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Three Drugs for Atopic Dermatitis (Adbry, Cibinqo, and Rinvoq)
The Medical Letter on Drugs and Therapeutics • Apr 03, 2023 (Issue 1673)
in patients with comorbid
eosinophilic asthma. Cyclosporine is sometimes
used off-label for treatment ...
The subcutaneously injected interleukin-13 (IL-13)
antagonist tralokinumab-ldrm (Adbry – Leo) and
the oral Janus kinase (JAK) inhibitors abrocitinib
(Cibinqo – Pfizer) and upadacitinib (Rinvoq – Abbvie)
have been approved by the FDA for treatment of
moderate to severe atopic dermatitis.
Med Lett Drugs Ther. 2023 Apr 3;65(1673):51-5 doi:10.58347/tml.2023.1673b | Show Introduction Hide Introduction
Dextromethorphan/Bupropion (Auvelity) for Depression
The Medical Letter on Drugs and Therapeutics • Dec 26, 2022 (Issue 1666)
being used off-label in patients with
treatment-resistant depression. Both drugs can
rapidly, though ...
The FDA has approved an extended-release fixed-dose
combination of dextromethorphan and
bupropion (Auvelity – Axsome) for treatment of major
depressive disorder (MDD) in adults.
Rozanolixizumab (Rystiggo) for Myasthenia Gravis
The Medical Letter on Drugs and Therapeutics • Feb 19, 2024 (Issue 1696)
or
thymectomy.3,4 Off-label use of the anti-CD20 antibody
rituximab (Rituxan, and others) in these patients ...
Rozanolixizumab-noli (Rystiggo – UCB), a neonatal
Fc receptor (FcRn) blocker, has been approved by the
FDA for treatment of generalized myasthenia gravis in
adults with anti-acetylcholine receptor (AChR) or anti-muscle-specific tyrosine kinase (MuSK) antibodies.
It is the first drug to be approved for treatment of
generalized myasthenia gravis in patients with anti-MuSK antibodies. Four other biologic drugs – the
FcRn blocker efgartigimod alfa (Vyvgart; Vyvgart
Hytrulo) and the complement inhibitors eculizumab
(Soliris), ravulizumab (Ultomiris), and zilucoplan
(Zilbrysq) – are...
Med Lett Drugs Ther. 2024 Feb 19;66(1696):29-31 doi:10.58347/tml.2024.1696c | Show Introduction Hide Introduction
Nemolizumab (Nemluvio) for Atopic Dermatitis
The Medical Letter on Drugs and Therapeutics • Feb 17, 2025 (Issue 1722)
, and
azathioprine have been used off-label for treatment
of severe refractory atopic dermatitis. Oral cortico ...
Nemolizumab (Nemluvio – Galderma), a subcutaneously
injected interleukin-31 (IL-31) receptor
antagonist, has been approved by the FDA for use
in combination with topical corticosteroids and/or calcineurin inhibitors for treatment of moderate
to severe atopic dermatitis in patients ≥12 years
old whose disease is not adequately controlled with
topical prescription drugs. It is the first IL-31 receptor
antagonist to be approved in the US for this indication.
Nemolizumab was approved earlier for treatment of
prurigo nodularis in adults.
Med Lett Drugs Ther. 2025 Feb 17;67(1722):25-7 doi:10.58347/tml.2025.1722a | Show Introduction Hide Introduction
Drugs for Migraine
The Medical Letter on Drugs and Therapeutics • Jun 12, 2023 (Issue 1678)
. Other NSAIDs such as ibuprofen and naproxen are often used off-label.
4. Also approved for use in patients 12 ...
An oral nonopioid analgesic is often sufficient for
acute treatment of mild to moderate migraine pain
without severe nausea or vomiting. A triptan is the
drug of choice for treatment of moderate to severe
migraine in most patients without vascular disease.
Treatment of pain when it is still mild to moderate in
intensity improves headache response and reduces
the risk of recurrence.
Med Lett Drugs Ther. 2023 Jun 12;65(1678):89-96 doi:10.58347/tml.2023.1678a | Show Introduction Hide Introduction
Drugs for Chronic Insomnia
The Medical Letter on Drugs and Therapeutics • Jan 09, 2023 (Issue 1667)
, has been
used off-label for this indication. Tolerance to the
sedative effects of benzodiazepine receptor ...
Cognitive behavioral therapy for insomnia (CBT-I) is
recommended for initial treatment of chronic insomnia.
CBT-I includes stimulus control, sleep education
and hygiene, sleep restriction, relaxation training, and
cognitive therapy. When CBT-I alone is not effective,
pharmacologic treatment should be added.
Med Lett Drugs Ther. 2023 Jan 9;65(1667):1-6 doi:10.58347/tml.2023.1667a | Show Introduction Hide Introduction
Clascoterone Cream (Winlevi) for Acne
The Medical Letter on Drugs and Therapeutics • Dec 27, 2021 (Issue 1640)
patients. Spironolactone, an
oral anti-androgen aldosterone receptor antagonist,
has been used off-label ...
The FDA has approved Winlevi (Sun), a 1% cream
formulation of the androgen receptor inhibitor
clascoterone, for treatment of acne vulgaris in
patients ≥12 years old. It is the first topical androgen
receptor inhibitor to be approved by the FDA.
Ceftobiprole Medocaril (Zevtera) — A New Cephalosporin Antibiotic
The Medical Letter on Drugs and Therapeutics • Sep 15, 2025 (Issue 1737)
, have been used off label.2 Patients with
methicillin-susceptible S. aureus (MSSA) bacteremia
can be treated ...
Ceftobiprole medocaril sodium (Zevtera – Innoviva
Specialty Therapeutics), a new IV cephalosporin
antibacterial drug, has been approved by the FDA for
treatment of Staphylococcus aureus bacteremia (SAB),
including right-sided infective endocarditis, acute
bacterial skin and skin structure infections (ABSSSIs),
and community-acquired bacterial pneumonia (CABP)
(see Table 1). It is the second cephalosporin with
activity against methicillin-resistant S. aureus (MRSA)
to be approved in the US; ceftaroline (Teflaro), which
was approved for treatment of ABSSSIs and CABP in
2010, was the...
Med Lett Drugs Ther. 2025 Sep 15;67(1737):149-52 doi:10.58347/tml.2025.1737d | Show Introduction Hide Introduction
Expanded Table: Some Oral Drugs for Chronic Insomnia (online only)
The Medical Letter on Drugs and Therapeutics • Jan 09, 2023 (Issue 1667)
has been used off-label
for insomnia following middle-ofthe-
night awakening
Onset of eszopiclone ...
View the Expanded Table: Some Oral Drugs for Chronic Insomnia
Med Lett Drugs Ther. 2023 Jan 9;65(1667):e6-10 doi:10.58347/tml.2023.1667b | Show Introduction Hide Introduction
Drugs for Cognitive Loss and Dementia
The Medical Letter on Drugs and Therapeutics • Aug 22, 2022 (Issue 1657)
(1657) August 22, 2022
134
ANTIPSYCHOTICS
Antipsychotic drugs are widely used off-label to
treat ...
Alzheimer's disease (AD) is the most common
cause of dementia, but cognitive decline is also
associated with other neurological conditions such
as Parkinson's disease, dementia with Lewy bodies,
vascular dementia, and frontotemporal dementia.