Advice Pool - Relationships

Here on the beautiful island of Phuket in Thailand, there are a great number of mixed Thai-Western marriages. It really is turning into quite a phenomenon. Around Phuket's schools and playgrounds it is common to see mixed-race children happily playing with the 1

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

00% Thai kids. They are usually easy to spot with fairer skin, western features and non-black hair. A whole generation of culturally diverse, multi-lingual children is growing up and will soon be quite an asset to Phuket's tourist industry.

This phenome

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

Examples of combination products may in

non of mixed marriages in Phuket has really exploded over the last decade. Of course, the major reason is the expansion of Phuket's tourist trade. When you have more than a million western visitors a year, it is natural that some of them will meet and fall in lo

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

ve with local people. Especially when the local people are so appealing.

But there must be more to it than that. The tourist resorts around the Mediterranean, Caribbean and US also receive millions of foreign visitors a year. There are mixed-nationality

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

marriages at these resorts but not thousands in a small area like there are in Phuket.

One thing stands out when you look at Phuket's ex-pat population - the vast majority of us are men. Probably around 90% of the ex-pat population is male. That is not

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

Combination pro

the case when you look at the breakdown of tourist visitors where the split is only 60-40 in favour of males.

So while there are many women visiting Thailand, only a small percentage of them decide to settle here. It is probably a similar percentage to

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

those that settle at other holiday resorts. But the men are marrying Thai women and settling here in numbers that way exceed what is typical elsewhere. There is an obvious conclusion to draw. There are a lot of men coming to Phuket to actively seek wives. The

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

y are not just falling in love while on holiday - they are coming with the pre-planned intent of finding a doe-eyed Thai beauty to be their spouse.

Many men seem to be dissatisfied with their experiences of women in their home country. Society has chang

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

ed rapidly in the west over the last few decades. Women have become more confident and assertive. They can be intimidating to approach and fast with a withering put-down. They are much more demanding in their relationships and expect a lot of concessions from th

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

eir partners. Many men do not like it. They still want the fifties ideal of a feminine, doting wife.

So they come to Thailand in search of the answer to their problem. Here, they believe they can still find women who are beautiful, feminine and attentiv

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

to their husband's needs.

It is dangerous to generalise too much about the men who marry Thai girls and settle in Phuket. They all have their own story. Just the same, there are common patterns. You can place a lot of these men into three broad groups:

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

Following aspects would a

Group 1. There are those that come to Phuket for 'normal' reasons such as work or a break from work. It is natural that some of these people will meet and fall in love with locals. This happens all over the world. There is no doubt tha

dd to the challenges in developing combination products:

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

t Thai women are very charming so perhaps it is more common here than elsewhere.

Group 2. Then there are those who fall in love with their bargirl. The girls who work in the sex industry are good at selling themselves; it is their job.

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

It is not usually the hardened sex-tourists that fall in love with their quick squeeze. They tend to pick up a new girl every night with no emotional attachment. It is the new guys. The men who come to Phuket for the first time, not quite knowing what to expect

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

. They probably have an idea that they are going to pick up a prostitute but they don't know how it works. They end up doing the GFE (girl friend experience). That is picking up a bar girl and then keeping her for the entire length of the holiday. They act as if

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

they are boyfriend-girlfriend. The girl gets plenty of time to weave her magic. She tugs the guy's heartstrings with her life story until he is brimming with sympathy. She gives him lots of affection and by the end of his holiday, he is in love.

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

Professional from academic institutions, pharmaceutical industries, health care indust

g>Group 3. Then there are those who come with the pre-planned intent of finding a wife. They have thought about it and come to the reasoned conclusion that a Thai wife would make their life better. Some of these guys will look for their new wife around

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

the sex venues of Patong. Others want to stay away from the sex industry girls. They may try dating agencies or internet matching services. Some of them will try to meet 'good' Thai women away from the tourist resorts. Their approaches may vary but the conclusio

.

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

n is the same - they think a life in Phuket with a Thai wife would be better than their current life back home.

Whatever the reasons, the mixed Thai-Western marriage is now an established part of Phuket's scenery. Not all of these Western men find t

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

Companies that provide selfless information through particip

heir dream wife. Many of these marriages run into problems but that is true of marriages the world over. There can be extra problems related to marriages between people from different cultures. Still a lot of western men are very happy with their choice.

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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