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Depending on where an American chooses to expatriate in Mexico, there is one irrevocable fact of Mexican life and culture that will be immediately apparent.

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

Mexicans have a different attitude toward their dogs than Americans have. The way many (not all) Mexicans treat their dogs can be radically different than

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

Examples of combination products may in

hat you see in the streets of many American suburbs. This, of course, varies regionally in both countries.

My wife and I met at the University of Kansas in

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

Lawrence, Kansas (Jayhawks Rock!) back in the dark ages. During our time in college, the dog problem was horrible. It remained so until we left Lawrence sev

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

eral years later in the mid-nineties. How it is now, I do not know. There were dogs running loose everywhere just as you will see here in Guanajuato, Mexico

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

Combination pro

where we've expatriated. The dogs running the streets of Guanajuato reminds us of our college days in Lawrence.

When we moved to Overland Park, Kansas, a s

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

burb of Kansas City, we were amazed to see there were no dogs running loose on the streets. The city had leash laws and the laws were strictly enforced. Thi

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

s is, I believe, what makes a difference. If a city has laws with sufficient enforcement (and stiff fines), people will stop being cruel to dogs, at least i

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

public.

The dog problem seems to be regional here in Guanajuato. I've asked my Spanish teachers, neighbors, and others from other cities in Mexico and the

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

claim other cities don't have the same problem. It does seem true. On our whirlwind spring vacation, one thing we were on the lookout for were packs of roa

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

ing dogs. In the cities in which we stayed for more than two days, we saw not one roaming dog, much less packs of them.

Yesterday, we decided to walk to a

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

Following aspects would a

supermarket a fair distance from our house. Once we exited our private street (called a Privada), we were on the street called Pastita. We were about 5 minu

dd to the challenges in developing combination products:

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

es into our trek when we saw two young Mexican men with an unleashed dog trailing them. Another dog, behind a gate and across the street, began barking, whi

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

h, you guessed it, caused the loose-on-the-street dog to run over to challenge it through the gate. A car hit the dog. Fortunately, the driver was driving v

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

ery slowly.

It was unharmed. It got up, looked fine, and responded to the Mexican men who finally thought to get the animal under control. They seemed unco

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

cerned that the dog had been hit.

Then the men, though a trash dumpster was less than a half block away, threw their trash over the wall and into the river

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

Professional from academic institutions, pharmaceutical industries, health care indust

that runs along Pastita. Pollution is another huge problem in this city (and country).

I am told by the expats here that it is a matter of education.

I th

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

ink it is a matter of law enforcement.

My long-time expat pal, "GH", tells me that in the cities where the dogs and polluting the environment problems are

.

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

nder control, it is mainly due to the educating results of effective law enforcement.

I tend to believe him.

A more professionally trained and paid police

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

Companies that provide selfless information through particip

department seems to be the key.

If you doubt that, take a little side trip to Quer?taro the next time you visit central Mexico and see what's cooking there

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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Auto insurance is all based on statistics and the chances of accidents happening. Therefore, reduce the chances of accidents will ultimately reduce the amount of the insurance policy. That’s why auto insurance is more expensive for teenagers than adults. Here are 5 factors that the insurance companies look at to determine how much your insurance will be.

There are many services for Internet faxing. Some of them are free while others cost money. Most Internet fax servers do not need any hardware or software to be installed on a computer. Some Internet fax servers include the conversion of a received fax into e-mail. Incoming faxes from special numbers are scanned and sent directly to an e-mail address.

War against the United States of American and the Iranian nation state, which sponsors International Terrorism will certainly be a tragedy. Unfortunately it is inevitable, as the Iranian radical and fanatical regime simply will not give up its nuclear weapons manufacturing plans. But will it be a long drawn out war? Well most likely not.

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