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Let's say you've been referred to a great doctor. You've saved your money and/or picked a great payment plan. Now what? What can you expect? What will the actual procedure be like?

Weeks

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

Before Surgery

Of course, before you have your surgery, you'll have your initial evaluation by your doctor to determine if you're a good candidate for laser eye surgery and to discuss y

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

Examples of combination products may in

ur options. If you wear contacts, it's a good idea to stop wearing them a few weeks before you first go see your doctor. Contacts change the shape of your cornea, and your doctor will hav

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

to examine the shape of your cornea to come up with a good surgical plan. Wear your glasses instead in the weeks leading up to your first visit. Stop wearing soft contacts two weeks befo

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

e your first visit, gas permeable lenses three weeks, and hard lenses four weeks.

During the visit, be prepared to tell your doctor about your medical history and any allergies you may h

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

Combination pro

ve. If you're not sure, look it up before you go so you'll have that information on hand and not waste more time. Your doctor will give you a thorough eye exam. She'll also discuss the ri

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

ks and benefits of the surgery and which of the various corrective surgeries is best suited for your sort of problem. This is also your time to ask any questions you have. Make sure any q

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

estions you have are answered before surgery and before signing consent forms.

Just Before Surgery

You should stop using creams, lotions and perfumes the day before surgery. These produ

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

ts can increase the risk of infection. The doctor may also give instructions (and sometimes a special soap product) to use to scrub around your eyes in the day(s) before surgery. Follow h

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

s/her instructions in that regard. Arrange for transportation to and from the clinic for the day of the surgery and also for your follow-up visit. You may not need it for the follow-up, b

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

t it's good to have it in place. During Surgery

The actual procedure should not take long. (Laser eye surgery can take less than a minute per eye.) The doctor will place a drop of numbi

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

Following aspects would a

ng anesthetic in your eye. An instrument called an eye speculum will hold your eye open. You will be asked to keep your eye focused on a fixed object, usually light in the machine, while

dd to the challenges in developing combination products:

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

he doctor performs the procedure. Patients report some discomfort during the procedure, but you should not feel pain. Oddly enough, depending on the surgery, you will be able to smell th

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

laser burning your cornea, a smell that some compare to that of burning hair. After Surgery

You may experience some discomfort after your surgery. Your doctor will likely suggest an ov

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

r-the-counter or mild prescription pain reliever. Most patients notice an immediate improvement in vision after surgery. But your eye may feel as though there's something in it. You will

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

robably be tempted to rub your eyes, but don't! You may also experience some sensitivity to light and visual disturbances such as starbursts, halos, etc. These should diminish in the days

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

Professional from academic institutions, pharmaceutical industries, health care indust

after surgery. Your doctor will give you an eye shield to wear immediately after your surgery and at night for a few days or weeks. Follow his directions regarding the shield. You should

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

o for your first follow-up visit within a day or two after your surgery.

Avoid the following activities for the stated period after surgery

* Eye make-up - Two weeks

* All sports - Thr

.

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

e days

* Strenuous or contact sports - Three weeks

* Swimming, whirlpool or hot tub - Eight weeks

In addition, while driving at night you may experience some glare, so it's a good idea

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

Companies that provide selfless information through particip

to hand someone else the keys as much as possible at night for a few weeks after your surgery. It can even take a period of up to three to six months for your vision to stabilize entirely

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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