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Elbasvir/Grazoprevir (Zepatier) for Hepatitis C

   
The Medical Letter on Drugs and Therapeutics • Feb 29, 2016  (Issue 1489)
of chronic hepatitis C virus (HCV) genotype 1 or 4 infection. Pronunciation Key Elbasvir : elb' as veer ...
The FDA has approved Zepatier (Merck), a fixed-dose combination of two direct-acting antiviral agents — elbasvir, an NS5A inhibitor, and grazoprevir, an NS3/4A protease inhibitor — for oral treatment of chronic hepatitis C virus (HCV) genotype 1 or 4 infection.
Med Lett Drugs Ther. 2016 Feb 29;58(1489):25-7 |  Show IntroductionHide Introduction

Cabtreo: A Three-Drug Gel for Acne

   
The Medical Letter on Drugs and Therapeutics • Apr 15, 2024  (Issue 1700)
) significantly more than its vehicle alone (see Table 1). In a phase 2, randomized, double-blind trial, 741 ...
The FDA has approved Cabtreo (Bausch Health), a gel containing the retinoid adapalene, the oxidizing agent benzoyl peroxide, and the antibiotic clindamycin, for treatment of acne vulgaris in patients ≥12 years old. Cabtreo is the first three-drug topical formulation to become available in the US for treatment of acne.
Med Lett Drugs Ther. 2024 Apr 15;66(1700):59-60   doi:10.58347/tml.2024.1700b |  Show IntroductionHide Introduction

Semaglutide (Wegovy) for MASH

   
The Medical Letter on Drugs and Therapeutics • Oct 13, 2025  (Issue 1739)
-like peptide-1 (GLP-1) receptor agonist semaglutide (Wegovy) has received accelerated approval ...
The injectable glucagon-like peptide-1 (GLP-1) receptor agonist semaglutide (Wegovy) has received accelerated approval from the FDA for treatment of noncirrhotic metabolic dysfunction-associated steatohepatitis (MASH; previously known as nonalcoholic steatohepatitis [NASH]) with moderate to advanced liver fibrosis in adults. It is the second drug and the first GLP-1 receptor agonist to be approved in the US for treatment of MASH; resmetirom (Rezdiffra), a thyroid hormone receptor-beta agonist, was granted accelerated approval for the same indication in 2024.
Med Lett Drugs Ther. 2025 Oct 13;67(1739):161-2   doi:10.58347/tml.2025.1739a |  Show IntroductionHide Introduction

Azelastine/Fluticasone Propionate (Dymista) for Seasonal Allergic Rhinitis

   
The Medical Letter on Drugs and Therapeutics • Oct 29, 2012  (Issue 1402)
-antihistamine, such as loratadine (Claritin, and generics) or fexofenadine (Allegra, and generics).1 ...
The FDA has approved a nasal spray fixed-dose combination (Dymista – Meda) of the H1-antihistamine azelastine (Astelin, Astepro, and generics) and the corticosteroid fluticasone propionate (Flonase, and generics) for treatment of seasonal allergic rhinitis (SAR) in patients ≥12 years old who need both medications for symptomatic relief. It is the first nasal spray to be approved in the US that contains both an H1-antihistamine and a corticosteroid.
Med Lett Drugs Ther. 2012 Oct 29;54(1402):85-7 |  Show IntroductionHide Introduction

Pembrolizumab (Keytruda) for First-Line Treatment of Metastatic NSCLC

   
The Medical Letter on Drugs and Therapeutics • Jan 30, 2017  (Issue 1513)
the immune checkpoint inhibitor pembrolizumab (Keytruda – Merck), a programmed death receptor-1 (PD-1 ...
The FDA has approved the immune checkpoint inhibitor pembrolizumab (Keytruda – Merck), a programmed death receptor-1 (PD-1) inhibitor, for first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) that highly expresses programmed death-ligand 1 (PD-L1) and has no epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) translocations. About 25% of patients with advanced NSCLC have tumors with high levels of PD-L1 expression (PD-L1 expressed on ≥50% of tumor cells). Pembrolizumab was approved earlier for treatment...
Med Lett Drugs Ther. 2017 Jan 30;59(1513):22-3 |  Show IntroductionHide Introduction

