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Onapgo — An Apomorphine Subcutaneous Infusion for Parkinson's Disease
The Medical Letter on Drugs and Therapeutics • Jul 21, 2025 (Issue 1733)
). Subcutaneously
injected apomorphine (Apokyn, and generics) has
been available for intermittent use for years.1 ...
Onapgo (Supernus), a solution for continuous
subcutaneous infusion containing the dopamine
agonist apomorphine, has been approved by the FDA
for treatment of motor fluctuations in adults with
advanced Parkinson's disease (PD). Subcutaneously
injected apomorphine (Apokyn, and generics) has
been available for intermittent use for years. Vyalev, a
foscarbidopa/foslevodopa solution for subcutaneous
infusion, was approved in 2024 for the same indication.
Med Lett Drugs Ther. 2025 Jul 21;67(1733):116-8 doi:10.58347/tml.2025.1733d | Show Introduction Hide Introduction
Ziftomenib (Komzifti) for Acute Myeloid Leukemia (online only)
The Medical Letter on Drugs and Therapeutics • Mar 16, 2026 (Issue 1750)
with relapsed or refractory acute myeloid leukemia
(AML) with a susceptible nucleophosmin 1 (NPM1)
mutation ...
Ziftomenib (Komzifti – Kura), an oral menin inhibitor,
has been approved by the FDA for treatment of adults
with relapsed or refractory acute myeloid leukemia
(AML) with a susceptible nucleophosmin 1 (NPM1)
mutation who have no satisfactory alternative
treatment options. It is the second oral menin inhibitor
to be approved in the US for this indication; revumenib
(Revuforj) was approved in October 2025 for use in
patients ≥1 year old.
Med Lett Drugs Ther. 2026 Mar 16;68(1750):e48-9 doi:10.58347/tml.2026.1750e | Show Introduction Hide Introduction
Pantoprazole IV (Protonix IV)
The Medical Letter on Drugs and Therapeutics • Apr 29, 2002 (Issue 1129)
stimulated acid output by >90%
for >20 hours, with an onset of action of ...
An IV formulation of pantoprazole sodium (Protonix IV - Wyeth-Ayerst), a benzimidazole proton pump inhibitor (PPI), has been approved by the FDA for short-term treatment of Zollinger-Ellison Syndrome (ZES) and gastroesophageal reflux disease (GERD) in patients who cannot take oral drugs. Pantoprazole is the first PPI to be approved for IV use in the US.
Zolmitriptan (Zomig) Nasal Spray for Migraine
The Medical Letter on Drugs and Therapeutics • Jan 19, 2004 (Issue 1174)
1
Almotriptan – Axert (Ortho-McNeil) 12.5 mg orally; can be repeated once after 2 hrs ...
Zolmitriptan (Zomig - AstraZeneca) nasal spray was recently approved by the FDA for treatment of migraine. It is the second selective serotonin receptor agonist ("triptan") to become available as a nasal spray; sumatriptan has been available in this form since 1997. Some patients with migraine cannot take tablets because of nausea and vomiting, and nasal sprays are more convenient than subcutaneous injections.
Subcutaneous Immune Globulin (SCIG)
The Medical Letter on Drugs and Therapeutics • Apr 09, 2007 (Issue 1258)
globulin (IVIG) every
3-4 weeks.
1
Now a subcutaneous immune globulin
(SCIG) has also been approved ...
Some patients with primary immune deficiency are injected with intravenous immune globulin (IVIG) every 3-4 weeks. Now a subcutaneous immune globulin (SCIG) has also been approved in the US for this indication (Vivaglobin - CSL Behring). SCIG has been used in Europe for about 10 years.
The EarCheck Middle Ear Monitor for Detection of Middle Ear Effusion in Children
The Medical Letter on Drugs and Therapeutics • Jul 14, 2008 (Issue 1290)
are effective in
treating AOM and generally ineffective in treating
OME.
1
Recent studies have suggested ...
The EarCheck Middle Ear Monitor (Innovia Medical) is a device marketed to consumers for home detection of middle-ear effusion (MEE) in children.
Cotempla XR-ODT - Another Long-Acting Methylphenidate for ADHD
The Medical Letter on Drugs and Therapeutics • Nov 06, 2017 (Issue 1533)
. All methylphenidate
products are schedule II controlled substances.1
THE NEW FORMULATION — Cotempla XR-ODT contains ...
The FDA has approved an extended-release orally
disintegrating tablet formulation of methylphenidate
(Cotempla XR-ODT – Neos Therapeutics) for once-daily
treatment of attention-defi cit/hyperactivity
disorder (ADHD) in children 6-17 years old.
Cotempla XR-ODT is the first extended-release orally
disintegrating tablet formulation of methylphenidate
to become available in the US.
Darolutamide (Nubeqa) for Prostate Cancer
The Medical Letter on Drugs and Therapeutics • Dec 16, 2019 (Issue 1587)
inhibitor to be approved for this
indication; apalutamide (Erleada)1 and enzalutamide
(Xtandi),2 which ...
The FDA has approved darolutamide (Nubeqa –
Bayer), an androgen receptor inhibitor, for oral
treatment of nonmetastatic castration-resistant
prostate cancer (nmCRPC). Darolutamide is the third
androgen receptor inhibitor to be approved for this
indication; apalutamide (Erleada) and enzalutamide
(Xtandi), which are also approved for use in patients
with metastatic castration-resistant prostate cancer
(mCRPC), were approved earlier.
Melatonin for Insomnia in Children
The Medical Letter on Drugs and Therapeutics • Jun 29, 2020 (Issue 1601)
sundown, reaches a peak between 2 AM
and 4 AM, and decreases gradually thereafter.1
PRODUCTS — Melatonin ...
Over-the-counter products containing melatonin are
widely used as sleep aids in children and adults.
Drugs for Acute Otitis Media in Children
The Medical Letter on Drugs and Therapeutics • Feb 07, 2022 (Issue 1643)
from children with
AOM produced beta-lactamase and were resistant
to amoxicillin.1 Moraxella catarrhalis ...
More antibiotics are prescribed for treatment of acute
otitis media (AOM) than for any other infection in
young children. Children with AOM typically present
with otalgia, fever, and bulging and erythema of the
tympanic membrane.
