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Medical missions are being conducted all over the world at any given time. These medical missions are often realized by a small group of vol

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

unteer people willing to put away time and money to bring hope to isolated and poor populations.

The medical mission's team is usually comp

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

Examples of combination products may in

osed of doctors, dentists, nurses, chiropractors, helpers and translators among others. Many medical missions are organized by a particular

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

religious denomination but often are opened to anyone willing to help, regardless of their own religious beliefs. The common denominator to

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

all medical missions is that they are regrouping people eager to help, give and share to their best capacities.

A small pharmacy of fortune

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

Combination pro

is composed and basic medications are handed out upon prescriptions by the staff to the people who need it. Often on those busy medical mis

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

sions, medications ran out and the team needs to reserve the precious antibiotics for the patients who require it most.

Many of the village

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

rs coming to those medical missions have to walk considerable distances (sometimes walking in the mountains for more than a day) in order to

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

have a chance to consult with a member of the team. Sometimes, in very fortunate missions, reading glasses are provided to those who need i

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

t most. Hence, when people are donating their old glasses in containers in malls they can be assured that they are making a huge difference

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

n another person's life.

Upon working during the medical missions, the hours are long and the task can be demanding. Hence, a doctor can ea

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

Following aspects would a

sily sees over 200 patients in consultation on a very busy day. Medical missions are more focused on solving acute problems. A lot of preven

dd to the challenges in developing combination products:

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

tion and education need to be done in order to improve the general health status of the people living in third world countries.

Medical mis

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

sions are welcomed by the local authorities and government who accept this outside help. Often, the local villagers will help in all they ca

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

n to make the medical mission a success by offering their time and food to the missionaries.

One can argue that such punctual medical assis

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

tance is limited and cannot cure all the problems the needy people have. Although it is true that such help has burdens, the general comment

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

Professional from academic institutions, pharmaceutical industries, health care indust

s missionaries get from villagers is that they are making a huge difference in their lives.

The most frequent medical conditions encountere

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

d during a medical mission are: malnutrition and parasites for children and diabetes, hypertension, parasites and infections in adults.

Mor

.

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

e important than bringing pills and creams to the needy people during those missions, the volunteers have the satisfaction of bringing them

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

Companies that provide selfless information through particip

hope.

More permanent and considerable help is highly needed to continue the work started during those punctual and limited medical missions

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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