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COVID-19 Update: FDA Authorizes Novavax COVID-19 Vaccine
The Medical Letter on Drugs and Therapeutics • Aug 08, 2022 (Issue 1656)
Authorization
(EUA) for an adjuvanted protein subunit COVID-19
vaccine manufactured by Novavax.1 The vaccine ...
The FDA has issued an Emergency Use Authorization
(EUA) for an adjuvanted protein subunit COVID-19
vaccine manufactured by Novavax. The vaccine
is indicated for use as a two-dose primary series
to prevent COVID-19 in adults; it is not authorized
for use in children or as a booster dose. Three
other COVID-19 vaccines are available in the US for
primary immunization of adults; the mRNA vaccines
manufactured by Pfizer/BioNTech (Comirnaty) and
Moderna (Spikevax) are FDA-licensed for this indication,
and the adenovirus-based vaccine manufactured
by Johnson & Johnson (Janssen) is...
Mirvetuximab Soravtansine (Elahere) for Ovarian, Fallopian Tube, and Primary Peritoneal Cancer (online only)
The Medical Letter on Drugs and Therapeutics • Dec 12, 2022 (Issue 1665)
ovarian, fallopian tube, or primary
peritoneal cancer in adults who received 1-3 prior
lines of systemic ...
Mirvetuximab soravtansine-gynx (Elahere – Immuno-Gen), an antibody-drug conjugate, has received
accelerated approval by the FDA for treatment
of folate receptor (FR) alpha-positive, platinum-resistant
epithelial ovarian, fallopian tube, or primary
peritoneal cancer in adults who received 1-3 prior
lines of systemic therapy. Accelerated approval
was based on the overall response rate and median
duration of response.
In Brief: Fam-trastuzumab deruxtecan (Enhertu) for Breast Cancer (online only)
The Medical Letter on Drugs and Therapeutics • Apr 03, 2023 (Issue 1673)
for treatment of HER2-positive breast cancer based on its rate and duration
of response,1 has been granted ...
Fam-trastuzumab deruxtecan-nxki (Enhertu – Daiichi
Sankyo/AstraZeneca), which received accelerated
approval by the FDA in 2019 for treatment of HER2-positive breast cancer based on its rate and duration
of response,1 has been granted regular approval for
treatment of adults with unresectable or metastatic
HER2-positive breast cancer who received a prior
anti-HER2-based regimen in the metastatic setting or
in the neoadjuvant or adjuvant setting and developed
recurrence during or within 6 months of completing
treatment.
Med Lett Drugs Ther. 2023 Apr 3;65(1673):e60-1 doi:10.58347/tml.2023.1673f | Show Introduction Hide Introduction
iDose TR — A Travoprost Implant for Glaucoma
The Medical Letter on Drugs and Therapeutics • Apr 29, 2024 (Issue 1701)
; Durysta, an intracameral implant
containing the prostaglandin analog bimatoprost,
was the first.1 ...
The FDA has approved iDose TR (Glaukos), an
intracameral implant containing the prostaglandin
analog (PGA) travoprost, for reduction of intraocular
pressure (IOP) in patients with open-angle glaucoma
or ocular hypertension. Travoprost is also available
as a topical ophthalmic solution (Travatan Z, and
generics) for the same indication. iDose TR is the
second ocular implant to become available in the US
for this indication; Durysta, an intracameral implant
containing the prostaglandin analog bimatoprost,
was the first.
Med Lett Drugs Ther. 2024 Apr 29;66(1701):70-1 doi:10.58347/tml.2024.1701d | Show Introduction Hide Introduction
Iloprost (Aurlumyn) for Frostbite
The Medical Letter on Drugs and Therapeutics • Jul 22, 2024 (Issue 1707)
to assess vascular flow to the affected area. Frostbite is classified according to severity from grade 1 ...
The FDA has approved Aurlumyn (Eicos Sciences),
an IV formulation of the prostacyclin analog iloprost,
to reduce the risk of digit amputation in adults
with severe frostbite. Iloprost is the first drug to be
approved by the FDA for treatment of severe frostbite;
it has been used off-label for this indication in the EU
and elsewhere for decades. In the US, iloprost is also
available as an inhaled formulation (Ventavis) for
treatment of pulmonary arterial hypertension.
