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  • Social Articles - Lebanon's New War

    Are you watching the news? It's easy to look at the fighting between the Lebanese Armed Forces and Fatah al-Islam in Lebanon and d
    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
    ismiss this as the usual hodgepodge of conflict associated with the Middle East. After all, we've been seeing this for years. Or h
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    ve we?

    There is something distinctly different between this latest battle and past conflicts in Lebanon. Past conflicts have usua
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    lly involved a strong Israeli element. But the latest incidents are the first involving a Sunni element that many claim is an offs
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    oot of Al-Qaeda. Whether or not Fatah al-Islam is affiliated with Al-Qaeda isn't clear. Everybody in the region has different view
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    s on who supports them. According to the press, Anti-Syrian groups claim that the group is backed by Syrian intelligence. Other me
    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
    ia reporting claims it's an offshoot of al-Qaeda. Every group seems to have a different opinion on both its origins and its purpos
    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, and the various allegations only serve the agendas of the parties making them. The constant finger-pointing only muddies the is
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    ue, a scene reminiscent of the Bosnian conflict.

    What cannot really be argued is the fact that Fatah al-Islam serves al-Qaeda's p
    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
    urpose, intentionally or not. By taking the fight up in Lebanon Fatah al-Islam has put a different challenge to the Lebanese and P
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    lestinian peoples and has brought Lebanon to the very brink of civil war. Al-Qaeda leaders are licking their chops at the prospect
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    hoping for a polarization of Shia and Sunni groups into their respective camps to justify their future actions in Lebanon, under
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    the guise of defending Sunnis and their faith.

    Lebanon is faced with the ever-growing challenge of remaining secular in the face
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    f pressure to polarize along religious lines. The role of the Shias and the Sunnis is a bit obvious. But the immediate challenge i
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    s for the Lebanese Armed Forces to step up and quell the conflict. The predominant Shia political and militant group, Hizbollah, h
    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
    s its finger on the trigger waiting for the Lebanese military to fail in rounding up Fatah al-Islam and putting down Sunni militan
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    t groups. If the Lebanese military fails in this respect Hizbollah, which enjoys the monetary and logistical support of Iran, will
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    step up and stake a claim as the defenders of Lebanon, providing a significant boost in the popular support they need to sweep int
    .

    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
    o power, either by political means or via civil war. The true challenge is faced by the Lebanese military, to rise to the challeng
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    and crush a direct threat to Lebanon's status as a secular society. If they are unable to do so, get ready to watch the fireworks


    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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