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This type of injury is most common in car accidents, where the victim is exposed to very quick deceleration, although it can occur in other types of

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

circumstances, for example sporting accidents. Symptoms of a whiplash injury can include headaches, stiff necks/back of head, and general pain arou

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

Examples of combination products may in

d the neck area. This is caused by a tightening of the muscles around the injured tissue, as the body reacts to the injury by trying to limit moveme

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

t in the affected area. Generally, these symptoms will disappear a month or two after diagnosis and treatment, but in some cases the symptoms can la

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

t much longer, especially if medical attention is not sought straight away. Other symptoms can range from nausea and dizziness, to difficulty in swa

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

Combination pro

llowing and numbness/tingling. Lower back pain, ringing sounds in the ears, fatigue and even mental problems such as a lack of concentration can are

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

all problems victims can experience through a whiplash injury.

There can often be problems with the diagnosis of whiplash injuries, due to the fact

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

that soft tissue damage does not show up on normal x-rays and scans, and so doctors often make their diagnosis based on the pain felt by the victim

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

nd the way in which the whiplash injury occurred.

Whiplash injuries are relatively straightforward to treat, and rarely require surgery. Standard p

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

rocedure used to involve the victim wearing a ‘soft collar’ or neck brace, in order to minimalise movement, increase stability and make sure no furt

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

er damage was caused. However, nowadays the common approach is for the victim to be encouraged to attempt movement as early as possible in the recov

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

Following aspects would a

ry programme, and keep the neck free from any collars/support braces to allow this. Full recovery is likely to happen faster where the victim tries

dd to the challenges in developing combination products:

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

o resume their normal routine, including neck exercises, as soon as they can, and staying active whilst avoiding any activities (such as sports) whi

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

ch could lead to further aggravation of the injury. Ice packs should be applied at an early stage, combined with regular doses (at specified interva

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

s) of painkillers/anti inflammatory such as ibuprofen. Massages and physiotherapy session may also be useful, along with any specific exercises advi

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

ed by the doctor. Treatment can depend on a number of case-specific factors, for example the age of the victim, their overall health, and even perso

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

Professional from academic institutions, pharmaceutical industries, health care indust

al preference; some sufferers may prefer not to wear a brace as it would restrict their everyday activities. Doctors will take this into account bef

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

ore deciding how best to treat each individual.

Severe cases of a whiplash injury may go unnoticed by the medical staff treating the victim at firs

.

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

, however if any of the afore mentioned symptoms persist, it is important to go back to the hospital/doctor for further check ups, as it may mean th

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

Companies that provide selfless information through particip

t there is more serious damage to the spine, most probably concerned with one or more vertebral discs, and such injuries will require surgery to fix

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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