Advice Pool - Health and Fitness

Part three of this four part series on wellness for the person suffering from bipolar disorder will discuss the importance of routines and creative outlets.

Routines

Yes, I know…boring! As unexciting as routin

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

es are, for someone with bipolar they can be the foundation needed to reestablish a healthy and productive life. Routines can help eradicate the unexpected out of your life. They keep you from feeling overwhelmed at ev

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

Examples of combination products may in

ery turn. I am the type of person who becomes bored by routines quite easily, but since my first inpatient treatment I have not been able to handle many situations without advance preparation. So I integrated some ri

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

uals into my life so that on days when I'm not feeling up to par, I can still function with minimal effort. Everyone has a certain amount of routine in their life but when you are bipolar the more simplicity, the bette

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

r. If it helps, think of them as shortcuts. Or think of them in terms of trash. If trash collectors didn't have a scheduled day to pick up your garbage each week, how would you know when to put it out? Here are some su

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

Combination pro

gestions:

~*~ I can be indecisive, so I pick out my clothes the night before. This way if I wake up late, which will fluster me, I don't have the added pressure of coming up with something to wear. Some people take th

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

is idea a step further and actually hang their clothes in "preset" outfits so all they do is grab and go. Customization is the key to making routines work for you.

~*~ I am not a morning person so I try to do as much

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 possible the night before. Just recently I started taking my shower in the evening. This was a difficult change for me since I have taken my shower in the morning for 25 years. What I've discovered is that I haven't

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

been late to a morning appointment once in the past month.

~*~ Make a schedule for repetitive tasks. I have deviated from my schedule lately and have suffered from it. It's easy to let chores pile up to the point that

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

you can't even pick a place to start. So do your tasks on the same day every week. Make a calendar to keep you on track. For example:

~*~ Mondays you do vacuuming
~*~ Tuesdays you do dusting
~*~ Wednesdays y

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

ou do household laundry
~*~ Thursdays you clean the bathrooms
~*~ Fridays you rent movies and relax
~*~ Saturdays you do personal laundry and take the kids to the park
~*~ Sundays you go to church,

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

Following aspects would a

fill your weekly pill reminder and have a nice family dinner

You get the idea. Don't forget to schedule in personal time as well as chores and don't beat yourself up if you get off schedule. Simply regroup and, if nee

dd to the challenges in developing combination products:

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

ed, even rearrange your schedule and start again.

~*~ If your family consists of a significan other, spouse and/or children who have schedules to be met as well, make a family calendar. You can make it using a simple

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

wall calendar, desk calendar or make one on a computer. The rules are…everyone must have access to it and everyone must write down his or her appointments for it to work. By doing this you can very easily see schedulin

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

conflicts in advance, before they become a problem and a source of stress.

Creative Outlets

Sometimes I find it helpful to treat myself the same way I treat my son. When I feel overwhelmed and upset about an

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

event or situation I "distract and redirect." It seems to help if I can escape the problem for a short time and focus on something that is creative. Then, once I have calmed down I refocus on the problem with a refresh

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

Professional from academic institutions, pharmaceutical industries, health care indust

d mind. Creativity, being the opposite of "black and white thinking," tends to open my "stuck" thought process and often gives me an entire new outlook. Here are some possibilities:

~*~ Writing
~*~ Journaling

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

~*~ Drawing or painting (I actual color in coloring books)
~*~ Gardening
~*~ Playing a musical instrument
~*~ Dancing
~*~ Flower arranging
~*~ Making homemade greeting cards
~*~ Playing

.

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

game
~*~ Photography
~*~ Model building
~*~ Sewing, needlepoint, quilting, cross-stitch, macram?, crochet
~*~ Sculpting
~*~ Designing or updating a website
~*~ Scrapbooking

Rountines and

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

Companies that provide selfless information through particip

creative outlets may not seem like important issues, but they can be lifesavers.

Terry J. Coyier is an author on http://www.Writing.Com/ which is a site for Writers

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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Advice Pool - Your Wellness: What You Can Do Part 3

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