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COVID-19 Update: Evusheld Unlikely to Neutralize XBB.1.5 Omicron Variant (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 06, 2023  (Issue 1669)
2022; 64:e122. 4. CDC. COVID data tracker. Variant proportions. January 14, 2023. Available at: https ...
The FDA has warned that the investigational long-acting monoclonal antibodies tixagevimab and cilgavimab (Evusheld – AstraZeneca) are unlikely to neutralize the XBB.1.5 Omicron variant of SARS-CoV-2. Evusheld is available under an Emergency Use Authorization (EUA) for IM pre-exposure prophylaxis of COVID-19 in persons ≥12 years old who weigh ≥40 kg and have either a history of a severe adverse reaction that prevents their vaccination against COVID-19 or moderate or severe immune compromise.
Med Lett Drugs Ther. 2023 Feb 6;65(1669):e25   doi:10.58347/tml.2023.1669e |  Show IntroductionHide Introduction

Rosuvastatin - a New Lipid-lowering Drug

   
The Medical Letter on Drugs and Therapeutics • Oct 13, 2003  (Issue 1167)
to data from retail pharmacies nationwide provided by NDCHealth, a health care information services ...
Rosuvastatin (Crestor - AstraZeneca), an HMG-CoA reductase inhibitor (or "statin"), was recently approved by the FDA for lowering serum cholesterol and triglyceride concentrations and raising HDL cholesterol levels. Rosuvastatin, like other statins, inhibits the enzyme that catalyzes the rate-limiting step in cholesterol synthesis, but it is claimed to be more potent than the others. All of these drugs must be taken indefinitely; if they are discontinued, lipid levels return to baseline.
Med Lett Drugs Ther. 2003 Oct 13;45(1167):81-3 |  Show IntroductionHide Introduction

Two New GLP-1 Receptor Agonists for Diabetes

   
The Medical Letter on Drugs and Therapeutics • Nov 10, 2014  (Issue 1455)
to cause hypoglycemia and usually cause weight loss, but they are expensive and long-term safety data ...
Two new injectable GLP-1 (glucagon-like peptide-1) receptor agonists, dulaglutide (Trulicity [trū li si tee] – Lilly) and albiglutide (Tanzeum [tan' zee um] – GSK), have been approved by the FDA for once-weekly treatment of type 2 diabetes. Other available GLP-1 receptor agonists include exenatide, which is approved for injection twice daily (Byetta) or once weekly (Bydureon), and liraglutide (Victoza), which is injected once daily.
Med Lett Drugs Ther. 2014 Nov 10;56(1455):109-11 |  Show IntroductionHide Introduction

Inflectra - An Infliximab Biosimilar

   
The Medical Letter on Drugs and Therapeutics • Jan 30, 2017  (Issue 1513)
. To demonstrate interchangeability, the data and information submitted to the FDA must show that a proposed ...
The FDA has approved infliximab-dyyb (Inflectra – Pfizer; marketed as Remsima in some countries), as a biosimilar of the TNF inhibitor infliximab (Remicade). Infliximab-dyyb was approved in the European Union (EU) in 2013 and in Canada in 2014. It is the second biosimilar to be approved by the FDA. Filgastrim-sndz (Zarxio), a recombinant human granulocyte colony-stimulating factor, was the first.
Med Lett Drugs Ther. 2017 Jan 30;59(1513):23-5 |  Show IntroductionHide Introduction

Comparison Table: Some Drugs for Migraine Prevention in Adults (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
. ▶ Hypersensitivity reactions to rimegepant have been reported ▶ No adequate data in pregnant women ▶ Rimegepant ...
View the Comparison Table: Some Drugs for Migraine Prevention in Adults
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e100-2   doi:10.58347/tml.2023.1678c |  Show IntroductionHide Introduction

Once-Weekly or Once-Monthly Subcutaneous Buprenorphine (Brixadi) for Opioid Use Disorder