Med Lett Drugs Ther. 2024 Jul 22;66(1707):114 doi:10.58347/tml.2024.1707b | Show Introduction Hide Introduction
Comparison Chart: Some Drugs for Irritable Bowel Syndrome with Diarrhea (IBS-D) (online only)
The Medical Letter on Drugs and Therapeutics • Feb 03, 2025 (Issue 1721)
)
5.8 g/teaspoon powder; 5.8 g
packets; 1.8 g caps; 2 g wafers
$29.00
10-35 g/day in 2-3 divided ...
View the Comparison Chart: Some Drugs for Irritable Bowel Syndrome with Diarrhea (IBS-D)
Med Lett Drugs Ther. 2025 Feb 3;67(1721):e1-3 doi:10.58347/tml.2025.1721f | Show Introduction Hide Introduction
Imlunestrant (Inluriyo) for Advanced Breast Cancer
The Medical Letter on Drugs and Therapeutics • Jan 19, 2026 (Issue 1746)
receptor (ER)-positive, human epidermal
growth factor receptor 2 (HER2)-negative, estrogen
receptor 1 ...
The FDA has approved imlunestrant (Inluriyo – Lilly),
an oral estrogen receptor antagonist, for treatment
of estrogen receptor (ER)-positive, human epidermal
growth factor receptor 2 (HER2)-negative, estrogen
receptor 1 (ESR1)-mutated advanced or metastatic
breast cancer in adults who had disease progression
following at least one prior line of endocrine therapy.
Imlunestrant is the second oral selective estrogen
receptor degrader (SERD) to be approved in the US for
treatment of breast cancer; elacestrant (Orserdu) was
approved in 2023.
Med Lett Drugs Ther. 2026 Jan 19;68(1746):14-5 doi:10.58347/tml.2026.1746d | Show Introduction Hide Introduction
Ensitrelvir (Xocova) for Post-Exposure Prophylaxis of COVID-19
The Medical Letter on Drugs and Therapeutics • Jul 20, 2026 (Issue 1759)
mg PO on day 1 (taken within 72 hours of
exposure), followed by 125 mg on days 2-5
▶ Cost: A 5-day ...
The FDA has approved ensitrelvir (Xocova – Shionogi), a SARS-CoV-2 main protease inhibitor, for postexposure prophylaxis
of COVID-19 in patients ≥12 years old who had contact with
an infected individual. Ensitrelvir is the first oral antiviral
drug to be approved in the US for this indication. The parenteral
monoclonal antibody combinations bamlanivimab and
etesevimab and casirivimab and imdevimab (REGEN-COV)
are no longer authorized for postexposure prophylaxis of
COVID-19 in the US.
Med Lett Drugs Ther. 2026 Jul 20;68(1759):113-4 doi:10.58347/tml.2026.1759a | Show Introduction Hide Introduction
Drugs for Overactive Bladder
The Medical Letter on Drugs and Therapeutics • Mar 20, 2023 (Issue 1672)
of dietary irritants such as
alcohol and caffeine, should be tried first.1,2
ANTICHOLINERGIC DRUGS ...
In overactive bladder, involuntary bladder contractions
due to detrusor overactivity result in urinary
urgency, frequency, nocturia, and incontinence.
The prevalence of the disorder increases with age.
Nonpharmacologic treatment, including bladder
training, urge suppression, pelvic floor muscle
exercises, constipation management, modification of
fluid intake, and avoidance of dietary irritants such as
alcohol and caffeine, should be tried first.
Med Lett Drugs Ther. 2023 Mar 20;65(1672):41-5 doi:10.58347/tml.2023.1672a | Show Introduction Hide Introduction
Tickborne Encephalitis and Dengue Vaccines (online only)
The Medical Letter on Drugs and Therapeutics • Nov 19, 2018 (Issue 1560)
; 0 and 1-7 months for TBE-Moscow); a rapid
schedule of EnceVir (0 and 1-2 months) can be used ...
No vaccines against tickborne encephalitis (TBE) or
dengue are available in the US, but vaccines have been
licensed in some other countries.
