Summary - Health and Fitness

For Diabetic people the extremities of the body are often in poor condition. The reasons for this are twofold; poor circulation and nerve damage.

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

High levels of sugar in the blood for any length of time damage the blood vessels which causes poor circulation throughout the body, with the f

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

Examples of combination products may in

rthest parts of the body most disadvantaged. Blood supplies the cells with energy and nutrients that serve to replenish the cells and help to reg

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

nerate new cells.

The capillaries are the thinnest of blood vessels and are often most affected by poor circulation. Capillaries supply blood to

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

much of the nervous system. Without adequate supplies of blood the nervous system functions abnormally or sluggishly. This will often manifest as

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

Combination pro

numbness and lack of sensation in the feet and legs.

This combination often leads to easily cut or bruised feet without any resulting pain bein

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

registered by the person. If this goes unnoticed for any length of time further complications with the feet can result. In worst case scenarios

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

eople need to have feet amputated. Thus it is important to develop a strict regime of foot care for diabetic patients.

Foot care is effectively

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

team responsibility. Doctors should encourage the person with diabetes to take an active role in monitoring the condition of their feet, taking

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

any simple remedial actions that may be needed and notifying the professionals if the condition deteriorates or is beyond their capabilities. Des

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

ite the patient monitoring the state of his/her feet, an annual or six monthly check up of the feet should be performed by the patient's doctor.

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

Following aspects would a

his may be more frequent if the feet are in a bad way.

The daily checking of the feet should include keeping nails trim so as to prevent ingrowi

dd to the challenges in developing combination products:

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

g toenails or cuts on the feet caused by the nail. The feet should be washed thoroughly to remove any bacteria and germs. The feet should be drie

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

d after washing and nourished with skin cream. Common problems like calluses should be attended to.

Extra care should be taken with the feet. Sh

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

es and socks should be comfortable and spacious for the feet to allow normal circulation of air round the feet. The socks should be of a material

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

that won't cause irritation to the feet. Specialist shoes can be found for diabetics.

An annual check up of feet should establish how responsive

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

Professional from academic institutions, pharmaceutical industries, health care indust

the nerves in the feet are and the general condition of the feet. A doctor will conduct simple responsiveness tests by checking if the patient ca

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

n feel varying levels of pressure when applied to the feet. This will tell the doctor if the condition has worsened since the last check-up and i

.

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

the care of the feet has to be increased. The doctor can also check for ulcers and other problems with the feet.

Complications with the feet ar

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

Companies that provide selfless information through particip

one of the most common problems with diabetics so it is important to develop a regular foot care regime and have the discipline to stick with it

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 - Foot Care For Diabetic Patients

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