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Eating disorders such as bulimia and anorexia will not only completely transform a person's appearance but will also affect one's behavior and personality. A simple explanation of the diffe

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

rence between the two disorders is that bulimics eat large amounts of food and then throw up (binge-eating and purging), while anorexics simply starve themselves. The first step to preventi

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

Examples of combination products may in

on is to recognize the symptoms. Here is an overview of anorexia and bulimia, as well as the most common symptoms of eating disorders.

Anorexia Nervosa

Anorexia occurs when a perso

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

n refuses to eat in order to maintain a particular body weight. Anorexics will experience extreme weight loss, as much as 15% below their normal body weight. Even when they become very skin

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

ny, they still believe that they are overweight. Weight loss is achieved through excessive exercise, laxatives and fasting. Their acquired dieting habits are based on their intense fear of

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

Combination pro

becoming fat. Anorexia is thought to be most common among adolescent girls and people involved in activities wherein thinness is preferred, such as dancing, modeling, and distance running.

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

It is helpful to know the symptoms of anorexia.

Signs of anorexia

- Feeling overweight even when thin

- Experiencing dramatic weight loss

- Basing self-worth on body weight and/o

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

r body image

- Skipping meals frequently

- Insisting on eating only certain foods (usually those low in fat and calories)

- Preparing meals for others but not eating

- Weighing yourself

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

frequently

- Looking in the mirror for flaws frequently

- In females, missing three consecutive menstrual periods

- In males, a decrease in sexual desire

Physical effects of anorexi

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

a

The most serious health risk to someone with anorexia is death caused either by the effects of severe weight loss or by suicide. Estimates claim that as many as 1 in 10 people with a

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

norexia will die from complications of the disorder.

Bulimia Nervosa

Bulimia is characterized by episodes of binge-eating followed by purging. A binge is an episode whereby an indi

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

Following aspects would a

vidual eats a much larger amount of food than would most people in a similar situation. Binge-eating is usually a response to depression, stress, or self-esteem issues. During a binge episo

dd to the challenges in developing combination products:

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

de, an individual experiences a loss of control. Some methods of weight control for bulimics include vomiting, fasting, enemas, excessive use of laxatives and diuretics, and a compulsive ne

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

ed to exercise. People with bulimia can appear perfectly normal; many of them are of normal weight and some are even overweight. Moreover, binge-eating and purging is often performed in sec

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

ret, making it difficult to determine whether or not a person is suffering from bulimia. Although there is currently no known definite cause of bulimia, there are warning signs to be consid

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

ered.

Signs of bulimia

- Uncontrollable eating

- Inappropriate weight control methods - strict dieting, fasting, vomiting, vigorous exercise, or abuse of laxatives or diuretics

-

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

Professional from academic institutions, pharmaceutical industries, health care indust

Frequent trips to the bathroom after meals

- Preoccupation with body weight and/or body image

- Consummation of foods mostly high in calories

- Depression or mood swings, feeling out of

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

control

- Heartburn, bloating, indigestion, constipation Weakness, exhaustion

- In women, irregular menstrual periods

If you have a friend or family member who suffers from an eating

.

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

disorder, your emotional support is important. Recommend that they see a doctor and/or a counselor who can help them in their battle against the illness. As in the case of many other diseas

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

Companies that provide selfless information through particip

es, be prepared to meet denial, resistance, and anger from the sufferer. Learn to recognize the symptoms of eating disorders in order to prevent their escalation. It may save someone's 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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