Advice Pool - Relationships

Finding the right companion is a complex and difficult task. Our early relationships with our caregivers often shape who we are attracted to and what type of per

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

son we find comfortable to be around. I have seen many individuals in my practice who have ended up in life-draining relationships. In most of the cases, they sa

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

Examples of combination products may in

w the problems well beforehand, but tolerated them for some reason or another. In my experience, the two most common reasons for ignoring warning signs were:

1.

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

Having the belief that the person could change (perhaps if they are loved enough)
2. Although they may loath the person’s behavior, they can’t break away f

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

om the cycle of connecting with someone who behaves in a similar way as a hurtful parent because they are used to this kind of behavior or they want to conquer th

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

Combination pro

e early injury by replaying the relationship dynamic in an adult relationship.

Since we all have faults, how can we tell when we need to accept basic flaws and w

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

hen we are overlooking serious issues?

People do grow and change as they mature, so it is not completely unreasonable to think someone can change behavior. Howe

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

er there are some behaviors/attitudes that don’t change much as they are part of the person’s personality. I have compiled a short list of some behaviors that I

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

believe should be considered red flags NOT to ignore or think they will go away with time. Notice most of the descriptors have “chronic” or “pervasive” which is

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

to emphasize the point that these are behaviors/attitudes that persist over time.

Chronic anger (blow ups, irritability, moodiness, not due to a depres

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

ive disorder)

Chronic sarcasm (anger disguised)

Excessive neediness (this can be attractive to women who like a fixer upper)

Dispa

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

Following aspects would a

raging humor (putting others down in a subtle way, also anger disguised)

Punitive mindset (feels people deserve the bad things that happen to them)

dd to the challenges in developing combination products:

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

Controlling nature (needs to micromanage your affairs)

Pervasive insecurity (needs you to reassure them constantly, can take the form of needin

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

g you to agree with them, do what they say, etc.)

Extremely opinionated (a disguised form of someone who is judgmental and maybe critical)

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

nipulator (may use guilt to get you to do things, doesn’t take no for an answer tries to get you to change your mind, makes you feel bad about things and see them

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

as the victim)

Predominate self-centeredness (take more than they give, things are always about them, These people have a hard time putting others fir

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

Professional from academic institutions, pharmaceutical industries, health care indust

st)

Need to be on the offense (has a world view that people will always try to stick it to you or get over somehow unless you get yours first)

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

l>

If you grew up around someone who did some of these things, you may find yourself being attracted to similar people even though you don’t like their behavior.

.

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

Even objectionable behavior can feel familiar and comfortable at some level.

Of course, there are other factors that influence how we choose our friends and si

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

Companies that provide selfless information through particip

gnificant others, but these are just a few ideas for you to consider to have a healthy relationship and prevent having an unproductive and/or hurtful relationship

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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What makes a corporation successful? Can we learn from their success? Using the writings of Cascio as a reference, the article reviews the features of the management systems that are adopted by the successful corporations. Corporations that are successful in making profit through people, invariably demonstrates seven common dimensions in their management systems.

It's an old adage that seems to apply not just to individuals, but to governments as well. Watch what they do and measure it against what they say will do.

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Advice Pool - Relationships - 11 Red Flags Not to Ignore

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