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Elranatamab (Elrexfio) for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • Sep 18, 2023  (Issue 1685)
) was the first.1 Pronunciation Key Elranatamab-bcmm: el’ ran a ta mab Elrexfio: el reks’ fe o The four-letter ...
Elranatamab-bcmm (Elrexfio – Pfizer), a bispecific B-cell maturation antigen (BCMA)-directed CD3 T-cell engager, has been granted accelerated approval by the FDA for treatment of relapsed or refractory multiple myeloma in adults who received ≥4 prior lines of therapy, including a proteasome inhibitor, an immunomodulatory drug, and an anti-CD38 monoclonal antibody. Accelerated approval was based on the response rate and durability of response. Elranatamab is the second bispecific BCMA-directed CD3 T-cell engager to be approved for this indication; teclistamab (Tecvayli) was the...
Med Lett Drugs Ther. 2023 Sep 18;65(1685):e153-4   doi:10.58347/tml.2023.1685d |  Show IntroductionHide Introduction

In Brief: Azmiro — A Single-Dose Injectable Formulation of Testosterone Cypionate

   
The Medical Letter on Drugs and Therapeutics • Mar 17, 2025  (Issue 1724)
of Testosterone Cypionate Table 1. Some Injectable Testosterone Replacement Products1 Drug Some Formulations ...
The FDA has approved Azmiro (Azurity), the first injectable formulation of testosterone cypionate to become available in single-dose vials and prefilled syringes for treatment of males with conditions associated with a deficiency or absence of endogenous testosterone. Injectable testosterone cypionate has been available in multidose vials (Depo-Testosterone, and generics) for many years. Testosterone enanthate (Xyosted) is available in prefilled autoinjectors for use in adult men. No testosterone products are approved for treatment of low testosterone levels due solely to aging. All...
Med Lett Drugs Ther. 2025 Mar 17;67(1724):44-5   doi:10.58347/tml.2025.1724b |  Show IntroductionHide Introduction

Arformoterol (Brovana) for COPD

   
The Medical Letter on Drugs and Therapeutics • Jul 02, 2007  (Issue 1264)
of formoterol (Foradil), 1 which is available as a powder for inhalation and was recently also approved ...
Arformoterol tartrate (Brovana - Sepracor), a singleisomer, long-acting beta2-agonist, has been approved by the FDA as an inhalation solution for nebulization for treatment of bronchoconstriction pulmonary disease (COPD). Arformoterol is the (R,R)-enantiomer of formoterol (Foradil), which is available as a powder for inhalation and was recently also approved as a solution for nebulization (Perforomist - Dey; available fall 2007)
Med Lett Drugs Ther. 2007 Jul 2;49(1264):53-5 |  Show IntroductionHide Introduction

Antiplatelet Therapy for Patients with Stents

   
The Medical Letter on Drugs and Therapeutics • Aug 11, 2008  (Issue 1292)
(Plavix, and others) 1 are used in most patients undergoing percutaneous coronary intervention (PCI ...
The antiplatelet agents aspirin and clopidogrel (Plavix, and others) are used in most patients undergoing percutaneous coronary intervention (PCI) to prevent stent thrombosis and to reduce the occurrence of peri-, post-procedural and late cardiovascular events. Despite a large number of randomized trials of these agents in such patients, the optimal dosage and duration of treatment with these drugs, and whether other drugs should be added, is unclear.
Med Lett Drugs Ther. 2008 Aug 11;50(1292):61-3 |  Show IntroductionHide Introduction

Drugs for Migraine

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
.1 Treatment of pain when it is still mild to moderate in intensity improves headache response ...
An oral nonopioid analgesic is often sufficient for acute treatment of mild to moderate migraine pain without severe nausea or vomiting. A triptan is the drug of choice for treatment of moderate to severe migraine in most patients without vascular disease. Treatment of pain when it is still mild to moderate in intensity improves headache response and reduces the risk of recurrence.
Med Lett Drugs Ther. 2023 Jun 12;65(1678):89-96   doi:10.58347/tml.2023.1678a |  Show IntroductionHide Introduction