Semaglutide (Wegovy) for Weight Loss

   
The Medical Letter on Drugs and Therapeutics • Jul 12, 2021  (Issue 1628)
of obesityrelated comorbidities.4 MECHANISM OF ACTION — Activation of brain GLP-1 receptors potentiates glucose ...
The injectable glucagon-like peptide-1 (GLP-1) receptor agonist semaglutide, previously approved by the FDA as Ozempic to treat type 2 diabetes and to reduce the risk of major adverse cardiovascular events in adults with type 2 diabetes and established cardiovascular disease, has now been approved in a higher dose as Wegovy (Novo Nordisk) for chronic weight management in adults with or without type 2 diabetes who have a body mass index (BMI) ≥30 kg/m2 or a BMI ≥27 kg/m2 and ≥1 weight-related comorbidity (e.g., hypertension, dyslipidemia). An oral formulation of semaglutide...
Med Lett Drugs Ther. 2021 Jul 12;63(1628):106-8 |  Show IntroductionHide Introduction

Alpha1-Proteinase Inhibitor for Alpha1-Antitrypsin Deficiency

   
The Medical Letter on Drugs and Therapeutics • Mar 11, 1988  (Issue 761)
FOR ONLINE USERS ALPHA 1 -PROTEINASE INHIBITOR FOR ALPHA 1 -ANTITRYPSIN DEFICIENCY Human alpha 1 ...
Human alpha1-proteinase inhibitor (Prolastin Cutter), possibly better known as alpha1-antitypsin (ATT), is now available in the USA for replacement therapy in patients with emphysema who have a congential deficiency of the protein.
Med Lett Drugs Ther. 1988 Mar 11;30(761):29-30 |  Show IntroductionHide Introduction

In Brief: Alternatives to Bicillin L-A

   
The Medical Letter on Drugs and Therapeutics • Jan 05, 2026  (Issue 1745)
-A) due to particulates identified during visual inspection.1 The CDC issued a “Dear Colleague Letter ...
On July 10, 2025 Pfizer issued a voluntary recall of certain lots of long-acting intramuscular (IM) benzathine penicillin G (Bicillin L-A) due to particulates identified during visual inspection. The CDC has issued a "Dear Colleague Letter" to alert healthcare providers about the recall and provide advice on how to manage the potentially limited supply of the drug for treatment of syphilis, which has been increasing in the US.2 Benzathine penicillin G is also used for treatment of group A streptococcal pharyngitis and prophylaxis of rheumatic fever.
Med Lett Drugs Ther. 2026 Jan 5;68(1745):7-8   doi:10.58347/tml.2026.1745d |  Show IntroductionHide Introduction

Plenvu - A Low-Volume PEG-Based Colonoscopy Preparation

   
The Medical Letter on Drugs and Therapeutics • Jan 28, 2019  (Issue 1564)
in adults. Plenvu is the first PEG-containing colonoscopy preparation that requires only 1 L of water ...
The FDA has approved Plenvu (Salix), a polyethylene glycol (PEG)-containing oral powder for reconstitution, for colon cleansing prior to colonoscopy in adults. Plenvu is the first PEG-containing colonoscopy preparation that requires only 1 L of water for dissolution and ingestion of 1 L of clear fluid in addition.
Med Lett Drugs Ther. 2019 Jan 28;61(1564):11-4 |  Show IntroductionHide Introduction

A Renal Indication for Semaglutide (Ozempic)

   
The Medical Letter on Drugs and Therapeutics • Mar 03, 2025  (Issue 1723)
glucagon-like peptide-1 (GLP-1) receptor agonist semaglutide (Ozempic – Novo Nordisk) has been approved ...
The injectable glucagon-like peptide-1 (GLP-1) receptor agonist semaglutide (Ozempic – Novo Nordisk) has been approved by the FDA to reduce the risk of sustained eGFR decline, end-stage kidney disease, and cardiovascular death in adults with type 2 diabetes and chronic kidney disease (CKD). It is the first GLP-1 receptor agonist to be approved in the US for this indication.
Med Lett Drugs Ther. 2025 Mar 3;67(1723):38-40   doi:10.58347/tml.2025.1723d |  Show IntroductionHide Introduction