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Drugs for Parkinson's Disease

   
The Medical Letter on Drugs and Therapeutics • Feb 22, 2021  (Issue 1618)
are thought to be caused by degeneration of other neurotransmitter systems.1,2 No disease-modifying drugs ...
The motor symptoms of Parkinson's disease (PD) are caused primarily by degeneration of dopaminergic neurons in the substantia nigra. The nonmotor symptoms of the disease are thought to be caused by degeneration of other neurotransmitter systems. No disease-modifying drugs are available for treatment of PD.
Med Lett Drugs Ther. 2021 Feb 22;63(1618):25-32 |  Show IntroductionHide Introduction

Vanzacaftor, Tezacaftor, and Deutivacaftor (Alyftrek) for Cystic Fibrosis

   
The Medical Letter on Drugs and Therapeutics • Mar 17, 2025  (Issue 1724)
of elexacaftor, tezacaftor, and ivacaftor, is FDA-approved for the same indication in patients ≥2 years old.1 ...
The FDA has approved Alyftrek (Vertex), an oral fixed-dose combination of the cystic fibrosis transmembrane conductance regulator (CFTR) modulators vanzacaftor, tezacaftor, and deutivacaftor, for once-daily treatment of cystic fibrosis (CF) in patients ≥6 years old who have at least one F508del mutation or another responsive mutation in the CFTR gene. This is the first approval for vanzacaftor and for deutivacaftor, a deuterated form of ivacaftor. Trikafta, a twice-daily oral fixed-dose combination of elexacaftor, tezacaftor, and ivacaftor, is FDA-approved for the same indication...
Med Lett Drugs Ther. 2025 Mar 17;67(1724):41-3   doi:10.58347/tml.2025.1724a |  Show IntroductionHide Introduction

In Brief: Doxycycline for STI Post-Exposure Prophylaxis

   
The Medical Letter on Drugs and Therapeutics • Jul 22, 2024  (Issue 1707)
(MSM) and transgender women (TGW) who had a bacterial STI within the previous 12 months.1 CLINICAL ...
The CDC has issued a recommendation for use of a single dose of doxycycline for post-exposure prophylaxis (PEP) of bacterial sexually transmitted infections (STIs), specifically syphilis, chlamydia, and gonorrhea, in men who have sex with men (MSM) and transgender women (TGW) who had a bacterial STI within the previous 12 months.
Med Lett Drugs Ther. 2024 Jul 22;66(1707):119-20   doi:10.58347/tml.2024.1707f |  Show IntroductionHide Introduction

Vazalore - A New Aspirin Formulation

   
The Medical Letter on Drugs and Therapeutics • May 02, 2022  (Issue 1649)
used mainly in low doses (81 mg) as a platelet inhibitor for prevention of cardiovascular disease.1 ...
The FDA has approved an over-the-counter (OTC) liquid-filled capsule formulation of aspirin (Vazalore – PLx Pharma). The manufacturer has been heavily promoting Vazalore with claims of fast, predictable absorption and antiplatelet activity and improved gastrointestinal safety compared to existing OTC aspirin formulations.
Med Lett Drugs Ther. 2022 May 2;64(1649):70-1 |  Show IntroductionHide Introduction

Neratinib (Nerlynx) for Metastatic HER2-Positive Breast Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022  (Issue 1663)
therapy.1 HER2 is overexpressed in about 20% of breast cancers. Up to 30% of early-stage, HER2-positive ...
The oral tyrosine kinase inhibitor neratinib (Nerlynx – Puma Biotechnology) has been approved by the FDA for use in combination with capecitabine (Xeloda, and generics) for treatment of advanced or metastatic human epidermal growth factor receptor 2 (HER2)-positive breast cancer in adults who received ≥2 prior anti-HER2-based regimens for metastatic disease. It was previously approved for use as monotherapy for extended adjuvant treatment of adults with early-stage, HER2-positive breast cancer following adjuvant trastuzumab (Herceptin)-based therapy. HER2 is overexpressed in...
Med Lett Drugs Ther. 2022 Nov 14;64(1663):e192-3 |  Show IntroductionHide Introduction

