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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.
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 Introduction Hide 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 Introduction Hide 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.
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...
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 Introduction Hide 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 Introduction Hide 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 Introduction Hide 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 Introduction Hide 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 Introduction Hide Introduction