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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.
In Brief: New Recommendations for Gonococcal Infection
The Medical Letter on Drugs and Therapeutics • May 03, 2021 (Issue 1623)
for patients with uncomplicated
urogenital, rectal, or pharyngeal gonorrhea.1
RATIONALE — Previous CDC ...
The CDC has issued new recommendations for
treatment of gonococcal infection. A single 500-mg
IM dose (1000 mg in patients weighing ≥150 kg) of the
third-generation cephalosporin ceftriaxone is now the
treatment of choice for patients with uncomplicated
urogenital, rectal, or pharyngeal gonorrhea.
In Brief: Pfizer/BioNTech COVID-19 Vaccine Authorized for Adolescents 12-15 Years Old
The Medical Letter on Drugs and Therapeutics • May 31, 2021 (Issue 1625)
-19 vaccine to include adolescents 12-15
years old.1 The vaccine has been authorized for use ...
On May 10, 2021, the FDA expanded its Emergency
Use Authorization (EUA) for the Pfizer/BioNTech
mRNA-based COVID-19 vaccine to include adolescents
12-15 years old.1The vaccine has been
authorized for use in persons ≥16 years old since
December 2020.
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 Introduction Hide 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 Introduction Hide 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.
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 Introduction Hide Introduction
Cemiplimab (Libtayo) for NSCLC (online only)
The Medical Letter on Drugs and Therapeutics • Apr 17, 2023 (Issue 1674)
in overall survival
were observed in patients with non-squamous and
squamous NSCLC.1
In one meta-analysis ...
The FDA has approved cemiplimab-rwlc (Libtayo –
Regeneron), an immune checkpoint inhibitor, for use in
combination with platinum-based chemotherapy for
first-line treatment of locally advanced or metastatic
non-small cell lung cancer (NSCLC) in adults with no
epidermal growth factor receptor (EGFR), anaplastic
lymphoma kinase (ALK), or ROS1 aberrations and
who are not candidates for surgical resection or
chemoradiation. The drug was previously approved
for first-line treatment of NSCLC in patients whose
tumors have high PD-L1 expression and no genomic
tumor aberrations....
Med Lett Drugs Ther. 2023 Apr 17;65(1674):e67-8 doi:10.58347/tml.2023.1674e | Show Introduction Hide Introduction
Isatuximab (Sarclisa) for Multiple Myeloma (online only)
The Medical Letter on Drugs and Therapeutics • Dec 09, 2024 (Issue 1717)
infections and secondary
malignancies have been reported.
Dosage: 10 mg/kg IV on days 1, 8, 15, 22, and 29 ...
Isatuximab-irfc (Sarclisa – Sanofi), a CD38-directed
cytolytic antibody, has been approved by the FDA for
treatment of newly diagnosed multiple myeloma in
adults who are not eligible for autologous stem cell
transplantation (ASCT). The drug was approved earlier
for treatment of relapsed or treatment-refractory
multiple myeloma.
Med Lett Drugs Ther. 2024 Dec 9;66(1717):e200-1 doi:10.58347/tml.2024.1717e | Show Introduction Hide Introduction
Pegcetacoplan (Syfovre) for Geographic Atrophy in Age-Related Macular Degeneration
The Medical Letter on Drugs and Therapeutics • Apr 03, 2023 (Issue 1673)
and can eventually develop
severe vision loss.1 There has been no established
treatment for dry AMD ...
The FDA has approved the complement C3 inhibitor
pegcetacoplan (Syfovre – Apellis) for treatment of
geographic atrophy (GA) secondary to age-related
macular degeneration (AMD). Given as a series of
monthly or every-other-month (EOM) intravitreal
injections, it is the first drug to become available for
use in patients with atrophic dry AMD. Subcutaneous
pegcetacoplan was approved earlier as Empaveli for
treatment of paroxysmal nocturnal hemoglobinuria.
Med Lett Drugs Ther. 2023 Apr 3;65(1673):49-50 doi:10.58347/tml.2023.1673a | Show Introduction Hide Introduction
