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In Brief: OTC Ivermectin for Head Lice

   
The Medical Letter on Drugs and Therapeutics • Jun 26, 2023  (Issue 1679)
IN BRIEF OTC Ivermectin for Head Lice 1. MJ Chen and MD Creinin. Mifepristone with buccal ...
Topical ivermectin lotion 0.5% (Sklice, and generics), which has been available by prescription since 2012, is now FDA-approved for sale over the counter (OTC) for treatment of head lice in patients ≥6 months old. Ivermectin is also available by prescription as a 1% cream (Soolantra) approved for topical treatment of inflammatory lesions of rosacea and in oral tablets (Stromectol, and generics) for treatment of various parasitic infections.
Med Lett Drugs Ther. 2023 Jun 26;65(1679):103-4   doi:10.58347/tml.2023.1679e |  Show IntroductionHide Introduction

Talquetamab (Talvey) for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • Sep 04, 2023  (Issue 1684)
(MonumenTAL-1; summarized in the package insert) that included 232 patients who received ≥4 prior systemic ...
Talquetamab-tgvs (Talvey – Janssen), a bispecific GPRC5D-directed 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. Talquetamab is the first bispecific GPRC5D-directed T-cell engager to be approved in the US
Med Lett Drugs Ther. 2023 Sep 4;65(1684):e149-50   doi:10.58347/tml.2023.1684e |  Show IntroductionHide Introduction

Vorasidenib (Voranigo) for Low-Grade Glioma (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 11, 2024  (Issue 1715)
survival was significantly longer with vorasidenib than with placebo (27.7 months vs 11.1 months ...
The FDA has approved vorasidenib (Voranigo – Servier), an oral isocitrate dehydrogenase (IDH) inhibitor, for treatment of grade 2 astrocytoma or oligodendroglioma in patients ≥12 years old with an IDH1 or IDH2 mutation. It is the first systemic treatment to be approved in the US for this indication.
Med Lett Drugs Ther. 2024 Nov 11;66(1715):e188-9   doi:10.58347/tml.2024.1715g |  Show IntroductionHide Introduction

Drugs for Thyroid Disorders

   
Treatment Guidelines from The Medical Letter • Aug 01, 2009  (Issue 84)
for Thyroid Disorders Tables 1. Oral Drugs for Hypothyroidism Page 57 2. Some Drug Interactions ...
Primary hypothyroidism is usually the result of Hashimoto's thyroiditis, thyroidectomy for hyperthyroidism, goiter or cancer, or radioactive iodine therapy for hyperthyroidism.
Treat Guidel Med Lett. 2009 Aug;7(84):57-64 |  Show IntroductionHide Introduction

Sunscreens

   
The Medical Letter on Drugs and Therapeutics • Jun 23, 2025  (Issue 1731)
can cause erythema, photoaging, and skin cancer.1,2 Sunscreens are widely used to reduce these risks ...
Excessive exposure to ultraviolet (UV) radiation can cause erythema, photoaging, and skin cancer. Sunscreens are widely used to reduce these risks, but questions remain about their effectiveness and safety. In 2021, the FDA proposed a rule that would require additional safety studies for some sunscreen active ingredients and mandate better UVA protection in sunscreen products.
Med Lett Drugs Ther. 2025 Jun 23;67(1731):97-102   doi:10.58347/tml.2025.1731a |  Show IntroductionHide Introduction

Echinacea for Prevention and Treatment of Upper Respiratory Infections

   
The Medical Letter on Drugs and Therapeutics • Apr 01, 2002  (Issue 1127)
) April 1, 2002 REPRODUCED FOR ONLINE USERS ECHINACEA FOR PREVENTION AND TREATMENT OF UPPER ...
Echinacea, a plant also called purple coneflower, is widely used as a dietary supplement for prevention and treatment of colds.
Med Lett Drugs Ther. 2002 Apr 1;44(1127):29-30 |  Show IntroductionHide Introduction

Ibandronate (Boniva): A New Oral Bisphosphonate

   
The Medical Letter on Drugs and Therapeutics • Apr 25, 2005  (Issue 1207)
study with 2.5 mg of ibandronate daily in postmenopausal women with at least 1 pre-existing vertebral ...
Ibandronate (Boniva - Roche/GSK), a new oral bisphosphonate, was recently approved by the FDA in a once-monthly formulation for prevention and treatment of postmenopausal osteoporosis. The drug was initially approved in 2003 as a daily tablet, but was not marketed. An intravenous formulation for use once every 3 months is under investigation.
Med Lett Drugs Ther. 2005 Apr 25;47(1207):35 |  Show IntroductionHide Introduction

Adjunctive Antipsychotics for Major Depression

   
The Medical Letter on Drugs and Therapeutics • Sep 19, 2011  (Issue 1373)
depressive disorder (MDD) whose symptoms persist following antidepressant monotherapy.1 Aripiprazole ...
Augmentation with a second-generation (atypical) antipsychotic is a treatment option for patients with major depressive disorder (MDD) whose symptoms persist following antidepressant monotherapy. Aripiprazole (Abilify), olanzapine in a fixed-dose combination with fluoxetine (Symbyax), and extended-release quetiapine (Seroquel XR) have been approved by the FDA for such use.
Med Lett Drugs Ther. 2011 Sep 19;53(1373):74-5 |  Show IntroductionHide Introduction

Ingenol Mebutate (Picato) for Actinic Keratoses

   
The Medical Letter on Drugs and Therapeutics • Apr 30, 2012  (Issue 1389)
an increased risk for squamous cell carcinoma (SCC).1,2 Field therapy with topical fluorouracil (5-FU ...
The FDA has approved ingenol mebutate (Picato – Leo) for topical treatment of actinic keratoses (AKs). The new drug is derived from the sap of the Euphorbia peplus plant, a traditional folk remedy for warts and other skin lesions.
Med Lett Drugs Ther. 2012 Apr 30;54(1389):35-6 |  Show IntroductionHide Introduction

Botox for Overactive Bladder

   
The Medical Letter on Drugs and Therapeutics • Apr 15, 2013  (Issue 1414)
anticholinergic side effects.1 MECHANISM OF ACTION — OnabotulinumtoxinA blocks acetylcholine release ...
The FDA has recently approved intradetrusor injection of onabotulinumtoxinA (Botox – Allergan) for treatment of overactive bladder in patients who cannot tolerate or have an inadequate response to anticholinergic therapy. Botox is also approved by the FDA for use in detrusor overactivity associated with a neurologic condition such as multiple sclerosis or spinal cord injury, and for chronic migraine, upper limb spasticity, axillary hyperhidrosis, cervical dystonia, blepharospasm, strabismus, and cosmetic reduction of wrinkles.
Med Lett Drugs Ther. 2013 Apr 15;55(1414):31-2 |  Show IntroductionHide Introduction