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    There are times in our lives where we want to smarten up our act. This could arise from personal dissatisfaction. More likely there are times where we want to get ready for the coming of a person or event, where we feel dissatisfied w
    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
    ith how we are.

    At home we will do this for visitors. We are content to live in a relatively untidy state. However, we are conscious that visitors would prefer not to see our mess and may judge us negatively by seeing it. So we tidy
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    p. The more important the visitor the more the domestic panic.

    If you are like us, you welcome those who are late (and those on time - of course!). This provides us with more last minutes in which to get straight. The more last minut
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    es the more ready we are.

    Somehow we are never really ready.

    We get to know those who are right on time or early. While we admire those who are on time, they catch us unready. We wonder what such folks think of us.

    Big events and b
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    g people require big preparation. We may even think ahead and may do extras to smarten up.

    What about the big events in our lives, for which we pray for guidance and blessing? Are we ready for those?

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

    Combination pro
    f his life. Stuck in the foothills of Moab, he gazed at the imposing mountains of Canaan. There below were the massive walls of Jericho, the leading city of the area. Joshua led a band of peasant shepherds and was about to pick a figh
    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
    with professional armies. Israel's camp, with their women and children, was unwalled, easy prey for raiding parties. This situation would be called a "challenge" by business today and "madness" by the man in the street.

    How do you p
    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
    repare for such an event?

    You would prepare your armies. Those with swords and knives would sharpen them. Archers would practice. Military management would be set in place. The unfit needed fitness, the scouts needed horses, the mili
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    ary commanders needed a plan.

    Joshua prepared in a different way.

    When they had crossed the Jordan, he had all his men eligible to fight circumcised. They were grounded for 3 days. In the pain of it all they kept the Passover. Then
    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
    finally he told the people to wash. Note that they would have refrained from sexual relations (as they did in Exodus 19).

    All this was not an obvious thing to do! Joshua's victory relied on God and not on personal prowess. He was nev
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    r going to win the promised land with a rag-bag collection of farmers. He was only going to succeed with God's strength. And to get God's blessing, he had to get ready spiritually.

    Surely the same is true in our lives. When we face c
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    hallenges we pray about it. But how much more effective would our prayers be if we had a spiritual purge first and put ourselves in order?

    James says "Come near to God and He will come near to you" (James 4:8). There is the principle
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    here of man making the first move, and then God responding. Surely this also applies to our requests to God. The man or woman who takes a step closer to God will get a reciprocal response from God.

    Jesus said "Seek first his Kingdom
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    and his righteousness, and all these things will be given to you". Isn't this also suggesting that a spiritual tidy up should be carried out first?

    Now the ultimate event in our lives is our death and the ultimate person we will meet
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    is Jesus. Are we ready for this occasion?

    We know how we have to start - sorting ourselves out spiritually. That is the only way we can fight this enemy and win. It would be impossible for us to win the promised land without the help
    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
    of our God. No amount of cosmetic sword-sharpening and manly activity will help us in this battle.

    We are in the hands of our Maker. It is His blessing we must have to face this last great battle. This will come if we consecrate our
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    elves and clean ourselves up spiritually. We must deal with the legacy of our own histories and the life we now lead.

    We must restrain the flesh and its desires - not other peoples flesh - which are only phantom enemies - but our own
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    flesh. We must even cut off the flesh as best we can, symbolically acting out circumcision that God's army performed.

    And so, spiritually prepared, taking off our shoes and prostrating ourselves before our master, we are on holy gro
    .

    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
    nd. Are we on God's side or not? Are we to be an earthly extension of God's heavenly armies? Or are we part of the world that will be swept aside by the greater Joshua's righteous arm?

    It sometimes seems as if the new Joshua's interv
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    ention is a long way off. Yet this timing provides us with many last minutes. We can drift through each day only to face a panic when the door bell goes. Or we have the opportunity to put ourselves in order, ready for the angelic call


    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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