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Where are you Madeleine Mcann - If we could turn back the hand of time how life would be content for many of us. Having the chance to avoid history heartache would b

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

e like winning the national lottery. For some folk just being able to utter those absent words "I love you" at the time of losing a loved one - would be a fulfilling

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

Examples of combination products may in

bligation to them self and maybe to the person they lost. If you never had the opportunity and those special words were never spoken, then they will be heard in praye

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

.

Where are you Madeleine? Two people oblivious to the outside world and in so much pain are Gerry and Kate Mcann. We talk not of pain from blood stained knees susta

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

ned in prayer, we talk of the agony a parent endures after having their child kidnapped. The good news in most kidnappings, as awful as it may sound is, children are

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

Combination pro

usually returned home unharmed in exchange for money. What do Gerry and Kate pray for? Do they pray Madeleine`s situation be different. I.e. kidnapped and held for ra

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

som so they can bring their baby home?

What we have to remember when in prayer for Maddie`s safe return is, there are other grieving parents who have lost children 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

o. The reason why Madeleine`s disappearance is strongly highlighted in the media is because it is an up to date abduction. Along with Gerry and Kate, our prayers are

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

with those other parents also.

What do Gerry and Kate pray for? Silent in thought, millions of people continue to search and ask "where are you Madeleine Mcann".

No

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

person can ever feel the same pain as the childless couple whose child has been abducted unless having experienced it themselves. However, we can empathize and give

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

s much support as possible, let us help by not forgetting the angelic face of little Madeleine. Whether it is a day, week, month or year, if the whole world comes tog

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

Following aspects would a

ther in unison, we may bring this innocent little girl home.

If you are the abductor of Madeleine, it is not too late to mend your ways and send her home to mummy an

dd to the challenges in developing combination products:

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

daddy. Put the shoe on the other foot and picture your own mother's face after you had been taken from her warm bosom. Imagine you yourself surrounded by strangers.

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

Hearts were not meant to be broken, and you have broken a million of them. I beg you to have a heart and free Madeleine so she can be back where she belongs - playing

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

with her brother and sister.

At the time of abduction you had your reasons and no doubt believed what you were doing at the time was right; In God's eyes it is wrong

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

However god is forgiving regardless of the crime. Remember "He who cast the first stone" and all that.

Madeleine`s parents will always be under investigation from t

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

Professional from academic institutions, pharmaceutical industries, health care indust

e public, where much debate has taken place all over Europe in trying to justify their actions, i.e. leaving their children alone on that fateful night. There is no p

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

oint at this stage dwelling on their comings and goings, the damage is done where we have a missing child The right thing to do now is to find Madeleine. Maddie`s par

.

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

nts will have to live with this nightmare for the rest of their life. Let us pray that it is with Madeleine safe back in their arms.

Without doubt Gerry and Kate pra

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

Companies that provide selfless information through particip

for a miracle - could that miracle be that the Lord turn back the hand of time so that dearest daughter may never have to relive this ordeal for the rest of her life

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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