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Table: Inhibitors and Inducers of CYP Enzymes, P-Glycoprotein, and Other Transporters (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 06, 2023  (Issue 1669)
1. Inhibitors and Inducers of CYP Enzymes Strong Inhibitors Moderate Inhibitors Inducers 1A2 ...
View the Inhibitors and Inducers of CYP Enzymes, P-Glycoprotein, and Other Transporters tables
Med Lett Drugs Ther. 2023 Feb 6;65(1669):e28-30   doi:10.58347/tml.2023.1669g |  Show IntroductionHide Introduction

Omidubicel (Omisirge) for Neutrophil Recovery Following Myeloablative Conditioning Therapy (online only)

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
donors) is often used, but it can delay the time to neutrophil engrafment.1 Before undergoing stem cell ...
The FDA has approved omidubicel-onlv (Omisirge – Gamida Cell), a nicotinamide-modified, allogeneic hematopoietic progenitor cell therapy derived from cord blood, to reduce the time to neutrophil recovery and the risk of infection in patients ≥12 years old with hematologic malignancies who will undergo umbilical cord blood transplantation following myeloablative conditioning therapy. Hematopoietic progenitor cell (HPC) umbilical cord products (e.g., Allocord, Clevecord, Ducord) have been available in the US for years for the same indication. Cord blood banks also supply cord...
Med Lett Drugs Ther. 2023 May 29;65(1677):e93-4   doi:10.58347/tml.2023.1677h |  Show IntroductionHide Introduction

Osimertinib (Tagrisso) for Adjuvant Treatment of NSCLC (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023  (Issue 1682)
to IIIA disease, 5-year overall survival was 88% with osimertinib and 78% with placebo.1 ADVERSE ...
The FDA has approved osimertinib (Tagrisso – AstraZeneca), an oral kinase inhibitor, for adjuvant treatment of non-small cell lung cancer (NSCLC) after tumor resection in adults who have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 L858R mutations. Osimertinib is the first targeted therapy to be approved in the US for this indication. The drug was previously approved for first-line treatment of adults with NSCLC with EGFR exon 19 deletions or exon 21 L858R mutations and for treatment of EGFR T790M mutation-positive NSCLC in adults whose disease progressed...
Med Lett Drugs Ther. 2023 Aug 7;65(1682):e131-2   doi:10.58347/tml.2023.1682c |  Show IntroductionHide Introduction

Niraparib/Abiraterone Acetate (Akeega) for Prostate Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Sep 04, 2023  (Issue 1684)
mutations (16.6 vs 10.9 months).1 ADVERSE EFFECTS — The adverse effects of niraparib/abiraterone acetate ...
Akeega (Janssen), a fixed-dose combination of the oral poly(ADP-ribose) polymerase (PARP) inhibitor niraparib (Zejula) and the antiandrogen abiraterone acetate (Zytiga, and others), has been approved by the FDA for use in combination with prednisone for treatment of adults with deleterious or suspected deleterious BRCA-mutated (BRCAm) metastatic castration-resistant prostate cancer (mCRPC). Niraparib has been available since 2017 for treatment of epithelial ovarian, fallopian tube, or primary peritoneal cancer. Abiraterone acetate has been available since 2011 for treatment of CRPC...
Med Lett Drugs Ther. 2023 Sep 4;65(1684):e146-7   doi:10.58347/tml.2023.1684c |  Show IntroductionHide Introduction

Comparison Chart: Some Drugs for Abdominal Pain in Irritable Bowel Syndrome (IBS) (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 03, 2025  (Issue 1721)
) $29.00 148.00 1 cap tid 30-60 min before meals 180 mg tid with water 30-90 min before or after food ...
View the Comparison Chart: Some Drugs for Abdominal Pain in Irritable Bowel Syndrome (IBS)
Med Lett Drugs Ther. 2025 Feb 3;67(1721):e1-2   doi:10.58347/tml.2025.1721d |  Show IntroductionHide Introduction

