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In Brief: Expanded Indication for Elevidys
The Medical Letter on Drugs and Therapeutics • Aug 19, 2024 (Issue 1709)
) who have a confirmed mutation
in the DMD gene.1 It has now received full approval
for use ...
The adeno-associated virus (AAV) vector-based
gene therapy delandistrogene moxeparvovec-rokl
(Elevidys – Sarepta) received accelerated approval
from the FDA in 2023 for treatment of ambulatory
children 4-5 years old with Duchenne muscular
dystrophy (DMD) who have a confirmed mutation
in the DMD gene. It has now received full approval
for use in ambulatory patients ≥4 years old and
accelerated approval for use in nonambulatory
patients with DMD.
Med Lett Drugs Ther. 2024 Aug 19;66(1709):135-6 doi:10.58347/tml.2024.1709e | Show Introduction Hide Introduction
In Brief: Once-Monthly Lecanemab (Leqembi) for Alzheimer's Disease
The Medical Letter on Drugs and Therapeutics • Apr 14, 2025 (Issue 1726)
's Disease
The amyloid beta-directed monoclonal antibody
lecanemab-irmb (Leqembi – Eisai/Biogen)1 has now ...
The amyloid beta-directed monoclonal antibody
lecanemab-irmb (Leqembi – Eisai/Biogen) has now
been approved by the FDA for once-monthly use for
treatment of Alzheimer's disease (AD) in patients with
mild cognitive impairment (MCI) or mild dementia. It
was previously approved only for administration once
every 2 weeks. Now, lecanemab can be given every
4 weeks after an 18-month initiation phase of
biweekly administration.
Med Lett Drugs Ther. 2025 Apr 14;67(1726):64 doi:10.58347/tml.2025.1726f | Show Introduction Hide Introduction
Nifurtimox (Lampit) for Chagas Disease (online only)
The Medical Letter on Drugs and Therapeutics • Jul 22, 2024 (Issue 1707)
Investigational
New Drug (IND) program.1
be dissolved in water to form a slurry immediately
before ...
The FDA has approved the nitrofuran antiprotozoal drug
nifurtimox (Lampit – Bayer) for treatment of Chagas
disease (American trypanosomiasis) in children who
weigh ≥2.5 kg. Nifurtimox was previously available in
the US only through a CDC-sponsored Investigational
New Drug (IND) program.
Med Lett Drugs Ther. 2024 Jul 22;66(1707):e123-4 doi:10.58347/tml.2024.1707h | Show Introduction Hide Introduction
Addendum: Aducanumab (Aduhelm) for Alzheimer's Disease
The Medical Letter on Drugs and Therapeutics • Jul 26, 2021 (Issue 1629)
, photoaging, and skin
cancer.1,2 Sunscreens are widely used to reduce these
risks, but questions remain ...
In June 2021, the FDA approved the IV amyloid beta-directed
monoclonal antibody aducanumab (Aduhelm) for treatment
of Alzheimer’s disease. The approval did not restrict use of
the drug to patients with mild cognitive impairment or mild
dementia, which was the population enrolled in the clinical
trials. Now, Biogen, with the permission of the FDA, has made
an addition to the labeling of the drug that says: Treatment with
Aduhelm should be initiated in patients with mild cognitive
impairment or mild dementia stage of disease, the population
in which treatment was initiated in clinical...
In Brief: Embryotoxicity REMS Removal for Endothelin Receptor Antagonists
The Medical Letter on Drugs and Therapeutics • Sep 15, 2025 (Issue 1737)
because of a possible risk of embryofetal toxicity.1
Ambrisentan, bosentan, and macitentan are FDA ...
The FDA has removed the Risk Evaluation and
Mitigation Strategy (REMS) requirement for the
endothelin receptor antagonists ambrisentan (Letairis,
and generics), bosentan (Tracleer, and generics),
macitentan (Opsumit, and generics; Opsynvi), and
aprocitentan (Tryvio), and the endothelin receptor
antagonist and angiotensin II receptor antagonist
sparsentan (Filspari) that was initially implemented
because of a possible risk of embryofetal toxicity.
