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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 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
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
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 Introduction Hide 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 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
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 Introduction Hide 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 Introduction Hide Introduction
