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In Brief: Anaphylaxis with Glatiramer Acetate

   
The Medical Letter on Drugs and Therapeutics • Feb 17, 2025  (Issue 1722)
acetate (Copaxone, Glatopa, and generics) about a risk of anaphylaxis.1 Glatiramer has been used ...
The FDA has required a new boxed warning in the label of the subcutaneously injected immunomodulatory drug glatiramer acetate (Copaxone, Glatopa, and generics) about a risk of anaphylaxis. Glatiramer has been used for years to treat relapsing forms of multiple sclerosis (MS).
Med Lett Drugs Ther. 2025 Feb 17;67(1722):32   doi:10.58347/tml.2025.1722e |  Show IntroductionHide Introduction

Mivacurium - A New Neuromuscular Blocker

   
The Medical Letter on Drugs and Therapeutics • Aug 21, 1992  (Issue 877)
hyperthermia; tachyphylaxis, prolonged recovery with continuous infusion 1 8 to 10 Short Acting ...
Mivacurium chloride (Mivacron - Burroughs-Wellcome), a short-acting nondepolarizing neuromuscular blocking drug, is now available in the USA for intravenous use in routine intubation and short procedures requiring skeletal muscle relaxation. It can be given in a bolus or a continuous infusion.
Med Lett Drugs Ther. 1992 Aug 21;34(877):82 |  Show IntroductionHide Introduction

In Brief: An Oral Contraceptive with Folate

   
The Medical Letter on Drugs and Therapeutics • Dec 13, 2010  (Issue 1353)
recommended development of a combination tablet containing an oral contraceptive and folic acid,1 the FDA ...
Six years after an FDA advisory committee recommended development of a combination tablet containing an oral contraceptive and folic acid,1 the FDA has approved Beyaz (Bayer), a combination of the oral contraceptive Yaz2 with 451 mcg of levomefolate calcium, the primary metabolite of folic acid.3 According to the FDA, an unpublished double-blind, randomized U.S. trial in 379 healthy women 18-40 years old found that the combination increased serum folate levels. In an unpublished German study using a similar oral contraceptive/ levomefolate combination (summarized in the package insert), folate...
Med Lett Drugs Ther. 2010 Dec 13;52(1353):104 |  Show IntroductionHide Introduction

Crofelemer (Fulyzaq) for Antiretroviral-Induced Diarrhea

   
The Medical Letter on Drugs and Therapeutics • Jul 22, 2013  (Issue 1421)
lumen via osmosis. Systemic absorption of crofelemer is minimal.1,2 A CLINICAL STUDY — Approval ...
The FDA has approved crofelemer (kroe fel’ e mer; Fulyzaq – Salix), a chloride channel inhibitor derived from the red sap of the South American plant Croton lechleri, for symptomatic relief of noninfectious diarrhea in patients with HIV taking antiretroviral drugs. It is the first drug approved for relief of antiretroviral-induced diarrhea and the first oral botanical drug approved by the FDA.
Med Lett Drugs Ther. 2013 Jul 22;55(1421):59-60 |  Show IntroductionHide Introduction

In Brief: Midostaurin (Rydapt) for AML and Advanced Systemic Mastocytosis (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 14, 2017  (Issue 1527)
0.78). The 4-year overall survival rate was 51.4% with midostaurin and 44.3% with placebo.1 Common ...
The FDA has approved the oral multikinase inhibitor midostaurin (Rydapt – Novartis) for first-line treatment, in addition to standard chemotherapy, of adults with FLT3 (fms-like tyrosine kinase 3) mutation-positive acute myeloid leukemia (AML). About 30% of patients with AML have FLT3 mutations. Midostaurin is also approved as a single agent for treatment of adults with aggressive systemic mastocytosis, systemic mastocytosis with associated hematological neoplasm, or mast-cell leukemia. In mastocytosis, midostaurin targets mutant c-KIT, not FLT3.In a randomized, double-blind trial, 717...
Med Lett Drugs Ther. 2017 Aug 14;59(1527):e140 |  Show IntroductionHide Introduction

