E-Articles - Relationships

What Do You See When You Look at Your Partner?

When Carmella looks at Rudy, she sees his insecurity and withdrawal, which she does not find attractive. She sees his neediness w

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

hen he pouts over not having sex. She sees his lack of motivation – he is not a go-getter. She sees his growing potbelly, which is the result of a lack of exercise. As a result

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

Examples of combination products may in

of seeing all these “defects,” Carmella is thinking of leaving Rudy. Instead of feeling loving toward Rudy, she finds herself being more and more critical of him.

The problem i

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

s that Carmella is seeing only Rudy’s outer self and his ego wounded self – the part of him that comes from fear and false beliefs. But this is NOT who Rudy really is.

Carmella

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

fell in love with Rudy because of his sweetness, warmth, sensitivity, creativity, and sense of humor. Rudy still has all of these wonderful qualities – they are who he really i

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

Combination pro

s. Yet this is not what Carmella sees now when she looks at Rudy.

Rather than just leave the relationship, Carmella and Rudy sought my help. It soon became apparent that Carmel

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

la’s intention in the relationship was far more focused on controlling Rudy than on loving her self and him. Having an innately sensitive nature, Rudy felt crushed by the critic

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

ism and had learned to retreat to protect himself from the rejection he so often experienced with Carmella. He loved her very much, but he didn’t feel loved by her. When he trie

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

d to talk with her about it, she just defended herself and attacked him even more. Over time, he had learned to just withdraw.

Both Carmella and Rudy were intent on controlling

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

each other rather than being kind and caring to themselves and each other. Carmella was trying to get Rudy to be more assertive and motivated with her criticism, while Rudy was

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

try to have control over how Carmella felt about him by being quiet, and was trying to control his pain with his withdrawn. Both of their forms of control were causing problems

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

Following aspects would a

in the relationship.

“Carmella,” I said to her. “In any given moment, you have the choice to look at Rudy and see his wounded self with all his fears and insecurities, or you h

dd to the challenges in developing combination products:

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

ave the choice to see his true Self, his essence. Rudy has a beautiful, sensitive, caring, sweet essence. And he loves you very much. But in order to fully express himself with

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

you, he needs to be seen and valued by you for all his wonderful qualities. As Alison Armstrong states in her wonderful book, “Keys To The Kingdom,” you are turning a prince int

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

o a frog.”

Then I spoke with Rudy. “Rudy, I really understand that Carmella’s criticism of you feels devastating to you. But withdrawing is not a loving way of taking care of y

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

our self. Your inner child needs for you to speak up for him. When Carmella is critical of you, instead of withdrawing, you need to say something like, ‘This feels terrible. I h

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

Professional from academic institutions, pharmaceutical industries, health care indust

ate it when you treat me this way. I hate being criticized by you. I don’t like it when you try to control me and get me to be the way you think I should be.’ Carmella is not aw

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

are of being so critical, and she is not aware of the effect her criticism is having on you. You need to be willing to risk speaking up for yourself rather than withdrawing.”

B

.

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

oth Carmella and Rudy agreed to practice being kind to themselves and to each other. Carmella worked hard to see the Rudy she fell in love with. Rudy started to speak up for him

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

Companies that provide selfless information through particip

self when Carmella was critical, and started to feel better about him self as a result. Through the power of kindness to themselves and each other, their relationship is healing

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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According to local sources, the pharmaceutical industry will be the next sector in Finland's economy to show strong growth. Both the number of companies operating in the pharmaceutical sector and the number of professionals employed in the industry are expected to double in the next ten years.

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