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Penmenvy — A Second Pentavalent Meningococcal Vaccine

   
The Medical Letter on Drugs and Therapeutics • Apr 14, 2025  (Issue 1726)
in the US; Penbraya was licensed in 2023.1 MENINGOCOCCAL DISEASE — Six serogroups of N. meningitidis (A, B, C, W, X ...
The FDA has licensed the pentavalent vaccine Penmenvy (GSK) for prevention of invasive meningococcal disease caused by Neisseria meningitidis serogroups A, B, C, W, or Y (MenABCWY) in persons 10-25 years old. Penmenvy is the second pentavalent meningococcal vaccine to become available in the US; Penbraya was licensed in 2023.
Med Lett Drugs Ther. 2025 Apr 14;67(1726):57-9   doi:10.58347/tml.2025.1726a |  Show IntroductionHide Introduction

COVID-19 Update: Metformin to Prevent Long Covid?

   
The Medical Letter on Drugs and Therapeutics • May 29, 2023  (Issue 1677)
ward than in those who did not (43.1% and 27.5% vs 5.7%). It was most prevalent in adult females.1 ...
Results from a double-blind trial suggest that off-label use of the oral antihyperglycemic drug metformin in patients with COVID-19 may decrease the risk of post-acute sequelae of SARS-CoV-2 infection ("long COVID").
Med Lett Drugs Ther. 2023 May 29;65(1677):87-8   doi:10.58347/tml.2023.1677e |  Show IntroductionHide Introduction

Three Drugs for Atopic Dermatitis (Adbry, Cibinqo, and Rinvoq)

   
The Medical Letter on Drugs and Therapeutics • Apr 03, 2023  (Issue 1673)
.1 Dupilumab is also approved for several other indications, including add-on treatment in patients ...
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 IntroductionHide Introduction

DaxibotulinumtoxinA (Daxxify) for Frown Lines (online only)

   
The Medical Letter on Drugs and Therapeutics • Jul 22, 2024  (Issue 1707)
in the US for this indication (see Table 1). It is also approved for treatment of cervical dystonia in adults. MECHANISM ...
The FDA has approved daxibotulinumtoxinA-lanm (Daxxify – Revance), an acetylcholine release inhibitor and neuromuscular blocking agent, for temporary improvement in the appearance of moderate to severe glabellar (frown) lines associated with corrugator and/or procerus muscle activity. Daxxify is the fifth botulinumtoxin type A product to be approved in the US for this indication (see Table 1). It is also approved for treatment of cervical dystonia in adults
Med Lett Drugs Ther. 2024 Jul 22;66(1707):e121-2   doi:10.58347/tml.2024.1707g |  Show IntroductionHide Introduction

Expanded Table: Some Drugs for Inflammatory Bowel Disease (online only)

   
The Medical Letter on Drugs and Therapeutics • Jul 10, 2023  (Issue 1680)
) generic 375 mg ER caps Maintenance: 1.5 g PO once/day Nausea, vomiting, diarrhea, headache ...
View the Table: Some Drugs for Inflammatory Bowel Disease
Med Lett Drugs Ther. 2023 Jul 10;65(1680):e115-9   doi:10.58347/tml.2023.1680d |  Show IntroductionHide Introduction

Bupivacaine/Meloxicam (Zynrelef) for Postsurgical Pain

   
The Medical Letter on Drugs and Therapeutics • Jan 24, 2022  (Issue 1642)
, and short-acting local anesthetics.1,2 Table 1. Zynrelef Clinical Trial Results Regimen1 Pain Intensity ...
The FDA has approved a fixed-dose combination of the amide local anesthetic bupivacaine and the nonsteroidal anti-inflammatory drug (NSAID) meloxicam as an extended-release (ER) solution (Zynrelef – Heron) for single-dose, intraoperative, soft-tissue or periarticular instillation to provide postsurgical analgesia for up to 72 hours in adults undergoing foot and ankle, small-to-medium open abdominal, or lower extremity total joint arthroplasty surgical procedures.
Med Lett Drugs Ther. 2022 Jan 24;64(1642):13-5 |  Show IntroductionHide Introduction

In Brief: Merilog — A NovoLog Biosimilar

   
The Medical Letter on Drugs and Therapeutics • Jun 23, 2025  (Issue 1731)
of an open-label trial (GEMELLI 1) in 597 patients with type 1 or type 2 diabetes. Patients were randomized ...
The FDA has approved Merilog (Sanofi), a biosimilar to rapid-acting insulin aspart (NovoLog), for treatment of patients with type 1 or type 2 diabetes. Merilog is the first rapid-acting insulin biosimilar product to become available in the US.
Med Lett Drugs Ther. 2025 Jun 23;67(1731):104   doi:10.58347/tml.2025.1731c |  Show IntroductionHide Introduction

Antiviral Drugs for Seasonal Influenza for 2025-2026

   
The Medical Letter on Drugs and Therapeutics • Oct 27, 2025  (Issue 1740)
, and death can occur, especially in persons at increased risk (see Table 1). TREATMENT OF INFLUENZA — Three ...
Influenza is generally a self-limited illness, but complications including pneumonia, respiratory failure, and death can occur, especially in persons at increased risk (see Table 1).
Med Lett Drugs Ther. 2025 Oct 27;67(1740):169-74   doi:10.58347/tml.2025.1740a |  Show IntroductionHide Introduction

Oteseconazole (Vivjoa) for Recurrent Vulvovaginal Candidiasis

   
The Medical Letter on Drugs and Therapeutics • Aug 08, 2022  (Issue 1656)
in preventing further recurrences for up to 1 year. Adverse Effects: Most common were headache and nausea ...
The FDA has approved oteseconazole (Vivjoa – Mycovia), a new oral azole antifungal, to reduce the incidence of recurrent vulvovaginal candidiasis (RVVC) in females with a history of RVVC. Oteseconazole is the first drug to be approved in the US specifically for treatment of RVVC.
Med Lett Drugs Ther. 2022 Aug 8;64(1656):124-6 |  Show IntroductionHide Introduction

Drugs for Age-Related Macular Degeneration

   
The Medical Letter on Drugs and Therapeutics • Jan 06, 2025  (Issue 1719)
is caused by wet AMD.1 DRY AMD SUPPLEMENTS — Various oral vitamin and mineral supplements are promoted ...
Age-related macular degeneration (AMD) has two major forms: dry or non-neovascular (~90% of patients) and wet or neovascular (~10% of patients).
Med Lett Drugs Ther. 2025 Jan 6;67(1719):1-5   doi:10.58347/tml.2025.1719a |  Show IntroductionHide Introduction