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  • Social Space - Life in Mexico: Grocery Shopping

    One of the many reasons we chose to expatriate to Mexico, Guanajuato specifically, was we would be able to walk wherever we needed to go. We would no longer have to have a car for transportation as we did in Kansas City. A worry we had about aging was wondering what we
    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
    would do when we could no longer drive. Kansas City has a bus system, but it does not cover the whole city. To get to a bus stop, you either have to drive your car somewhere and park, or you have to walk quite a distance. Walking to do errands is next to impossible beca
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    se of the distances involved, not to mention the danger of crossing busy 6-lane (or wider!) streets and highways to get to your destination.

    Guanajuato is a small city where it is possible to walk just about anywhere you want to go. If the weather is inclement or you h
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    ve packages to carry, there are bus routes to nearly every part of the city. There are also plenty of taxis to get you where you need to go.

    Even though Guanajuato has buses and taxis, we found we had to make some changes in our grocery shopping habits after we moved h
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    re.

    In Kansas City, it was easy to shop for groceries. A quick trip in the car to the store, a spin through the aisles, and another quick trip home in the car was all it took…less than an hour. The stores were usually well stocked. We rarely faced a shortage of any pro
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    uct.

    Our shopping experiences were confined to huge, impersonal supermarkets. We rarely saw anyone we knew among the other shoppers. The employees, most anyway, were barely civil. We were just part of the faceless wave of people surging in and out, day after day. Why m
    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
    ke the effort to initiate or maintain personal relationships with such a hoard?

    Mexico has its share of supermarkets and mega stores just like the USA. However, Mexico has a different venue for your shopping pleasure…one swept out of existence years ago by the flood of
    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
    "progress" in the States.

    The small "mom-and-pop" stores, once part of the fabric of life in the States, still exist in Mexico. In fact, they are the preferred places to shop and exchange news with neighbors.

    Every neighborhood has one or more shops called "Abarrotes
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    or "Miscel?neas." These carry canned and packaged foods, laundry detergent, cleaning products, toilet paper, bread, and snacks. Some also sell lunchmeat, cheese, milk, juice, and eggs.

    For your fresh meat needs, you can visit your neighborhood butcher shop, "carnicer?
    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
    ," or poultry shop, "poller?a." The beef and pork are leaner and the chickens are plumper than in the States. We have found the meat and poultry here in Mexico are more flavorful than that in the USA.

    I want to warn you about something you will see if you frequent your
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    neighborhood butcher shop rather than the supermarket. It will shock you unless you were raised on a farm or ranch (unlike us wimpy city folk!).

    The morning's deliveries don't arrive all neatly prepackaged on plastic-wrapped Styrofoam trays stacked in the back of a ref
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    igerated truck. Oh, no! The rancher, driving the oldest, rustiest, most battered pickup truck you've ever seen, pulls up in front of the butcher shop with a pile of bloody body parts in the truck bed. Sometimes, the parts still have skin and hair attached. Usually, ther
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    are a couple of heads thrown into the mix…eyes, skin, hair, horns, teeth, and tongues intact. The rancher hoists the parts on his shoulder and hauls them into the shop, where the butcher converts them into various cuts.

    Here's another warning just to prepare you. The
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    utcher shops and poultry shops usually have large trays of nice, yellow chicken feet on the counter. Now, I can eat nearly anything, but I have to draw the line at chicken feet. Mexicans use the feet to flavor soup (and then eat them cooked) or they pickle the feet, cov
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    er them with salsa, and crunch them happily. If you buy a whole chicken, don't be surprised to find the feet (and sometimes the head!) tucked inside the body cavity with the heart, liver, and gizzard.

    If you have decided to become a vegetarian because of my warnings, y
    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
    u can go to a greengrocery or "fruter?a" to buy fruits and vegetables. Some of these shops also carry a small selection of packaged foods and cleaning supplies.

    All fruits and vegetables, unless you can peel them, need to be washed and then soaked in a disinfectant sol
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    tion (iodine or chlorine). Supermarkets, fruter?as, and sometimes pharmacies carry bottles of the disinfectant. The instructions are printed on the label…usually 5 drops for each liter of water. The drops don't change the flavor of produce. Some people say if you cook t
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    e produce, you don't need to disinfect it first. I always do it anyway, just to be safe.

    To round out your purchases, you will go to a bakery or "panader?a" for fresh rolls ("bolillos"), cookies ("galletas"), turnovers ("empanadas") filled with meat, tuna, cheese, or j
    .

    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
    m, and other bakery items or to a "pasteler?a" for cakes and pies.

    Unless you shop exclusively in supermarkets in Mexico, you will have to visit several shops to find everything, more or less, on your shopping list. Because these shops are small and usually family owne
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    , you will get to know the owners and employees as well as the other regular customers. Sometimes people come to the shop just to exchange news and gossip.

    Your shopping trip will be much longer than the same trip took in the States but will be a much richer experience


    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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