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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 IntroductionHide 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 IntroductionHide 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 IntroductionHide 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...
Med Lett Drugs Ther. 2021 Jul 26;63(1629):120 |  Show IntroductionHide Introduction

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 IntroductionHide 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 IntroductionHide 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 IntroductionHide 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 IntroductionHide 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.
Med Lett Drugs Ther. 2021 May 17;63(1624):73-5 |  Show IntroductionHide Introduction

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 IntroductionHide Introduction