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Sofpironium (Sofdra) for Primary Axillary Hyperhidrosis
The Medical Letter on Drugs and Therapeutics • Aug 19, 2024 (Issue 1709)
are lacking.1 Brella
Sweat Control Patch, a sodium-containing patch that
temporarily inactivates sweat ...
The FDA has approved a 12.45% gel formulation of the
anticholinergic drug sofpironium (Sofdra – Botanix) for
treatment of primary axillary hyperhidrosis (excessive
underarm sweating) in patients ≥9 years old.
Med Lett Drugs Ther. 2024 Aug 19;66(1709):133-4 doi:10.58347/tml.2024.1709c | Show Introduction Hide Introduction
COVID-19 Update: Pfizer/BioNTech and Moderna Vaccines Authorized for Children ≥6 Months Old
The Medical Letter on Drugs and Therapeutics • Jul 11, 2022 (Issue 1654)
was authorized for use in
adults ≥18 years old.1
CLINICAL STUDIES — Expansion of the EUAs of both
vaccines ...
The FDA has expanded its Emergency Use Authorizations
(EUAs) for the mRNA COVID-19 vaccines
manufactured by Pfizer/BioNTech (Comirnaty) and
Moderna (Spikevax) to allow for their use in children
as young as 6 months old. The Pfizer vaccine was
previously authorized for use in persons ≥5 years old,
and the Moderna vaccine was authorized for use in
adults ≥18 years old.
Dupilumab (Dupixent) for Eosinophilic Esophagitis and Prurigo Nodularis
The Medical Letter on Drugs and Therapeutics • Feb 06, 2023 (Issue 1669)
with nasal polyposis.1
EOSINOPHILIC ESOPHAGITIS — EoE is a chronic
inflammatory disease characterized ...
The FDA has approved the subcutaneously
injected interleukin (IL)-4 receptor alpha antagonist
dupilumab (Dupixent – Sanofi/Regeneron)
for treatment of eosinophilic esophagitis (EoE)
in patients ≥12 years old who weigh ≥40 kg and
treatment of prurigo nodularis in adults. Dupilumab
is the first drug to be approved in the US for each
of these indications. It is also FDA-approved for
treatment of atopic dermatitis, asthma, and chronic
rhinosinusitis with nasal polyposis.
Med Lett Drugs Ther. 2023 Feb 6;65(1669):18-20 doi:10.58347/tml.2023.1669b | Show Introduction Hide Introduction
Two New Drugs for Gonorrhea
The Medical Letter on Drugs and Therapeutics • Mar 16, 2026 (Issue 1750)
Volume 68 (Issue 1750) March 16, 2026
Two New Drugs for Gonorrhea
Table 1. Pharmacology ...
The FDA has approved two antibiotics, gepotidacin
(Blujepa — GSK) and zoliflodacin (Nuzolvence —
Entasis), for oral treatment of uncomplicated
urogenital gonorrhea in patients ≥12 years old.
Gepotidacin is approved for use in persons weighing
≥45 kg who have limited or no alternative treatment
options; it was approved in 2025 for treatment of
uncomplicated urinary tract infection in females.
Zoliflodacin is approved for use in persons weighing
≥35 kg. Neither drug is indicated for treatment of
rectal or pharyngeal gonorrhea.
Med Lett Drugs Ther. 2026 Mar 16;68(1750):41-3 doi:10.58347/tml.2026.1750a | Show Introduction Hide 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 Introduction Hide 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 Introduction Hide Introduction
In Brief: Dapagliflozin (Farxiga) for Chronic Kidney Disease
The Medical Letter on Drugs and Therapeutics • Jul 26, 2021 (Issue 1629)
in eGFR ≥50% 5.2% 9.3%
End-stage renal disease 5.1% 7.5%
CV death 3.0% 3.7%
Renal death ...
The sodium-glucose cotransporter 2 (SGLT2) inhibitor
dapagliflozin (Farxiga – AstraZeneca) has been
approved by the FDA for treatment of adults with
chronic kidney disease (CKD) at risk of progression
(not defined in the label). Dapagliflozin is the first
SGLT2 inhibitor to be approved in the US for treatment
of CKD.
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 Introduction Hide 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 Introduction Hide 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 Introduction Hide Introduction