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 2023  (Issue 1683)
. 2. Some patients may require maintenance doses of up to 24 mg/day (17.1 mg/day with Zubsolv). Data ...
The FDA has approved a subcutaneously injected, extended-release formulation of the mu-opioid receptor partial agonist and kappa-opioid receptor antagonist buprenorphine (Brixadi – Braeburn) for once-weekly or once-monthly treatment of moderate to severe opioid use disorder. Brixadi is the second subcutaneously injected buprenorphine formulation to be approved in the US; Sublocade, which is administered once monthly, was the first. Buprenorphine is also available for treatment of opioid use disorder in sublingual formulations with and without the opioid antagonist...
Med Lett Drugs Ther. 2023 Aug 21;65(1683):133-5   doi:10.58347/tml.2023.1683c |  Show IntroductionHide Introduction

Tirzepatide (Zepbound) for Chronic Weight Management

   
The Medical Letter on Drugs and Therapeutics • Dec 25, 2023  (Issue 1692)
tumors (based on animal data; no corroborating human data), and it is contraindicated for use ...
The injectable glucose-dependent insulinotropic polypeptide (GIP)/glucagon-like peptide-1 (GLP-1) receptor agonist tirzepatide, which was approved by the FDA as Mounjaro for treatment of type 2 diabetes in 2022, has now been approved as Zepbound (Lilly) for chronic weight management in adults who have a BMI ≥30 kg/m2 or a BMI ≥27 kg/m2 and at least one weight-related comorbidity. The injectable GLP-1 receptor agonists liraglutide (Saxenda) and semaglutide (Wegovy) are approved for chronic weight management in patients ≥12 years...
Med Lett Drugs Ther. 2023 Dec 25;65(1692):205-7   doi:10.58347/tml.2023.1692c |  Show IntroductionHide Introduction

Seladelpar (Livdelzi) for Primary Biliary Cholangitis

   
The Medical Letter on Drugs and Therapeutics • Jan 20, 2025  (Issue 1720)
. PREGNANCY AND LACTATION — No adequate data are available on the use of seladelpar in pregnant women ...
Seladelpar (Livdelzi – Gilead), a peroxisome proliferator-activated receptor (PPAR)-delta agonist, has received accelerated approval from the FDA for use in combination with ursodeoxycholic acid (ursodiol, UDCA; Urso Forte, and generics) for treatment of primary biliary cholangitis (PBC) in adults who had an inadequate response to UDCA and as monotherapy in those unable to tolerate UDCA. Accelerated approval was based on a reduction in alkaline phosphatase (ALP) levels. Seladelpar is the second PPAR agonist to be approved in the US for this indication; elafibranor (Iqirvo)...
Med Lett Drugs Ther. 2025 Jan 20;67(1720):13-5   doi:10.58347/tml.2025.1720d |  Show IntroductionHide Introduction

Carteolol and Penbutolol For Hypertension

   
The Medical Letter on Drugs and Therapeutics • Jul 28, 1989  (Issue 797)
to data from the manufacturer, carteolol taken once daily in doses of 2.5 to 40 mg lowers blood pressure ...
Carteolol (Cartrol - Abbott) and penbutolol (Levatol - Reed & Carnrick), two oral beta-adrenergic blocking drugs, were recently approved by the US Food and Drug Administration for once-daily treatment of systemic hypertension. Both drugs are non-selective beta-blockers with mild partial agonist activity. Beta-blockers currently available in the USA for treatment of hypertension are listed in the table on the next page.
Med Lett Drugs Ther. 1989 Jul 28;31(797):70-1 |  Show IntroductionHide Introduction

Olsalazine

   
The Medical Letter on Drugs and Therapeutics • Nov 16, 1990  (Issue 831)
to be better tolerated than sulfasalazine, but more data would be welcome, and diarrhea may be a problem ...
Olsalazine sodium (Dipentum - Pharmacia), a dimer (two molecules linked by an azo bond) of 5-aminosalicylic acid, was recently approved by the US Food and Drug Administration for oral use to maintain remission of ulcerative colitis in adult patients who cannot tolerate sulfasalazine (Azulfidine; and others).
Med Lett Drugs Ther. 1990 Nov 16;32(831):105-6 |  Show IntroductionHide Introduction