This article is about fixed drug combinations as treatments. For two synergistic drugs chemically linked together, see codrug.
Drug that contains two or more active pharmaceutical ingredients
A combination drug or a fixed-dose combination (FDC) is a medicine that includes two or more active ingredients combined in a single dosage form.[1] Terms like "combination drug" or "combination drug product" can be common shorthand for an FDC product (since most combination drug products are currently FDCs), although the latter is more precise if in fact referring to a mass-produced product having a predetermined combination of drugs and respective dosages (as opposed to customized polypharmacy via compounding[2]). And it should also be distinguished from the term "combination product" in medical contexts, which without further specification can refer to products that combine different types of medical products—such as device/drug combinations as opposed to drug/drug combinations.[3] When a combination drug product (whether fixed-dose or not) is a "pill" (i.e., a tablet or capsule), then it may also be a kind of "polypill" or combopill.
Initially, fixed-dose combination drug products were developed to target a single disease (such as with antiretroviral FDCs used against AIDS). However, FDCs may also target multiple diseases/conditions. In cases of FDCs targeting multiple conditions, such conditions might often be related—in order to increase the number of prospective patients who might be likely to use a given FDC product. This is because each FDC product is mass-produced, and thus typically requires having a critical mass of potentially applicable patients in order to justify its manufacture, distribution, stocking, etc.
^Collier, Roger (2012). "Reducing the "pill burden"". Canadian Medical Association Journal. 184 (2): E117–E118. doi:10.1503/cmaj.109-4076. PMC 3273525. PMID 22231682.
^"5-in-1 PolyPill Treatment May Prevent Heart Disease"[1] Archived 2014-02-27 at the Wayback Machine, BAYVIEW PHARMACY'S PRESCRIPTION COMPOUNDING BLOG,Apr 01, 2009 @ 08:09 AM.
^Combination Products-U.S. Food and Drug Administration
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