In Brief: A Shorter Treatment Regimen for Tuberculosis (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 23, 2021  (Issue 1631)
adherence.1 THE CLINICAL TRIAL — Study 31/A5349 was a randomized, open-label trial in which 2516 patients ...
In a clinical trial conducted by the CDC's Tuberculosis Trials Consortium in collaboration with the NIH-funded AIDS Clinical Trials Group, a new 4-month regimen for treatment of drug-susceptible pulmonary tuberculosis was found to be noninferior to 6 months of standard treatment.
Med Lett Drugs Ther. 2021 Aug 23;63(1631):e3 |  Show IntroductionHide Introduction

In Brief: Brexucabtagene autoleucel (Tecartus) for Acute Lymphoblastic Leukemia (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023  (Issue 1678)
in 2017 for treatment of relapsed or refractory B-cell precursor ALL in patients ≤25 years old.1 ...
Brexucabtagene autoleucel (Tecartus – Kite) has been approved by the FDA for treatment of adults with relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL). It was previously approved for treatment of relapsed or refractory mantle cell lymphoma. Tecartus is an individualized cellular product prepared from the patients own T cells, which are genetically modified to express chimeric antigen receptors (CAR) and then infused back into the patient. The CAR T-cell immunotherapy tisagenlecleucel (Kymriah) was approved in 2017 for treatment of relapsed or refractory...
Med Lett Drugs Ther. 2023 Jun 12;65(1678):e105-6   doi:10.58347/tml.2023.1678f |  Show IntroductionHide Introduction

In Brief: Femlyv – An Orally Disintegrating Hormonal Contraceptive

   
The Medical Letter on Drugs and Therapeutics • Dec 09, 2024  (Issue 1717)
pregnancy.1 DOSAGE AND ADMINISTRATION ― Femlyv is supplied in cartons containing 3 blister cards. Each ...
Femlyv (Millicent), an orally disintegrating tablet containing ethinyl estradiol and norethindrone acetate, has been approved by the FDA for prevention of pregnancy in females with a body mass index (BMI) ≤35 kg/m2. It is the first hormonal contraceptive to become available in an orally disintegrating tablet formulation. Traditional oral and chewable tablets containing ethinyl estradiol and norethindrone acetate in a wide range of doses, including those found in Femlyv, have been available in the US for years.
Med Lett Drugs Ther. 2024 Dec 9;66(1717):200   doi:10.58347/tml.2024.1717c |  Show IntroductionHide Introduction

Comparison Table: Amyloid Beta-Directed Antibodies for Alzheimer's Disease (online only)

   
The Medical Letter on Drugs and Therapeutics • Mar 30, 2026  (Issue 1751)
autoinjector Dosage 350 mg x 1, then 700 mg at week 4, 1050 mg at week 8, and 1400 mg every 4 weeks by IV ...
View the Comparison Table: Amyloid Beta-Directed Antibodies for Alzheimer's Disease
Med Lett Drugs Ther. 2026 Mar 30;68(1751):e59-60   doi:10.58347/tml.2026.1751d |  Show IntroductionHide Introduction

Atazanavir (Reyataz) and Emtricitabine (Emtriva) for HIV Infection

   
The Medical Letter on Drugs and Therapeutics • Nov 10, 2003  (Issue 1169)
by the FDA for treatment of HIV-1 infection. Both are taken once daily, unlike most anti-HIV drugs ...
Atazanavir (Reyataz - Bristol-Myers Squibb), a new protease inhibitor (PI), and emtricitabine (Emtriva - Gilead), a nucleoside analogue reverse transcriptase inhibitor (NRTI) chemically similar to lamivudine, have been approved by the FDA for treatment of HIV-1 infection. Both are taken once daily, unlike most anti-HIV drugs.
Med Lett Drugs Ther. 2003 Nov 10;45(1169):90-2 |  Show IntroductionHide Introduction