Summary - Relationships

Upon discovery of infidelity there is often a strong need to know the details. What happened? When? Where? Why? etc. The reasons for these questions are examined in my first articl

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 on this subject: "Infidelity: Why the Need to Know is so Strong."

You have the need to know, but his/her lips are sealed or walks away, ignores or bypasses your questions, puts

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

Examples of combination products may in

it back on you, denies or does other numbers on you to keep you away from knowing what really happened. There are predictable reasons why this happens. Here's some of them:

1. You

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

r partner/spouse is involved in an "I don't want to say no" affair. Your partner probably is a person wrapped up in his own ego, personal needs, and life style. He can rationalize

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

the behavior and actually come to the conclusion that he is entitled to get his needs met this way. After all, he is such a magnanimous person! Bottom line: your needs and concerns

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

Combination pro

really don't matter! He doesn't want to talk about them and sees absolutely no reason to get "bogged down" in what is important to you.

2. Your spouse/partner is involved in an "

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

I can't say no" affair. Your partner finds it painfully difficult to respond to your need to know out of shame and guilt. She sees, at one level, her actions becoming more and more

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

destructive and degrading and believes, again at an unspoken level usually, that she has less and less control over her actions. Guilt and shame follow the infidelity with self-pr

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

omises to break off the behavior. However, these promises are usually broken. She is ashamed for you to know this struggle.

3. Your partner/spouse is involved in a "revenge" affai

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

r. He wants you to squirm. This may not be front and center in his consciousness, but just below the surface is some resentment and anger, for whatever reason, aimed in your direct

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

ion. He thinks: "Hmmmm this is payback time. Good. Now she knows what it's like to be on the receiving end. I'll continue this for a while...and secretly enjoy her torment. I won't

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

Following aspects would a

give her the satisfaction of responding in a caring way to her needs."

4. Your partner/spouse is involved in an affair with the intent upon proving her desirability. In some case

dd to the challenges in developing combination products:

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

s where there is a history of sexual abuse as a child, or rape as an adult, your partner may compartmentalize the "affair" to the degree that she might not consciously remember the

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

details or events of her infidelity. The infidelity may serve in a pre-conscious fashion as an attempt to amend for the painful sexual history. She may NOT indeed remember what yo

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

u ask for.

5. Your partner/spouse is involved in affairs such as: " I fell out of love" or "My Marriage Made Me Do It" or "I Want to be Close to Someone...but can't stand intimacy

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

." Often, the infidelity in these cases represents the need to deal with dependency issues. By that I mean, your partner may define himself in terms of how others respond to him ra

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

Professional from academic institutions, pharmaceutical industries, health care indust

ther than his inner values, standards, purpose, etc. This person's life is wrapped around others. And his life is still wrapped around you. You want to know. He doesn't tell you...

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

for fear of "hurting you" or becoming embroiled in pain or conflict from which he cannot seemingly extricate. What you (or others) think, feel and how you respond are TOO importan

.

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

t to him.

As you see, the reasons for not getting the information you need for your own sense of validation and acknowledgement are varied and fairly complex. Allow yourself to st

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

Companies that provide selfless information through particip

and back and examine the themes and patterns you encounter. With the power of this knowledge you gain the freedom to use different strategies and tactics to work toward resolution.

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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Summary - Infidelity Discovered: Why He/She Won't Tell Me the Truth?

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