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Budesonide Oral Suspension (Eohilia) for Eosinophilic Esophagitis

   
The Medical Letter on Drugs and Therapeutics • Jun 10, 2024  (Issue 1704)
) is approved for treatment of EoE in patients ≥1 year old who weigh ≥15 kg.1 Pronunciation Key Budesonide ...
Eohilia (Takeda), an oral suspension formulation of the corticosteroid budesonide, has been approved by the FDA for treatment of eosinophilic esophagitis (EoE) in patients ≥11 years old. It is the first oral drug to be approved in the US for this indication. The subcutaneously injected interleukin (IL)-4 receptor antagonist dupilumab (Dupixent) is approved for treatment of EoE in patients ≥1 year old who weigh ≥15 kg.
Med Lett Drugs Ther. 2024 Jun 10;66(1704):93-5   doi:10.58347/tml.2024.1704c |  Show IntroductionHide Introduction

Donidalorsen (Dawnzera) for Prevention of Hereditary Angioedema Attacks

   
The Medical Letter on Drugs and Therapeutics • Nov 24, 2025  (Issue 5125)
, and all of these drugs are prohibitively expensive. Table 1. Pharmacology Class Prekallikrein-directed antisense ...
Donidalorsen (Dawnzera – Ionis), a subcutaneously injected prekallikrein-directed antisense oligonucleotide, has been approved by the FDA for prevention of hereditary angioedema (HAE) attacks in patients ≥12 years old. It is the first RNA-targeted drug to be approved in the US for this indication.
Med Lett Drugs Ther. 2025 Nov 24;67(5125):1-2   doi:10.58347/tml.2025.5125a |  Show IntroductionHide Introduction

Nonopioid Drugs for Pain

   
The Medical Letter on Drugs and Therapeutics • Mar 07, 2022  (Issue 1645)
and neuropathic pain conditions.1 For severe pain, especially severe chronic cancer pain, use of opioids ...
Nonopioid drugs can be used in the treatment of many nociceptive and neuropathic pain conditions. For severe pain, especially severe chronic cancer pain, use of opioids may be necessary. Noninvasive nonpharmacologic treatments, including physical and psychological therapies, have been shown to improve pain and function in patients with some common chronic pain conditions and are unlikely to cause serious harms. A multimodal approach to analgesic therapy can increase pain control while reducing opioid use and adverse effects.
Med Lett Drugs Ther. 2022 Mar 7;64(1645):33-40 |  Show IntroductionHide Introduction

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

In Brief: Primary Aldosteronism Screening in Patients with Hypertension

   
The Medical Letter on Drugs and Therapeutics • Nov 10, 2025  (Issue 1741)
/ American Heart Association (ACC/AHA) recommend screening those at increased risk (see Table 1).2 Table 1 ...
Recently published guidelines recommend screening patients with hypertension for primary aldosteronism. The Endocrine Society recommends screening all patients and the American College of Cardiology/American Heart Association (ACC/AHA) recommend screening those at increased risk (see Table 1).
Med Lett Drugs Ther. 2025 Nov 10;67(1741):184   doi:10.58347/tml.2025.1741e |  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