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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

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

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

Addendum: Bupropion Safety in Pregnancy

   
The Medical Letter on Drugs and Therapeutics • Apr 01, 2024  (Issue 1699)
Addendum: Bupropion Safety in Pregnancy Volume 66 (Issue 1699) April 1, 2024 Our December 11 ...
Our December 11, 2023 article on Drugs for Depression included a single sentence on the safety of bupropion use during pregnancy: "The safety of bupropion during pregnancy has not been established; data from a bupropion pregnancy registry suggested a possible increase in cardiac malformations." A reader asked us to provide more information.
Med Lett Drugs Ther. 2024 Apr 1;66(1699):56   doi:10.58347/tml.2024.1699c |  Show IntroductionHide Introduction

In Brief: Obecabtagene Autoleucel (Aucatzyl) - Another CAR-T Cell Immunotherapy for ALL (online only)

   
The Medical Letter on Drugs and Therapeutics • Dec 23, 2024  (Issue 1718)
) and brexucabtagene auto-leucel (Tecartus) were approved earlier for the same indication.1,2 THE PRODUCT — Aucatzyl ...
Obecabtagene autoleucel (Aucatzyl – Autolus), a CD19-directed genetically modified autologous T cell immunotherapy, has been approved by the FDA for treatment of relapsed or refractory B-cell precursor acute lymphoblastic leukemia (ALL) in adults. The CAR T-cell immunotherapy products tisagenlecleucel (Kymriah) and brexucabtagene auto-leucel (Tecartus) were approved earlier for the same indication.
Med Lett Drugs Ther. 2024 Dec 23;66(1718):e208   doi:10.58347/tml.2024.1718f |  Show IntroductionHide Introduction

Ryzneuta for Prevention of Febrile Neutropenia

   
The Medical Letter on Drugs and Therapeutics • Aug 19, 2024  (Issue 1709)
the duration of chemotherapy-induced neutropenia and the incidence of infection.1 As with pegfilgrastim ...
Efbemalenograstim alfa-vuxw (Ryzneuta – Evive), a nonpegylated granulocyte colony-stimulating factor (G-CSF) conjugated to an Fc fragment of human IgG2, has been approved by the FDA to decrease the incidence of infection, as manifested by febrile neutropenia, in adults with nonmyeloid malignancies receiving myelosuppressive chemotherapy that can cause clinically significant febrile neutropenia. It is the first nonpegylated, long-acting G-CSF to become available in the US. Two pegylated, long-acting G-CSFs, pegfilgrastim (Neulasta, and biosimilars) and eflapegrastim (Rolvedon), are...
Med Lett Drugs Ther. 2024 Aug 19;66(1709):134-5   doi:10.58347/tml.2024.1709d |  Show IntroductionHide Introduction

Dordaviprone (Modeyso) for Diffuse Midline Glioma (online only)

   
The Medical Letter on Drugs and Therapeutics • Sep 29, 2025  (Issue 1738)
for treatment of diffuse midline gliomas harboring a H3 K27M mutation in patients ≥1 year old who had disease ...
Dordaviprone (Modeyso – Jazz), an oral protease activator, has received accelerated approval from the FDA for treatment of diffuse midline gliomas harboring a H3 K27M mutation in patients ≥ year old who had disease progression following prior treatment. It is the first drug to be approved in the US for this indication.
Med Lett Drugs Ther. 2025 Sep 29;67(1738):e160-1   doi:10.58347/tml.2025.1738c |  Show IntroductionHide Introduction

Tezepelumab (Tezspire) for Severe Asthma

   
The Medical Letter on Drugs and Therapeutics • Feb 21, 2022  (Issue 1644)
phenotypes.1 MECHANISM OF ACTION — Increased levels of TSLP, an epithelial cell-derived cytokine positioned ...
Tezepelumab-ekko (Tezspire – AstraZeneca/Amgen), a subcutaneously administered thymic stromal lymphopoietin (TSLP) blocker, has been approved by the FDA for add-on maintenance treatment of severe asthma in patients ≥12 years old. It is the first TSLP blocker to become available in the US and the first biologic drug to be approved for treatment of severe asthma without phenotypic or biomarker limitations.
Med Lett Drugs Ther. 2022 Feb 21;64(1644):25-6 |  Show IntroductionHide Introduction