Advice Pool - Health and Fitness

Anorexia nervosa is often seen as an eating disorder in which the person has a low self-esteem. They have a need to be in control of their surroundings and also their emotions. This eating disor

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

der is characterized by the individual having an extreme fear of weight gain and as a result, he or she goes on a diet excessive in nature resulting in considerable weight loss. It is also a nega

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

Examples of combination products may in

tive way to deal with stress, anger, unhappiness and depression, etc, essentially a range of internal and external conflicts.

Anorexics usually suffer from perfectionism. They tend to set high s

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

tandards. They usually put their needs last and other peoples needs first. Food and weight are the only two issues they feel they are in control of in their lives, because they tend to feel that

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

if they cannot control what is happening in their surroundings, weight is the only thing they have control over. They feel strong and powerful and also in control when they can control their weig

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

Combination pro

ht loss.

In a rare case, an anorexic will binge eat. This binge eating will be due to lack of nutrients. Then for fear of gaining weight after bingeing, they purge by self-induced vomiting or p

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

ills or even by exercising.

Anorexics sometimes do not have the flexibility to get away from their daily schedule; for example, some feel the compulsion to eat a particular meal at a particular t

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

ime everyday. Some anorexics even eat the same quantity of food every day in precisely the same order.

Anorexia usually starts before or even after puberty but it can start at any age. The high

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

st occurrence is in teenaged girls, but today it is found that numbers of boys and even older women getting this disorder are on the increase. Teenage girls are more susceptible to anorexia becau

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

se at that age they dream of having that ideal figure.

Lack of nutrients owing to under-eating can cause many complications, which may include severe damage to the heart and the brain. Usually t

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

he blood pressure and the pulse rate tend to drop, also an irregular heartbeat may develop or even heart failure may occur. Owing to a lack of calcium, bones can become brittle and break easily.

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

Following aspects would a

Anorexia can also lead to death eventually by starvation. Some signs and symptoms of Anorexia nervosa would be:

- Considerable weight loss
- Always feeling cold no matter what the temper

dd to the challenges in developing combination products:

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

ture may be
- Binge eating, excessive dieting
- Use of laxatives
- Eating in secret
- Exercising to excess
- Food obsession
- Headaches
- Frequent weight checks

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

- Feeling irritable and mood swings
- Fainting
- Attitude of perfectionism
- Feeling guilty about eating
- Wearing clothes that are too big to hide the loss of weight

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

- Consuming only diet food
- A condition call Amenorrhea in which there is an absence of menstruation
- Irregular menstruation
- Brittle nails
- Muscle weakness
- Fatigu

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

e
- Lack of energy
- Skin can appear pale
- Hair loss
- Fainting spells
- Anxiety
- Depression
- Even if the person is thin they feel fat.

Some of the complicat

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

Professional from academic institutions, pharmaceutical industries, health care indust

ons that can arise owing to anorexia nervosa are:

Constipation, dehydration, various skin conditions, dizziness, headaches, imbalance of electrolytes, irregular heartbeat and shortness of breath,

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

Osteoporosis, infertility, bloated appearance, cold feet and hands, retention of water, decrease in metabolic rate, brain, liver, kidney and heart damage, anemia, unable to sleep, death.

Can ano

.

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

rexia nervosa be cured?

In about 80 percent of the individuals who suffer from this disorder it is curable if detected at an early stage. In about 50 percent of the sufferers, it is completely c

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

Companies that provide selfless information through particip

urable such that food and weight are no longer issues for the individual. For about 30 percent of sufferers, anorexia is curable but the patient may have to return to treatment as and when needed

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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