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Opdualag for Metastatic Melanoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Jan 23, 2023  (Issue 1668)
checkpoint inhibitors — nivolumab (Opdivo), a programmed death receptor-1 (PD-1) inhibitor, and relatlimab ...
Opdualag (BMS), a fixed-dose combination of two immune checkpoint inhibitors — nivolumab (Opdivo), a programmed death receptor-1 (PD-1) inhibitor, and relatlimab-rmbw, a lymphocyte-activation gene-3 (LAG-3) blocking antibody — has been approved by the FDA for treatment of unresectable or metastatic melanoma in patients ≥12 years old. Relatlimab, which is only available in combination with nivolumab, is the first LAG-3 blocking antibody to become available in the US. Immune checkpoint inhibitors, including the anti-CTLA-4 antibody ipilimumab (Yervoy) and the PD-1 inhibitors...
Med Lett Drugs Ther. 2023 Jan 23;65(1668):e19-20   doi:10.58347/tml.2023.1668g |  Show IntroductionHide Introduction

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

Drugs for Sexually Transmitted Infections

   
The Medical Letter on Drugs and Therapeutics • Jun 27, 2022  (Issue 1653)
of the indications and dosages recommended here have not been approved by the FDA (see Table 1). PARTNER TREATMENT ...
This article includes recommendations for management of most sexually transmitted infections (STIs) other than HIV and viral hepatitis. Some of the indications and dosages recommended here have not been approved by the FDA (see Table 1).
Med Lett Drugs Ther. 2022 Jun 27;64(1653):97-104 |  Show IntroductionHide Introduction

IV Amisulpride (Barhemsys) for Postoperative Nausea and Vomiting

   
The Medical Letter on Drugs and Therapeutics • Dec 28, 2020  (Issue 1614)
or motion sickness, female sex, nonsmoking status, age ...
The FDA has approved IV amisulpride (Barhemsys – Acacia), a selective dopamine-2 and -3 (D2/D3) receptor antagonist, for prevention and treatment of postoperative nausea and vomiting (PONV) in adults. It is the first antiemetic to be approved for rescue treatment of PONV in patients who have symptoms despite receiving antiemetic prophylaxis. Oral formulations of amisulpride are available in Europe for treatment of schizophrenia and acute psychotic episodes.
Med Lett Drugs Ther. 2020 Dec 28;62(1614):205-8 |  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

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