Med Lett Drugs Ther. 2025 Sep 15;67(1737):152 doi:10.58347/tml.2025.1737e | Show Introduction Hide Introduction
Deuruxolitinib (Leqselvi) for Severe Alopecia Areata
The Medical Letter on Drugs and Therapeutics • Oct 27, 2025 (Issue 1740)
alopecia areata: baricitinib (Olumiant) is approved for
use in adults,1 and ritlecitinib (Litfulo ...
The FDA has approved the oral Janus kinase (JAK)
inhibitor deuruxolitinib (Leqselvi – Sun) for treatment
of severe alopecia areata in adults. Two other oral
JAK inhibitors are approved for treatment of severe
alopecia areata: baricitinib (Olumiant) is approved for
use in adults, and ritlecitinib (Litfulo) is approved for
use in patients ≥12 years old.
Med Lett Drugs Ther. 2025 Oct 27;67(1740):174-6 doi:10.58347/tml.2025.1740b | Show Introduction Hide Introduction
Comparison Table: Antiviral Drugs for Seasonal Influenza for 2025-2026 (online only)
The Medical Letter on Drugs and Therapeutics • Oct 27, 2025 (Issue 1740)
illness ▪ FDA-approved for chemoprophylaxis of influenza in patients ≥1 year old $46.40
152.00 ...
View the Comparison Table: Antiviral Drugs for Seasonal Influenza for 2025-2026
Med Lett Drugs Ther. 2025 Oct 27;67(1740):e178-80 doi:10.58347/tml.2025.1740d | Show Introduction Hide Introduction
Drugs for Anxiety Disorders
The Medical Letter on Drugs and Therapeutics • Aug 07, 2023 (Issue 1682)
for those ≤7 years
old or ≥65 years old because of insufficient evidence.1
PHARMACOTHERAPY
Several drug ...
Anxiety disorders (generalized anxiety disorder,
panic disorder, social anxiety disorder, and various
phobias) are the most common form of psychiatric
illness. They can be treated effectively with cognitive
behavioral therapy (CBT) and/or pharmacotherapy.
Med Lett Drugs Ther. 2023 Aug 7;65(1682):121-8 doi:10.58347/tml.2023.1682a | Show Introduction Hide Introduction
Antibacterial Drugs for Lyme Disease
The Medical Letter on Drugs and Therapeutics • May 17, 2021 (Issue 1624)
is also transmitted by I. scapularis, has been shown to
cause a similar illness in the upper Midwest.1-3 ...
Lyme disease in the US is caused by the spirochete
Borrelia burgdorferi, which is transmitted to humans
by Ixodes scapularis (blacklegged [deer] tick) and
I. pacificus (western blacklegged tick). Most cases of
Lyme disease occur in late spring and early summer
in northeastern and mid-Atlantic states, the upper
Midwest, and in northern California. B. mayonii, which
is also transmitted by I. scapularis, has been shown to
cause a similar illness in the upper Midwest.
Drugs for Chronic Insomnia
The Medical Letter on Drugs and Therapeutics • Jan 09, 2023 (Issue 1667)
,
pharmacologic treatment should be added.1-3
BENZODIAZEPINE RECEPTOR AGONISTS —
Eszopiclone (Lunesta ...
Cognitive behavioral therapy for insomnia (CBT-I) is
recommended for initial treatment of chronic insomnia.
CBT-I includes stimulus control, sleep education
and hygiene, sleep restriction, relaxation training, and
cognitive therapy. When CBT-I alone is not effective,
pharmacologic treatment should be added.
Med Lett Drugs Ther. 2023 Jan 9;65(1667):1-6 doi:10.58347/tml.2023.1667a | Show Introduction Hide Introduction
