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A Blood Test for Alzheimer's Disease

   
The Medical Letter on Drugs and Therapeutics • Jul 07, 2025  (Issue 1732)
the Lumipulse G pTau217/ β-Amyloid 1-42 Plasma Ratio (Fujirebio), a blood-based diagnostic test, for early ...
The FDA has cleared the Lumipulse G pTau217/β-Amyloid 1-42 Plasma Ratio (Fujirebio), a bloodbased diagnostic test, for early detection of amyloid plaque pathology associated with Alzheimer's disease (AD) in adults ≥50 years old who are showing signs and symptoms of the disease. The new assay is the first blood test for amyloid biomarkers to become commercially available in the US. The Lumipulse G β-Amyloid Ratio (1-42/1-40), which measures amyloid biomarkers in cerebrospinal fluid (CSF), was cleared by the FDA in 2022.
Med Lett Drugs Ther. 2025 Jul 7;67(1732):109   doi:10.58347/tml.2025.1732b |  Show IntroductionHide Introduction

In Brief: Tafasitamab (Monjuvi) for Diffuse Large B-Cell Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023  (Issue 1682)
on days 1 to 21 of each 28-day cycle) for up to 12 cycles, followed by tafasitamab alone until disease ...
Tafasitamab-cxix (Monjuvi – Morphosys), a CD19-directed cytolytic antibody, has received accelerated approval from the FDA for use in combination with lenalidomide (Revlimid) for treatment of relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, including DLBCL arising from low grade lymphoma, in adults who are not eligible for autologous stem cell transplant. Accelerated approval was based on overall response rates.
Med Lett Drugs Ther. 2023 Aug 7;65(1682):e133   doi:10.58347/tml.2023.1682d |  Show IntroductionHide Introduction

Treatment of COVID-19 in High-Risk Outpatients (online only)

   
The Medical Letter on Drugs and Therapeutics • Jan 28, 2022  (Issue 1643)
., amiodarone, midazolam) Sotrovimab • Dosage: 500 mg IV x 1 dose • Begin ≤10 days after symptom onset ...
View the Treatment of COVID-19 in High-Risk Outpatients Chart
Med Lett Drugs Ther. 2022 Jan 28;64(1643):e1 |  Show IntroductionHide Introduction

In Brief: Apixaban vs Rivaroxaban for Acute VTE

   
The Medical Letter on Drugs and Therapeutics • Jun 22, 2026  (Issue 1757)
months.1 The other DOACs (edoxaban [Savaysa] and dabigatran [Pradaxa, and generics]) are alternatives ...
The direct oral anticoagulants (DOACs) apixaban (Eliquis) and rivaroxaban (Xarelto, and generics) are frequently used for treatment of acute venous thromboembolism (VTE) and are usually continued for at least 3 months. The other DOACs (edoxaban [Savaysa] and dabigatran [Pradaxa, and generics]) are alternatives for long-term treatment, but they require prior treatment with low-molecular-weight heparin for ≥5 days. Until recently, no large randomized trial directly comparing the safety of apixaban and rivaroxaban for treatment of VTE was available.
Med Lett Drugs Ther. 2026 Jun 22;68(1757):103   doi:10.58347/tml.2026.1757f |  Show IntroductionHide Introduction

Comparison Table: Some Nonopioid Analgesics for Pain (online only)

   
The Medical Letter on Drugs and Therapeutics • Mar 07, 2022  (Issue 1645)
in children $1.704 1.504 14.80 189.505,6 Salicylates Aspirin – generic Bayer (Bayer) 325 mg tabs; 500 ...
View the Comparison Table: Some Nonopioid Analgesics for Pain
Med Lett Drugs Ther. 2022 Mar 7;64(1645):e40-3 |  Show IntroductionHide Introduction

Drugs for Hypertriglyceridemia

   
The Medical Letter on Drugs and Therapeutics • Jul 20, 2026  (Issue 1759)
with triglyceride levels ≥1000 mg/dL is to lower triglyceride levels to reduce the risk of pancreatitis.1 LDL-C ...
Adults with persistent fasting triglyceride levels ≥150 mg/dL are considered to have hypertriglyceridemia; when levels are ≥500 mg/dL, it is considered severe. Hypertriglyceridemia is associated with an increased risk of atherosclerotic cardiovascular disease (ASCVD); severe hypertriglyceridemia increases the risk of acute pancreatitis.
Med Lett Drugs Ther. 2026 Jul 20;68(1759):117-9   doi:10.58347/tml.2026.1759e |  Show IntroductionHide Introduction

Upadacitinib (Rinvoq): A Second JAK Inhibitor for Ulcerative Colitis

   
The Medical Letter on Drugs and Therapeutics • Sep 05, 2022  (Issue 1658)
Upadacitinib (Rinvoq): A Second JAK Inhibitor for Ulcerative Colitis Table 1. Pharmacology Class ...
The FDA has approved the oral Janus kinase (JAK) inhibitor upadacitinib (Rinvoq – Abbvie) for treatment of moderately to severely active ulcerative colitis in adults who have had an inadequate response to or cannot tolerate one or more tumor necrosis factor (TNF) inhibitors. Upadacitinib is the second JAK inhibitor to be approved for this indication; tofacitinib (Xeljanz) was the first. Upadacitinib is also approved for treatment of rheumatoid arthritis, psoriatic arthritis, atopic dermatitis, and ankylosing spondylitis.
Med Lett Drugs Ther. 2022 Sep 5;64(1658):142-4 |  Show IntroductionHide Introduction

Two New Oral Testosterone Products for Hypogonadism

   
The Medical Letter on Drugs and Therapeutics • Oct 31, 2022  (Issue 1662)
, another oral testosterone undecanoate formulation, was approved for the same indication in 2019.1 ...
The FDA has approved two new oral formulations of testosterone undecanoate — Kyzatrex (Marius) and Tlando (Antares) — for treatment of males with a deficiency of endogenous testosterone due to conditions such as Klinefelter syndrome, orchiectomy, toxic damage from chemotherapy or alcohol, or pituitary-hypothalamic injury caused by tumors, trauma, or radiation. Jatenzo, another oral testosterone undecanoate formulation, was approved for the same indication in 2019. No testosterone products are approved for treatment of low testosterone levels due solely to...
Med Lett Drugs Ther. 2022 Oct 31;64(1662):172-4 |  Show IntroductionHide Introduction

Dextromethorphan/Bupropion (Auvelity) for Depression

   
The Medical Letter on Drugs and Therapeutics • Dec 26, 2022  (Issue 1666)
of pseudobulbar affect.1 Bupropion (Wellbutrin SR, Zyban, and others) is FDA-approved in higher doses ...
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.
Med Lett Drugs Ther. 2022 Dec 26;64(1666):201-3 |  Show IntroductionHide Introduction

COVID-19 Updates

   
The Medical Letter on Drugs and Therapeutics • Feb 21, 2022  (Issue 1644)
of COVID-19 in hospitalized patients since 2020.1 Now, the FDA has approved remdesivir for treatment ...
The IV antiviral drug remdesivir (Veklury – Gilead) has been available for treatment of COVID-19 in hospitalized patients since 2020. Now, the FDA has approved remdesivir for treatment of mild to moderate COVID-19 in outpatients ≥12 years old who weigh ≥40 kg and are at high risk for progression to severe disease, including hospitalization or death; they also issued an Emergency Use Authorization (EUA) allowing its use in any other high-risk outpatient who weighs ≥3.5 kg.
Med Lett Drugs Ther. 2022 Feb 21;64(1644):31-2 |  Show IntroductionHide Introduction