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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.
Med Lett Drugs Ther. 2021 Jul 26;63(1629):115 |  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

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

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

Twirla - A New Contraceptive Patch

   
The Medical Letter on Drugs and Therapeutics • Feb 08, 2021  (Issue 1617)
hormonal contraceptives. Unscheduled bleeding/spotting lasting ≥1 day occurred in 60.4% of women in cycle ...
The FDA has approved Twirla (Agile Therapeutics), a transdermal contraceptive patch containing the estrogen ethinyl estradiol and the progestin levonorgestrel, for use in women with a BMI <30 kg/m2. It is the second contraceptive patch to become available in the US; Xulane, a patch that delivers ethinyl estradiol and the progestin norelgestromin, has been available since 2014.
Med Lett Drugs Ther. 2021 Feb 8;63(1617):17-8 |  Show IntroductionHide Introduction