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I was recently reading a message board thread on a popular SEO site and the question came up whether this particular person should add a forum to his site. I appreciated the honest answers from those who replied and

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

I mulled over several points myself that I thought would be beneficial. Combined, these are some of the prevailing thoughts from site administrators:

1. Site Traffic. While there is no “rule of thumb” as to

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

Examples of combination products may in

what constitutes a busy site, most administrators felt that a site with at least several hundred daily unique visitors was worthy of adding a forum. One administrator cited that probably 10-20% of the visitor

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

s would actually join the forum, while the rest would continue to visit the web pages. Any amount less, the adminstrators believed, would find the forum visited infrequently. Fears were voiced by some that an "empty

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

or underused forum would send out a bad signal.

2. Moderators. Knowing that a forum can quickly get out of control if not watched regularly, one respondent urged that at least 2 current site visitors be app

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

Combination pro

ointed as moderators. The thoughts were that if there were already regular identifiable visitors to the site, at least 2 could be found to help out with the new forum. Across the board, no one felt comfortable with

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

he administrator starting the site without moderators.

3. Development. A side conversation ensued about the development of the forum. We soon learned that the administrator was not well versed in PHP so he w

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

as going to have to expend some money by purchasing a license from vBulletin or Invision Boards to set up a site. We did learn that through AdSense and banner display ads his site was profitable, so the financial ou

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

lay of $200 or so wasn’t a problem for this administrator. Still, he could save himself some money by opting for an open source PHP site if he had the time and inclination. In both cases he clearly had neither, thus

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

a licensed forum made the most sense.

4. Maintenance. Besides having the help of moderators, we all recognized that a certain amount of regular maintenance would need to be performed including: registering

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

eople who for whatever reason could not register themselves, resetting passwords when requested, updating forums as required, backing up data on a regular basis, making important upgrades and modifications as warran

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

Following aspects would a

ted, marketing the site via mass emails and advertising, promoting the site via an orchestrated advertising campaign, etc. Nobody felt that the administrator could create the site and basically stand back. By experi

dd to the challenges in developing combination products:

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

nce, we knew that we had to share with the potential forum administrator that forums are time consuming and require a lot of special care.

5. Time Management. As outlined in point #4, the amount of time invo

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

lved to successfully launch, maintain, market, backup, and update forums can be huge. I mentioned in my reply that whatever time was allocated to forum management would quickly take away from other administrative ta

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

ks including writing articles, updating web pages, sourcing new customers, as well as impacting precious personal time.

6. Niche or Not? Not mentioned by me during the discussion {I thought about this point

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

later} was whether the site was a niche community or one amongst many. Clearly, if the administrator starts a forum that is like many others it may have difficulty establishing itself in a crowded market. As the man

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

Professional from academic institutions, pharmaceutical industries, health care indust

ger of two successful forums, the Corporate Flight Attendant Community and the y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

um">Aviation Employment Board, I have learned through trial and error that some forums work, while others do not. I might add, that I have managed as many as one dozen other forums which I eventually had

.

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

o close or relinquish because of some of the points mentioned previously, e.g. low traffic numbers and time management.

In all, forum management brings a whole additional level of responsibility for any site manage

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

Companies that provide selfless information through particip

r. Weigh the benefits against the pitfalls and give due consideration to all the points mentioned above. You may still elect to start a forum and, if that is the case, I only wish you success in your new undertaking

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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