alignment stage, being the most mundane and reassuring, tends to develop a degree of complacency and perhaps disa

.

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

ppointment for at least one of the partners who might feel taken for granted, neglected or lacking in regular attention. There is likely to be a feeling of boredom, a sense of not being connected wi

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

Companies that provide selfless information through particip

th your ‘other half’ and possibly having nothing in common, feelings particularly relevant to the relationships which have lost their spark or have become congenial/companionship types of commitment

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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