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The North American Free Trade Agreement (NAFTA) helps safeguard the ability of the United States Food and Drug Administration to ensure food safety and quality

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

within North America. NAFTA is an agreement between Canada, the US and Mexico that took effect on January 1, 1994, designed to increase the scope for the fre

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

Examples of combination products may in

flow trade and investment among these three countries. The US Food and Drug Administration (US FDA), which participated in the negotiation of NAFTA, has revi

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

ewed the US Food and Drug Administration standards for safety, purity and appropriate labeling of foods and has determined that these standards are consistent

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

ith the terms of the agreement. This is why no changes in US Food and Drug Administration standards are needed or proposed to implement NAFTA.

NAFTA does not

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

Combination pro

hange existing or future US Food and Drug Administration standards regarding pesticide use or pesticide and other chemical residue or contaminant standards for

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

fresh or processed foods. NAFTA provisions safeguard the ability of the US Food Drug Administration to ensure food safety. In short, existing US Food and Drug

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

Administration standards will continue to be applied to imported foods as well as domestically produced foods. This means that the U.S. will continue to prohib

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

it any food shipments determined not to meet pesticide residue or other food safety requirements.

NAFTA has no effect on U.S. Food and Drug Administration law

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

and regulations in the area of safety, effectiveness, and appropriate labeling of human and animal drugs and medical devices. Any products coming into the U.S

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

must continue to meet all US FDA standards and requirements.

Additionally, NAFTA does not change or affect US Food Drug Administration laws and regulations w

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

Following aspects would a

ith respect to US Food and Drug safety and appropriate labeling of dietary supplements imported in to the U.S.

U.S. FDA and TWG

Within the auspice

dd to the challenges in developing combination products:

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

of the NAFTA, the three countries have developed a technical working group on pesticides called TWG. It serves as a focal point for all issues related to pest

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

icides for these countries. TWG's aim is to ensure that the countries can be assured of the legality and safety of foods produced in any of the NAFTA countries

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

US food and drug administration is providing trilateral cooperation between Mexico and Canada to enforce the TWG standards.

Article 723(6) makes explicit tha

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

any party challenging a U.S. Food and Drug Administration safety measure would have the burden of showing that the US Food and Drug measure is inconsistent wi

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

Professional from academic institutions, pharmaceutical industries, health care indust

th NAFTA. Whether any particular level of protection is "appropriate" is a social and political judgment that the agreement reserves for the government applyin

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

the measure (see Articles 712(2) and 724). As provided in Article 712, a sanitary measure is to be based on a risk assessment "as appropriate to the circumsta

.

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

nces," and is not to be maintained where there is no longer a scientific basis for it. US Food and Drug Administration standards are already based on risk asse

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

Companies that provide selfless information through particip

sments and have a scientific basis. These NAFTA requirements help assure that measures applied by the other parties will not unfairly exclude U.S. food exports

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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