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Casirivimab and Imdevimab (REGEN-COV) for Post-Exposure Prophylaxis of COVID-19
The Medical Letter on Drugs and Therapeutics • Aug 23, 2021 (Issue 1631)
significantly less often in patients who received the
antibodies than in those who received placebo (1.5%
vs ...
The investigational monoclonal antibodies casirivimab
and imdevimab (REGEN-COV – Regeneron) have
been available in the US under an Emergency Use
Authorization (EUA) since late 2020 for use together
to treat mild to moderate COVID-19 in persons ≥12
years old who weigh ≥40 kg and are at high risk of
progression to severe disease or hospitalization. The
FDA has now expanded this EUA to allow use of the
antibodies together for post-exposure prophylaxis
of COVID-19 in such persons, if they are not fully
vaccinated against COVID-19 or are unlikely to have
an adequate immune response...
Treatment of Atrial Fibrillation
The Medical Letter on Drugs and Therapeutics • Jan 08, 2024 (Issue 1693)
.............................................................................. p 1
CHA2DS2-VASc Scoring ............................................................. p 2
Oral ...
Atrial fibrillation (AF) is the most common arrhythmia
in the world. Risk factor modification, anticoagulation,
rhythm control, and rate control are the four pillars
of its management. American College of Cardiology/American Heart Association (ACC/AHA) guidelines
on management of AF were updated recently.
Med Lett Drugs Ther. 2024 Jan 8;66(1693):1-8 doi:10.58347/tml.2024.1693a | 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
Comparison Table: H2-Receptor Antagonists and PPIs (online only)
The Medical Letter on Drugs and Therapeutics • Apr 04, 2022 (Issue 1647)
. = not available; OTC = over the counter
1. The lower end of the range is generally used for initial treatment ...
View the Comparison Table: H2-Receptor Antagonists and PPIs
Miudella — A Lower-Dose Copper IUD
The Medical Letter on Drugs and Therapeutics • Jun 09, 2025 (Issue 1730)
levonorgestrel are also available for
pregnancy prevention (see Table 2).1
Miudella – A Lower-Dose Copper IUD ...
Miudella (Sebela), a copper intrauterine device (IUD),
has been approved by the FDA for prevention of
pregnancy for up to 3 years. Miudella is the second
copper IUD to be approved in the US; ParaGard, which
contains more copper and is approved for up to 10
years of use, was approved in 1984. Four hormonal
IUDs (Mirena, Liletta, Skyla, Kyleena) that release
the progestin levonorgestrel are also available for
pregnancy prevention (see Table 2).
Med Lett Drugs Ther. 2025 Jun 9;67(1730):89-90 doi:10.58347/tml.2025.1730a | Show Introduction Hide Introduction
Two Vonoprazan Combinations (Voquezna) for H. pylori
The Medical Letter on Drugs and Therapeutics • Oct 31, 2022 (Issue 1662)
from
about 20% in Switzerland to about 70% in Africa.1
It causes chronic gastric inflammation, peptic
ulcer ...
The FDA has approved vonoprazan, a potassium-competitive
acid blocker, copackaged with amoxicillin
(Voquezna Dual Pak – Phathom) and with amoxicillin
and clarithromycin (Voquezna Triple Pak) for
treatment of Helicobacter pylori infection in adults.
Vonoprazan is the first potassium-competitive acid
blocker to be approved in the US. It has been available
in Japan for treatment of various acid-related
disorders since 2014. Vonoprazan is not available
alone in the US.
Ruxolitinib Cream (Opzelura) for Nonsegmental Vitiligo
The Medical Letter on Drugs and Therapeutics • Oct 03, 2022 (Issue 1660)
Ruxolitinib Cream (Opzelura) for Nonsegmental Vitiligo
The 1.5% cream formulation of the Janus ...
The 1.5% cream formulation of the Janus kinase
(JAK) inhibitor ruxolitinib (Opzelura – Incyte) has
been approved by the FDA for topical treatment of
nonsegmental vitiligo (NSV) in patients ≥12 years old.
Opzelura is the first product to be approved by the
FDA for this indication. It was previously approved for
treatment of atopic dermatitis.
Insulins for Type 2 Diabetes
The Medical Letter on Drugs and Therapeutics • Dec 08, 2025 (Issue 1743)
for serious
hypoglycemia-associated adverse events.1
Metformin is generally preferred for initial treatment ...
The goal of pharmacologic treatment for type 2
diabetes is to achieve and maintain a near-normal
glycated hemoglobin (A1C) concentration while
minimizing hypoglycemia; an A1C goal of <7%
is recommended for most patients to prevent or
reduce the microvascular complications of diabetes
(retinopathy, nephropathy, neuropathy). An A1C target
of <8% may be appropriate for patients who are older,
have comorbid conditions, or are at risk for serious
hypoglycemia-associated adverse events.
Med Lett Drugs Ther. 2025 Dec 8;67(1743):196-9 doi:10.58347/tml.2025.1743c | Show Introduction Hide Introduction
Ophthalmic Phentolamine (Ryzumvi) for Drug-Induced Mydriasis
The Medical Letter on Drugs and Therapeutics • Jun 24, 2024 (Issue 1705)
for ophthalmic exams or surgical
procedures; they can cause photophobia and blurred
vision for up to 24 hours.1 ...
The FDA has approved a 0.75% ophthalmic solution
of the alpha-adrenergic antagonist phentolamine
(Ryzumvi – Viatris) for treatment of mydriasis produced
by adrenergic agonists such as phenylephrine
or parasympatholytic agents such as tropicamide in
patients ≥3 years old. Ryzumvi is the first drug to be
approved in the US for reversal of pharmacologically
induced mydriasis.
Med Lett Drugs Ther. 2024 Jun 24;66(1705):100-1 doi:10.58347/tml.2024.1705c | Show Introduction Hide Introduction
Sotagliflozin (Inpefa) for Heart Failure
The Medical Letter on Drugs and Therapeutics • Jul 24, 2023 (Issue 1681)
), an oral sodium-glucose cotransporter
1 and 2 (SGLT1/2) inhibitor, to reduce the risk of
hospitalization ...
The FDA has approved sotagliflozin (Inpefa –
Lexicon), an oral sodium-glucose cotransporter
1 and 2 (SGLT1/2) inhibitor, to reduce the risk of
hospitalization for heart failure (HF), urgent HF visits,
and cardiovascular death in adults with either HF
(with any left ventricular ejection fraction [LVEF]) or
type 2 diabetes, chronic kidney disease (CKD), and
other cardiovascular risk factors. Sotagliflozin is
the first dual SGLT1/2 inhibitor to be approved in the
US. Unlike SGLT2 inhibitors, it is not FDA-approved
to improve glycemic control in adults with type 2
diabetes....
Med Lett Drugs Ther. 2023 Jul 24;65(1681):114-6 doi:10.58347/tml.2023.1681b | Show Introduction Hide Introduction
