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Most of us have figured out that we spend at least as much time with our co-workers as we do with our families (8 hours work; 8 hours home; 8 hours asleep). Though we choose who we live with, we us

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

ually don't choose our co-workers. If you are as lucky as I am, your co-workers may become like a family, but even in such an ideal situation, there will still be irritations, a poor choice of word

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

Examples of combination products may in

s, or a snippy e-mail from time to time. If you are working with others that you already have some tension with, these events will be even more likely.

What to do? As with all communication skills

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

and interpersonal skills tips, the focus is on what YOU can do, not the other party. We can't change others (though we may persuade, it's still another's decision to make a change). With that in mi

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

nd, here are a few considerations for keeping the "buggin' " to a minimum:

1. Keep your voice down.

Whether on the phone or in the hallway, when another is trying to concentrate this is an extre

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

Combination pro

e annoyance. We are likely not aware of our increased volume---either due to enthusiasm about the topic or just because we talk loudly without realizing it. For those of you who are not sure if you

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

are a loud talker...assume you are. If you are sure you're not, then you are probably already conscientious about your volume in the workplace.

2. Interrupting.

This can mean interrupting someon

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

who is talking, but it also holds for interrupting someone in the middle of a task or a phone call. Ask permission before interrupting. Many people also forget to ask when they call a co-worker, i

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

f it's a good time. Instead they launch into a long discussion and may have to be interrupted to reschedule the conversation for a better time.

3. Cool the perfume (cologne).

Headaches, allergies

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

clouds of fragrance hanging in the air for hours...these are the side effects of too much cologne or perfume. Remember: you can't smell yourself. After a few minutes, your fragrance doesn't regist

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

er with YOU anymore, but it does with everyone else. (P.S. I have complimented someone's fragrance to be polite and secretly was overwhelmed by the scent. Don't assume numerous comments or complim

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

Following aspects would a

ents means your fragrance isn't too powerful. In fact, if you are getting regular comments, it IS too strong by definition!)

4. Being late.

Now being late for work is a different topic. We know

dd to the challenges in developing combination products:

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

hat's not okay. But for meetings, lunch, etc. this behavior on a regular basis, is really just disguised arrogance (yea, I said it!). It says, "My time is more valuable than yours." Now, the occasi

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

onal emergency with an apology is one thing (So sorry! I got held up on a phone call.) But a habitual late-comer, is sending a very disrespectful message to others.

5. Let people have a bad day.

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

ometimes we have a bad day, a quiet day, a focused day....a day where we are not acting as we normally would. Instead of stopping someone and saying something like, “Wow. Seems like you're having a

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

bad day" or "Is there anything wrong?" or "What's the matter?" just let 'em have a "different" day. All of these questions may seem caring, but to the receiver they are likely irritating. The mes

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

Professional from academic institutions, pharmaceutical industries, health care indust

age is really: " I don't like how you are acting" or "Your behavior is making me uncomfortable". Any way you slice it, the question is coming from our own discomfort with the behavior, not an attem

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

pt to soothe. We force the already-stressed party into responding forcibly with, "No, I'm fine. Thanks for asking" or some other polite response that probably just adds to their burden.

6. Whisper

.

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

ng.

You are probably NOT talking about me, but that is what I will assume, at least initially. Shut the door or take it to the break room! And never do this in meetings or training classes. It i

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

Companies that provide selfless information through particip

rritates everyone, not just the meeting leader or trainer.

7. We noticed!

A loud snort to clear your sinuses; yawning aloud; burping semi-quietly. Come on! An "excuse me" will always do the trick

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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