In Brief: Zanubrutinib (Brukinsa) for CLL or SLL (online only)

   
The Medical Letter on Drugs and Therapeutics • Feb 20, 2023  (Issue 1670)
difference. The overall response rate (ORR) was 93% with zanubrutinib and 85% with bendamustine/rituximab.1 ...
The Bruton's tyrosine kinase (BTK) inhibitor zanubrutinib (Brukinsa), which was previously approved by the FDA for treatment of mantle cell lymphoma, Waldenström's macroglobulinemia, and relapsed or refractory marginal zone lymphoma, has now been approved for treatment of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) in adults. The BTK inhibitors ibrutinib (Imbruvica) and acalabrutinib (Calquence) were approved earlier for treatment of CLL and SLL.
Med Lett Drugs Ther. 2023 Feb 20;65(1670):e33-4   doi:10.58347/tml.2023.1670e |  Show IntroductionHide Introduction

In Brief: OTC Ivermectin for Head Lice

   
The Medical Letter on Drugs and Therapeutics • Jun 26, 2023  (Issue 1679)
IN BRIEF OTC Ivermectin for Head Lice 1. MJ Chen and MD Creinin. Mifepristone with buccal ...
Topical ivermectin lotion 0.5% (Sklice, and generics), which has been available by prescription since 2012, is now FDA-approved for sale over the counter (OTC) for treatment of head lice in patients ≥6 months old. Ivermectin is also available by prescription as a 1% cream (Soolantra) approved for topical treatment of inflammatory lesions of rosacea and in oral tablets (Stromectol, and generics) for treatment of various parasitic infections.
Med Lett Drugs Ther. 2023 Jun 26;65(1679):103-4   doi:10.58347/tml.2023.1679e |  Show IntroductionHide Introduction

Talquetamab (Talvey) for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • Sep 04, 2023  (Issue 1684)
(MonumenTAL-1; summarized in the package insert) that included 232 patients who received ≥4 prior systemic ...
Talquetamab-tgvs (Talvey – Janssen), a bispecific GPRC5D-directed T-cell engager, has been granted accelerated approval by the FDA for treatment of relapsed or refractory multiple myeloma in adults who received ≥4 prior lines of therapy, including a proteasome inhibitor, an immunomodulatory drug, and an anti-CD38 monoclonal antibody. Accelerated approval was based on the response rate and durability of response. Talquetamab is the first bispecific GPRC5D-directed T-cell engager to be approved in the US
Med Lett Drugs Ther. 2023 Sep 4;65(1684):e149-50   doi:10.58347/tml.2023.1684e |  Show IntroductionHide Introduction

Vorasidenib (Voranigo) for Low-Grade Glioma (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 11, 2024  (Issue 1715)
survival was significantly longer with vorasidenib than with placebo (27.7 months vs 11.1 months ...
The FDA has approved vorasidenib (Voranigo – Servier), an oral isocitrate dehydrogenase (IDH) inhibitor, for treatment of grade 2 astrocytoma or oligodendroglioma in patients ≥12 years old with an IDH1 or IDH2 mutation. It is the first systemic treatment to be approved in the US for this indication.
Med Lett Drugs Ther. 2024 Nov 11;66(1715):e188-9   doi:10.58347/tml.2024.1715g |  Show IntroductionHide Introduction

Sunscreens

   
The Medical Letter on Drugs and Therapeutics • Jun 23, 2025  (Issue 1731)
can cause erythema, photoaging, and skin cancer.1,2 Sunscreens are widely used to reduce these risks ...
Excessive exposure to ultraviolet (UV) radiation can cause erythema, photoaging, and skin cancer. Sunscreens are widely used to reduce these risks, but questions remain about their effectiveness and safety. In 2021, the FDA proposed a rule that would require additional safety studies for some sunscreen active ingredients and mandate better UVA protection in sunscreen products.
Med Lett Drugs Ther. 2025 Jun 23;67(1731):97-102   doi:10.58347/tml.2025.1731a |  Show IntroductionHide Introduction