Remestemcel-L (Ryoncil) for Graft-Versus-Host Disease (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 17, 2025  (Issue 1722)
was sustained through day 100.1 ADVERSE EFFECTS — The most common adverse effects of remestemcel-L ...
Remestemcel-L (Ryoncil – Mesoblast), an allogeneic bone marrow-derived mesenchymal stromal cell therapy, has been approved by the FDA for treatment of steroid-refractory acute graft-versus-host disease (GVHD) in patients ≥2 months old. Steroid-refractory GVHD is associated with a poor prognosis, organ damage, and death, particularly in pediatric patients. Remestemcel-L is the first cellular therapy to be approved in the US for this indication and the only treatment of any kind to be approved for GVHD in children <12 years old.
Med Lett Drugs Ther. 2025 Feb 17;67(1722):e36-7   doi:10.58347/tml.2025.1722i |  Show IntroductionHide Introduction

In Brief: Dupilumab (Dupixent) for Chronic Spontaneous Urticaria

   
The Medical Letter on Drugs and Therapeutics • Jul 07, 2025  (Issue 1732)
phenotype.1-3 STANDARD TREATMENT ― H1-antihistamines are used for initial treatment of chronic spontaneous ...
The subcutaneously injected interleukin (IL)-4 receptor alpha antagonist dupilumab (Dupixent – Sanofi/Regeneron) has been approved by the FDA for treatment of chronic spontaneous urticaria in patients ≥12 years old who remain symptomatic despite H1-antihistamine treatment. Dupilumab was approved earlier for treatment of asthma, atopic dermatitis, chronic rhinosinusitis with nasal polyps, eosinophilic esophagitis, prurigo nodularis, and chronic obstructive pulmonary disease with an eosinophilic phenotype.
Med Lett Drugs Ther. 2025 Jul 7;67(1732):111-2   doi:10.58347/tml.2025.1732d |  Show IntroductionHide Introduction

Addendum: Treatment of Atrial Fibrillation

   
The Medical Letter on Drugs and Therapeutics • Feb 05, 2024  (Issue 1695)
Treatment of Atrial Fibrillation (Med Lett Drugs Ther 2024; 66:1) The Interruption ...
The Interruption of Anticoagulation section of our article on Treatment of Atrial Fibrillation cited the recommendations of the American College of Chest Physicians on perioperative management of antithrombotic therapy (JD Douketis et al. Chest 2022; 162:e207). A reader suggested that our general statement on when to discontinue an oral anticoagulant would have benefited from inclusion of the recommendations of the American College of Cardiology/American Heart Association (JA Joglar et al. Circulation 2024; 149:e1). Recommendations for periprocedural management of oral anticoagulant therapy...
Med Lett Drugs Ther. 2024 Feb 5;66(1695):24   doi:10.58347/tml.2024.1695f |  Show IntroductionHide Introduction

Diclofenac

   
The Medical Letter on Drugs and Therapeutics • Dec 02, 1988  (Issue 780)
Benson et al, Semin Arthritis Rheum, 15 suppl 1:65, 1985). CLINICAL TRIALS — In double-blind trials ...
Diclofenac sodium (Voltaren - Geigy), a nonsteroidal anti-inflammatory drug (NSAID) available in some countries since 1974, was recently introduced in the USA for treatment of rheumatoid arthritis, osteoarthritis and ankylosing spondylitis. It is being promoted as 'The number one prescribed antiarthritic in the world.'
Med Lett Drugs Ther. 1988 Dec 2;30(780):109-11 |  Show IntroductionHide Introduction

Budesonide (Entocort EC) For Crohn's Disease

   
The Medical Letter on Drugs and Therapeutics • Jan 21, 2002  (Issue 1122)
. Subscription fees: 1 year, $55.00; 2 years, $94.00; 3 years, $132.00 ($27.50—U.S. Funds—per year for individual ...
Budesonide (Entocort EC — AstraZeneca), a locally active glucocorticosteriod widely used for inhalation treatment of allergic rhinitis and asthma (Medical Letter 2000; 42:19), has been approved for oral treatment of mild to moderate active Crohn's disease involving the ileum and/or ascending colon. Both oral budesonide and budesonide enemas have been available for years in Europe and Canada for treatment of inflammatory bowel disease.
Med Lett Drugs Ther. 2002 Jan 21;44(1122):6-8 |  Show IntroductionHide Introduction