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Influenza Vaccines for 2025-2026

   
The Medical Letter on Drugs and Therapeutics • Sep 29, 2025  (Issue 1738)
a contraindication.1,2 Influenza vaccines available in the US for the 2025-2026 season are listed in Table 2 ...
Annual vaccination against influenza A and B viruses is recommended in the US for everyone ≥6 months old without a contraindication. Influenza vaccines available in the US for the 2025-2026 season are listed in Table 2.
Med Lett Drugs Ther. 2025 Sep 29;67(1738):153-8   doi:10.58347/tml.2025.1738a |  Show IntroductionHide Introduction

Prevention and Treatment of Monkeypox

   
The Medical Letter on Drugs and Therapeutics • Sep 05, 2022  (Issue 1658)
the US.1 Updated information about the current outbreak is available from the CDC.2 MONKEYPOX ― Monkeypox ...
An outbreak of monkeypox has recently spread around the globe and across the US. Updated information about the current outbreak is available from the CDC.
Med Lett Drugs Ther. 2022 Sep 5;64(1658):137-9 |  Show IntroductionHide Introduction

Zuranolone (Zurzuvae) – An Oral Drug for Postpartum Depression

   
The Medical Letter on Drugs and Therapeutics • Dec 25, 2023  (Issue 1692)
in 2019.1 Key Points: Zuranolone (Zurzuvae) Description: A GABAA receptor modulator and an analog ...
The FDA has approved the oral GABAA receptor modulator zuranolone (Zurzuvae – Sage Therapeutics/Biogen) for treatment of postpartum depression (PPD). Zuranolone is the second drug to be approved for this indication; brexanolone (Zulresso), another GABAA receptor modulator, was approved for IV treatment of PPD in 2019.
Med Lett Drugs Ther. 2023 Dec 25;65(1692):201-3   doi:10.58347/tml.2023.1692a |  Show IntroductionHide Introduction

In Brief: A New Indication for Abemaciclib (Verzenio) (online only)

   
The Medical Letter on Drugs and Therapeutics • Apr 03, 2023  (Issue 1673)
breast cancer at high risk of recurrence.1 It was previously approved for the same indication ...
The oral cyclin-dependent kinase (CDK) 4/6 inhibitor abemaciclib (Verzenio – Lilly) has been approved by the FDA for use in combination with endocrine therapy (tamoxifen or an aromatase inhibitor) for adjuvant treatment of patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, node-positive, early breast cancer at high risk of recurrence.1It was previously approved for the same indication, but patients were also required to have a Ki-67 score ≥20%. About 70% of all breast cancers are HR-positive and HER2-negative. Ki-67 is a...
Med Lett Drugs Ther. 2023 Apr 3;65(1673):e62-3   doi:10.58347/tml.2023.1673g |  Show IntroductionHide Introduction

In Brief: A New Indication for Tenecteplase (TNKase)

   
The Medical Letter on Drugs and Therapeutics • Apr 28, 2025  (Issue 1727)
— Thrombolysis with IV alteplase is the first-line treatment for acute ischemic stroke.1 Tenecteplase ...
The tissue plasminogen activator (tPA) tenecteplase (TNKase – Genentech) has been approved by the FDA for treatment of acute ischemic stroke in adults. It is the second tPA to be approved in the US for this indication; alteplase (Activase) was approved in 1996. Tenecteplase was approved in 2000 to reduce the risk of death associated with acute ST-elevation myocardial infarction (STEMI).
Med Lett Drugs Ther. 2025 Apr 28;67(1727):71-2   doi:10.58347/tml.2025.1727d |  Show IntroductionHide Introduction

Prademagene Zamikeracel (Zevaskyn) for Recessive Dystrophic Epidermolysis Bullosa (online only)

