A combination drug, fixed-dose combination drug, and a polypill are all forms of medicinal preparation composed of two or more substances as active ingredients in a single dosage form. The fixed-dose combination drug is most common, whereby each ingredient is standardized to fixed dosing specifications. Fixed-dose combinations are mass-produced and mass-marketed as treatment options for a large and diverse patient population with a variety of medical conditions, genetic predispositions, and treatment needs. A polypill is a tablet or capsule containing four or more active ingredients, frequently requiring custom preparation at a compounding pharmacy in order to meet the personalized specifications deemed necessary by a patient's medical prescription; such specificities may include uncommon, unconventional, or unavailable dosage, dosage form, a modified release mechanism, necessity for a particular speed of onset and/or duration of action. Polypills can encompass four or more of any combination of approved prescription drugs, over the counter drugs, and may also include nutritional supplements, amino acids, enzymes, hormones, vitamins and/or essential minerals.
Fixed-dose combination drugs were initially developed to target a single disease, as with antiretroviral FDCs indicated for treating AIDS and HIV. Combination drug treatment conceptually emphasizes simplified treatment plans, reduced pill burden and increased patient compliance by offering accessible and affordable ingredients, generally generic drugs with established therapeutic efficacy and the ability to treat a variety of symptoms and conditions amongst a large patient population with varying treatment needs.