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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...
Med Lett Drugs Ther. 2021 Aug 23;63(1631):130-1 |  Show IntroductionHide Introduction

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 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

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
Med Lett Drugs Ther. 2022 Apr 4;64(1647):e56-7 |  Show IntroductionHide Introduction

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 IntroductionHide 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.
Med Lett Drugs Ther. 2022 Oct 31;64(1662):169-72 |  Show IntroductionHide Introduction

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.
Med Lett Drugs Ther. 2022 Oct 3;64(1660):158-9 |  Show IntroductionHide Introduction

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 IntroductionHide 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 IntroductionHide 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 IntroductionHide Introduction