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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.
Med Lett Drugs Ther. 2021 May 3;63(1623):72 |  Show IntroductionHide Introduction

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.
Med Lett Drugs Ther. 2021 May 31;63(1625):81 |  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

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

Prenatal Acetaminophen Use and Autism

   
The Medical Letter on Drugs and Therapeutics • Oct 27, 2025  (Issue 5123)
in their children.1 It cites a "consensus statement" that calls for minimizing use of acetaminophen during ...
Acetaminophen has been considered the drug of choice for treatment of fever and pain during pregnancy for decades, but a recent announcement by the US Department of Health and Human Services (HHS) has prompted discussion about its effects on fetal neurodevelopment and the risk of autism.
Med Lett Drugs Ther. 2025 Oct 27;67(5123):1-3   doi:10.58347/tml.2025.5123a |  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

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 IntroductionHide 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 IntroductionHide 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 IntroductionHide Introduction

Avacincaptad Pegol (Izervay) for Geographic Atrophy in Age-Related Macular Degeneration

   
The Medical Letter on Drugs and Therapeutics • Jan 22, 2024  (Issue 1694)
), a complement C3 and C3b inhibitor, was approved earlier.1 AGE-RELATED MACULAR DEGENERATION ― AMD has two ...
The FDA has approved the complement C5 inhibitor avacincaptad pegol (Izervay – Iveric) for intravitreal treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD). Avacincaptad pegol is the second complement inhibitor to be approved in the US for this indication; pegcetacoplan (Syfovre), a complement C3 and C3b inhibitor, was approved earlier.
Med Lett Drugs Ther. 2024 Jan 22;66(1694):15-6   doi:10.58347/tml.2024.1694d |  Show IntroductionHide Introduction