Cholesterol Rethink for High-Risk Patients

   
The Medical Letter on Drugs and Therapeutics • May 10, 2004  (Issue 1182)
% in the atorvastatintreated patients, who now had a median LDL cholesterol of 62 mg/dL (1.60 mmol/L), a relative risk ...
The recent "PROVE IT" trial in patients with coronary heart disease showed clinical benefits associated with reducing LDL cholesterol concentrations lower than the 100 mg/dL (2.59 mmol/L) or less that had been considered optimal.
Med Lett Drugs Ther. 2004 May 10;46(1182):37-9 |  Show IntroductionHide Introduction

Fluticasone Furoate (Arnuity Ellipta) for Asthma

   
The Medical Letter on Drugs and Therapeutics • May 25, 2015  (Issue 1469)
-agonist vilanterol as Breo Ellipta for treatment of asthma and COPD.1 Pronunciation Key Fluticasone ...
The FDA has approved Arnuity Ellipta (GSK), a single-agent inhaler containing the corticosteroid fluticasone furoate, for once-daily maintenance treatment of asthma in patients ≥12 years old. Fluticasone furoate is also available in combination with the long-acting beta2-agonist vilanterol as Breo Ellipta for treatment of asthma and COPD.
Med Lett Drugs Ther. 2015 May 25;57(1469):76-9 |  Show IntroductionHide Introduction

Erenumab (Aimovig) for Migraine Prevention

   
The Medical Letter on Drugs and Therapeutics • Jun 18, 2018  (Issue 1549)
preventive treatment.1,2 Beta blockers and antiepileptic drugs are commonly used for prevention of migraine ...
The FDA has approved erenumab-aooe (Aimovig – Amgen/Novartis), a once-monthly, subcutaneously-injected, monoclonal antibody against the calcitonin gene-related peptide receptor, for preventive treatment of migraine in adults. It is the first drug in its class to be approved by the FDA.
Med Lett Drugs Ther. 2018 Jun 18;60(1549):101-3 |  Show IntroductionHide Introduction

A Fixed-Dose Combination of Meloxicam and Rizatriptan (Symbravo) for Migraine

   
The Medical Letter on Drugs and Therapeutics • Apr 28, 2025  (Issue 1727)
old.1 Pronunciation Key Symbravo: sim brah’ voh STANDARD TREATMENT — Treatment of migraine pain ...
The FDA has approved Symbravo (Axsome), an oral fixed-dose combination of the nonsteroidal anti-inflammatory drug (NSAID) meloxicam and the 5-HT1B/1D receptor agonist (triptan) rizatriptan (Maxalt, and generics), for acute treatment of migraine with or without aura in adults. It is the second combination of an NSAID and a triptan to be approved for migraine treatment. An oral fixed-dose combination of sumatriptan and naproxen (Treximet, and generics) is approved for use in patients ≥12 years old.
Med Lett Drugs Ther. 2025 Apr 28;67(1727):68-70   doi:10.58347/tml.2025.1727b |  Show IntroductionHide Introduction

Ceftobiprole Medocaril (Zevtera) — A New Cephalosporin Antibiotic

   
The Medical Letter on Drugs and Therapeutics • Sep 15, 2025  (Issue 1737)
infections (ABSSSIs), and community-acquired bacterial pneumonia (CABP) (see Table 1). It is the second ...
Ceftobiprole medocaril sodium (Zevtera – Innoviva Specialty Therapeutics), a new IV cephalosporin antibacterial drug, has been approved by the FDA for treatment of Staphylococcus aureus bacteremia (SAB), including right-sided infective endocarditis, acute bacterial skin and skin structure infections (ABSSSIs), and community-acquired bacterial pneumonia (CABP) (see Table 1). It is the second cephalosporin with activity against methicillin-resistant S. aureus (MRSA) to be approved in the US; ceftaroline (Teflaro), which was approved for treatment of ABSSSIs and CABP in 2010, was the...
Med Lett Drugs Ther. 2025 Sep 15;67(1737):149-52   doi:10.58347/tml.2025.1737d |  Show IntroductionHide Introduction