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All of us are familiar with the pyramids of Egypt. These magnificent structures have stood for thousands of years, with

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

standing extreme heat and other factors that would bring down an ordinary structure.

When we look at these pyramids, w

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

Examples of combination products may in

e instinctively look toward the peak. We tend to do the same with the Cisco Learning Pyramid. If you're not familiar wi

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

th this, Cisco uses a pyramid to illustrate how the CCIE is at the peak of the Cisco certification structure, with the

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

CCNP in the middle and the CCNA at the bottom.

I'm often asked how to become a CCIE. My response is always "Become a m

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

Combination pro

aster CCNA and a master CCNP first". That answer is often followed by a puzzled look, as though I've mentioned some new

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

kind of Cisco certification. But that's not it at all.

The reason the pyramids of Egypt are so strong, and the reason

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

they have lasted for thousands of years, is that their foundations are so strong. It's not the well-built peak that al

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

lows such a building to last it's the foundation.

The same can be said for your Cisco certification studies. As a CCNA

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

candidate, you may not even be thinking about the CCIE yet (although I hope you will!). You may be looking ahead towar

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

d the CCNP. You must realize, though, that the skills you will learn in your CCNP and CCIE studies are built upon the s

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

Following aspects would a

tudies you do for your CCNA.

Indeed, your CCNA studies are the most important studies of your career.

Let me repeat t

dd to the challenges in developing combination products:

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

hat. Your CCNA studies are the most important studies of your career.

Look at some of the topics you'll have to master

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

for your CCNP and CCIE, such as OSPF and using binary math. You cannot understand how the many types of OSPF networks

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

work unless you understand how OSPF works in the first place. And how can you possibly use wildcard masks, access contr

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

ol lists, and the many other applications of binary math you'll encounter in your CCNP and CCIE studies if you don't ge

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

Professional from academic institutions, pharmaceutical industries, health care indust

t that fundamental understanding of binary at the CCNA level?

I know we work in a field where our customers tend to wa

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

nt things done yesterday. I know that it's hard not to be in a hurry when you're studying for your CCNA - I've been the

.

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

re! Keep in mind, though, that when you're studying for your CCNA, you're not just studying for a certification exam -

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

Companies that provide selfless information through particip

you're building the foundation for the rest of your Cisco certifications and the rest of your career.

To your success,

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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