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Drugs for Acute Treatment of Migraine

   
The Medical Letter on Drugs and Therapeutics • Sep 14, 2026  (Issue 1763)
, addition of a triptan is recommended.1 Drugs for preventive treatment of migraine will be reviewed ...
Treatment of migraine headache pain when it is still mild to moderate in intensity improves response and reduces the risk of recurrence. An oral nonopioid analgesic such as a nonsteroidal anti-inflammatory drug (NSAID) or acetaminophen is often sufficient for acute treatment of mild to moderate migraine pain without severe nausea or vomiting. When moderate to severe migraine pain is not managed adequately with a nonopioid analgesic alone, addition of a triptan is recommended.
Med Lett Drugs Ther. 2026 Sep 14;68(1763):145-50   doi:10.58347/tml.2026.1763a |  Show IntroductionHide Introduction

Drugs for Hypothyroidism

   
The Medical Letter on Drugs and Therapeutics • Feb 20, 2023  (Issue 1670)
, and others) is the drug of choice.1,2 LEVOTHYROXINE (LT4) — Pharmacokinetics – In healthy fasting adults ...
Primary hypothyroidism is usually the result of Hashimoto's (autoimmune) thyroiditis, thyroidectomy, or radioactive iodine therapy. Treatment of hypothyroidism with replacement doses of thyroid hormone is usually lifelong. Levothyroxine (LT4; synthetic thyroxine; Synthroid, and others) is the drug of choice.1
Med Lett Drugs Ther. 2023 Feb 20;65(1670):25-9   doi:10.58347/tml.2023.1670a |  Show IntroductionHide Introduction

COVID-19 Update: Full Approval for Novavax COVID-19 Vaccine

   
The Medical Letter on Drugs and Therapeutics • Jul 21, 2025  (Issue 1733)
Use Authorization (EUA) for use in persons ≥12 years old.1 Nuvaxovid is the first protein-based ...
Nuvaxovid, the adjuvanted protein subunit COVID-19 vaccine marketed by Novavax, has received full approval from the FDA to prevent COVID-19 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in all adults ≥65 years old and in adults 12-64 years old who have at least one underlying condition that puts them at high risk for severe outcomes from COVID-19. The vaccine was previously available under an FDA Emergency Use Authorization (EUA) for use in persons ≥12 years old.1 Nuvaxovid is the first protein-based COVID-19 vaccine to receive full approval from the...
Med Lett Drugs Ther. 2025 Jul 21;67(1733):118-9   doi:10.58347/tml.2025.1733f |  Show IntroductionHide Introduction

Mosunetuzumab (Lunsumio) for Follicular Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Mar 06, 2023  (Issue 1671)
follicular lymphoma.1,2 MECHANISM OF ACTION — Mosunetuzumab is a T-cell-engaging bispecific antibody ...
Mosunetuzumab-axgb (Lunsumio – Genentech), a bispecific CD20-directed CD3 T-cell engager, has received accelerated approval from the FDA for treatment of relapsed or refractory follicular lymphoma in adults who received ≥2 lines of systemic therapy. It is the first T-cell-engaging bispecific antibody to be approved in the US for this indication.
Med Lett Drugs Ther. 2023 Mar 6;65(1671):e41-2   doi:10.58347/tml.2023.1671f |  Show IntroductionHide Introduction

Iberdomide (Zenbexus) for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • Oct 26, 2026  (Issue 1766)
taken with strong or moderate CYP3A inhibitors. ▶ Dosage: 1 mg taken once daily on days 1 to 21 ...
Iberdomide (Zenbexus – BMS), an oral first-in-class cereblon-modulating protein degrader, has received accelerated approval from the FDA for use in combination with the CD38-directed cytolytic antibody daratumumab (Darzalex Faspro) and dexamethasone for treatment of multiple myeloma in adults who received at least one prior line of therapy, including a proteasome inhibitor (e.g., bortezomib) and an immunomodulatory drug. The drug was approved based on a surrogate endpoint of minimal residual disease-negative complete response.
Med Lett Drugs Ther. 2026 Oct 26;68(1766):e175-6   doi:10.58347/tml.2026.1766e |  Show IntroductionHide Introduction

Zidesamtinib (Jideytro) – Another Kinase Inhibitor for NSCLC (online only)

   
The Medical Letter on Drugs and Therapeutics • Oct 26, 2026  (Issue 1766)
), and taletrectinib (Ibtrozi) were approved earlier.1 Zidesamtinib (Jideytro) – Another Kinase Inhibitor for NSCLC ...
Zidesamtinib (Jideytro – GSK), an oral kinase inhibitor, has been approved by the FDA for treatment of locally advanced or metastatic ROS1-positive non-small cell lung cancer (NSCLC) in adults who received at least one prior ROS1 kinase inhibitor. It is the fifth oral kinase inhibitor to be approved in the US for treatment of ROS1-positive NSCLC; crizotinib (Xalkori), entrectinib (Rozlytrek), repotrectinib (Augtyro), and taletrectinib (Ibtrozi) were approved earlier.
Med Lett Drugs Ther. 2026 Oct 26;68(1766):e177-8   doi:10.58347/tml.2026.1766f |  Show IntroductionHide Introduction

Prenatal Acetaminophen Use and Autism

   
The Medical Letter on Drugs and Therapeutics • Dec 08, 2025  (Issue 1743)
-term neurological effects such as autism in their children.1 The announcement cites a “consensus ...
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 Dec 8;67(1743):193-5   doi:10.58347/tml.2025.1743a |  Show IntroductionHide Introduction

Expanded Table: Some Oral Drugs for Chronic Insomnia (online only)

   
The Medical Letter on Drugs and Therapeutics • Jan 09, 2023  (Issue 1667)
insomnia ...
View the Expanded Table: Some Oral Drugs for Chronic Insomnia
Med Lett Drugs Ther. 2023 Jan 9;65(1667):e6-10   doi:10.58347/tml.2023.1667b |  Show IntroductionHide Introduction

mFLUSIVA — An mRNA-Based Influenza Vaccine

   
The Medical Letter on Drugs and Therapeutics • Sep 14, 2026  (Issue 1763)
, or recombinant technology.1 Egg-based production is time-consuming and can alter antigen conformation, reducing ...
The FDA has licensed mFLUSIVA (Moderna), the first mRNA-based influenza vaccine in the US, for prevention of influenza in adults ≥50 years old. mFLUSIVA will be available for the 2026-2027 influenza season. Three mRNA COVID-19 vaccines (Comirnaty, Spikevax, and mNEXSPIKE) and one mRNA RSV vaccine (mRESVIA) are also licensed in the US.
Med Lett Drugs Ther. 2026 Sep 14;68(1763):150-1   doi:10.58347/tml.2026.1763b |  Show IntroductionHide Introduction

Comparison Table: Some Topical Drugs for Rosacea (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 05, 2024  (Issue 1695)
in women Apply once/day 481.60/30 g 637.50/30 g Ivermectin – generic Soolantra (Galderma) 1% cream Yes ...
View the Comparison Table: Some Topical Drugs for Rosacea
Med Lett Drugs Ther. 2024 Feb 5;66(1695):e22   doi:10.58347/tml.2024.1695c |  Show IntroductionHide Introduction