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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

Three New Drugs for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • May 23, 2016  (Issue 1495)
approval for use in patients with relapsed or refractory multiple myeloma (1-3 prior therapies), targets ...
The FDA recently approved ixazomib (Ninlaro – Takeda), daratumumab (Darzalex – Janssen Biotech), and elotuzumab (Empliciti – BMS) for treatment of relapsed and/or refractory multiple myeloma.
Med Lett Drugs Ther. 2016 May 23;58(1495):e70-1 |  Show IntroductionHide Introduction

Bezlotoxumab (Zinplava) for Prevention of Recurrent Clostridium difficile Infection

   
The Medical Letter on Drugs and Therapeutics • Mar 27, 2017  (Issue 1517)
with the emergence of an epidemic hypervirulent strain (NAP1/B1/027).1 The recurrence rate after an initial episode ...
The FDA has approved the fully human monoclonal antibody bezlotoxumab (Zinplava – Merck) for use with antibacterial drug treatment to reduce recurrence of Clostridium difficile infection (CDI) in adults with CDI at high risk for recurrence. It is the first drug to be approved for this indication.
Med Lett Drugs Ther. 2017 Mar 27;59(1517):49-50 |  Show IntroductionHide Introduction

Vericiguat (Verquvo) for Heart Failure

   
The Medical Letter on Drugs and Therapeutics • Mar 08, 2021  (Issue 1619)
thromboembolic pulmonary hypertension, was the first.1 Pronunciation Key Vericiguat: ver” i sig’ ue at Verquvo ...
The FDA has approved vericiguat (Verquvo – Merck), an oral soluble guanylate cyclase (sGC) stimulator, to reduce the risk of hospitalization for heart failure and cardiovascular (CV) death following a worsening heart failure event (hospitalization for heart failure or treatment with IV diuretics as an outpatient) in patients with symptomatic chronic heart failure and left ventricular ejection fraction (LVEF) <45%. Vericiguat is the second sGC stimulator to be marketed in the US. Riociguat (Adempas), which is FDA-approved for treatment of pulmonary arterial hypertension...
Med Lett Drugs Ther. 2021 Mar 8;63(1619):36-7 |  Show IntroductionHide Introduction

Evinacumab (Evkeeza) for Homozygous Familial Hypercholesterolemia

   
The Medical Letter on Drugs and Therapeutics • May 03, 2021  (Issue 1623)
in the US is about 1:250,000 persons.1,2 STANDARD TREATMENT — High-intensity statin therapy (atorvastatin 40-80 mg ...
The FDA has approved evinacumab-dgnb (Evkeeza – Regeneron), an angiopoietin-like 3 (ANGPTL3) inhibitor, for adjunctive IV treatment of homozygous familial hypercholesterolemia (HoFH) in patients ≥12 years old. Evinacumab is the first ANGPTL3 inhibitor to be approved in the US.
Med Lett Drugs Ther. 2021 May 3;63(1623):66-7 |  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

Pioglitazone/Metformin (Actoplus met)

   
The Medical Letter on Drugs and Therapeutics • Jan 30, 2006  (Issue 1227)
with a different mechanism can be helpful. 1 A fixed-dose combination (Actoplus met – Takeda) of two widely ...
For patients with diabetes poorly controlled with a single oral drug, addition of a second drug with a different mechanism can be helpful. A fixed-dose combination (Actoplus met - Takeda) of two widely used antihyperglycemic drugs, the thiazolidinedione pioglitazone (Actos) and the biguanide metformin (Glucophage, and others), has been approved by the FDA for management of type 2 diabetes. It is indicated for patients already being treated with both pioglitazone and metformin or as second-line therapy for those not adequately controlled with either metformin or pioglitazone alone....
Med Lett Drugs Ther. 2006 Jan 30;48(1227):9-11 |  Show IntroductionHide Introduction