   
The Medical Letter on Drugs and Therapeutics • Jul 21, 2025  (Issue 1733)
1 vector-based gene therapy, is approved for once-weekly use in patients ≥6 months old ...
Prademagene zamikeracel (Zevaskyn – Abeona Therapeutics), an autologous cell sheet-based gene therapy, has been approved by the FDA for treatment of wounds in patients with recessive dystrophic epidermolysis bullosa. It is the first autologous cell sheet-based gene therapy to be approved in the US for this indication. Beremagene geperpavek gel (Vyjuvek), a herpes simplex virus type 1 vector-based gene therapy, is approved for once-weekly use in patients ≥6 months old with recessive dystrophic epidermolysis bullosa.
Med Lett Drugs Ther. 2025 Jul 21;67(1733):e124-5   doi:10.58347/tml.2025.1733l |  Show IntroductionHide Introduction

In Brief: A New Indication for Uzedy

   
The Medical Letter on Drugs and Therapeutics • Jan 19, 2026  (Issue 1746)
) are also approved for treatment of bipolar I disorder (see Table 1).1,2 Table 1. Extended-Release ...
Uzedy, an extended-release, subcutaneous (SC) formulation of the second-generation antipsychotic drug risperidone, was approved by the FDA in 2023 for treatment of schizophrenia in adults. It has now been approved for use as monotherapy or in combination with lithium or valproate for maintenance treatment of bipolar I disorder in adults. Extended-release, intramuscular (IM) formulations of risperidone (Risperdal Consta and Rykindo) are also approved for treatment of bipolar I disorder (see Table 1).
Med Lett Drugs Ther. 2026 Jan 19;68(1746):15-6   doi:10.58347/tml.2026.1746e |  Show IntroductionHide Introduction

In Brief: Ranitidine Returns

   
The Medical Letter on Drugs and Therapeutics • Apr 13, 2026  (Issue 1752)
; soln = solution; susp = suspension 1. Approximate WAC for 30 days’ treatment with the lowest usual ...
The FDA has approved a new tablet formulation of the H2-receptor antagonist (H2RA) ranitidine from one manufacturer (VKT Pharma/Rising Pharma). It is only available by prescription. In 2020, the FDA requested that all formulations of ranitidine be withdrawn from the market because unacceptable levels of the nitrosamine compound N-nitrosodimethylamine (NDMA), a potentially carcinogenic contaminant, had been detected in ranitidine samples.
Med Lett Drugs Ther. 2026 Apr 13;68(1752):63-4   doi:10.58347/tml.2026.1752e |  Show IntroductionHide Introduction

In Brief: Expanded Heart Failure Indication for Dapagliflozin (Farxiga)

   
The Medical Letter on Drugs and Therapeutics • Jun 26, 2023  (Issue 1679)
failure with reduced ejection fraction (HFrEF).1 The indication has now been expanded to include ...
The sodium-glucose cotransporter 2 (SGLT2) inhibitor dapagliflozin (Farxiga – AstraZeneca) was approved by the FDA in 2020 to reduce the risk of cardiovascular death and hospitalization for heart failure (HF) in adults with heart failure with reduced ejection fraction (HFrEF). The indication has now been expanded to include a reduction in the risk of urgent HF visits and use in adults with any left ventricular ejection fraction (LVEF).
Med Lett Drugs Ther. 2023 Jun 26;65(1679):101-2   doi:10.58347/tml.2023.1679c |  Show IntroductionHide Introduction

Lodoco: Low-Dose Colchicine for Cardiovascular Event Prevention

   
The Medical Letter on Drugs and Therapeutics • Oct 02, 2023  (Issue 1686)
for cardiovascular disease.1 MECHANISM OF ACTION — Inflammation is thought to play an important role ...
Colchicine (Colcrys, and others), which has been available in the US for decades for prophylaxis and treatment of gout flares and other indications in oral formulations that contain 0.6 mg of the drug, has now been approved in 0.5-mg tablets as Lodoco (Agepha) to reduce the risk of myocardial infarction (MI), stroke, coronary revascularization, and cardiovascular death in adults with established atherosclerotic disease or multiple risk factors for cardiovascular disease.
Med Lett Drugs Ther. 2023 Oct 2;65(1686):156-7   doi:10.58347/tml.2023.1686b |  Show IntroductionHide Introduction