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Onapgo — An Apomorphine Subcutaneous Infusion for Parkinson's Disease

   
The Medical Letter on Drugs and Therapeutics • Jul 21, 2025  (Issue 1733)
). Subcutaneously injected apomorphine (Apokyn, and generics) has been available for intermittent use for years.1 ...
Onapgo (Supernus), a solution for continuous subcutaneous infusion containing the dopamine agonist apomorphine, has been approved by the FDA for treatment of motor fluctuations in adults with advanced Parkinson's disease (PD). Subcutaneously injected apomorphine (Apokyn, and generics) has been available for intermittent use for years. Vyalev, a foscarbidopa/foslevodopa solution for subcutaneous infusion, was approved in 2024 for the same indication.
Med Lett Drugs Ther. 2025 Jul 21;67(1733):116-8   doi:10.58347/tml.2025.1733d |  Show IntroductionHide Introduction

Ziftomenib (Komzifti) for Acute Myeloid Leukemia (online only)

   
The Medical Letter on Drugs and Therapeutics • Mar 16, 2026  (Issue 1750)
with relapsed or refractory acute myeloid leukemia (AML) with a susceptible nucleophosmin 1 (NPM1) mutation ...
Ziftomenib (Komzifti – Kura), an oral menin inhibitor, has been approved by the FDA for treatment of adults with relapsed or refractory acute myeloid leukemia (AML) with a susceptible nucleophosmin 1 (NPM1) mutation who have no satisfactory alternative treatment options. It is the second oral menin inhibitor to be approved in the US for this indication; revumenib (Revuforj) was approved in October 2025 for use in patients ≥1 year old.
Med Lett Drugs Ther. 2026 Mar 16;68(1750):e48-9   doi:10.58347/tml.2026.1750e |  Show IntroductionHide Introduction

Drugs for Acute Otitis Media in Children

   
The Medical Letter on Drugs and Therapeutics • Feb 07, 2022  (Issue 1643)
from children with AOM produced beta-lactamase and were resistant to amoxicillin.1 Moraxella catarrhalis ...
More antibiotics are prescribed for treatment of acute otitis media (AOM) than for any other infection in young children. Children with AOM typically present with otalgia, fever, and bulging and erythema of the tympanic membrane.
Med Lett Drugs Ther. 2022 Feb 7;64(1643):22-3 |  Show IntroductionHide Introduction

Inspire for Obstructive Sleep Apnea

   
The Medical Letter on Drugs and Therapeutics • Jul 24, 2023  (Issue 1681)
1) for treatment with the surgically implanted hypoglossal nerve stimulation system (Inspire Upper ...
The FDA recently expanded the eligibility criteria (see Table 1) for treatment with the surgically implanted hypoglossal nerve stimulation system (Inspire Upper Airway Stimulation – Inspire Medical Systems). The device has been advertised lately on radio and television.
Med Lett Drugs Ther. 2023 Jul 24;65(1681):118-20   doi:10.58347/tml.2023.1681d |  Show IntroductionHide Introduction

Givinostat (Duvyzat) for Duchenne Muscular Dystrophy

   
The Medical Letter on Drugs and Therapeutics • Dec 23, 2024  (Issue 1718)
) and vamorolone (Agamree) are also approved for treatment of patients with all genetic variants of DMD.1 ...
Givinostat (Duvyzat – Italfarmaco), an oral histone deacetylase inhibitor, has been approved by the FDA for treatment of patients ≥6 years old with Duchenne muscular dystrophy (DMD), regardless of the DMD-causing mutation. It is the first nonsteroidal drug to be approved for this indication. The oral corticosteroids deflazacort (Emflaza) and vamorolone (Agamree) are also approved for treatment of patients with all genetic variants of DMD.
Med Lett Drugs Ther. 2024 Dec 23;66(1718):204-5   doi:10.58347/tml.2024.1718c |  Show IntroductionHide Introduction

An Epinephrine Nasal Spray (neffy) for Anaphylaxis

   
The Medical Letter on Drugs and Therapeutics • Oct 14, 2024  (Issue 1713)
(neffy – ARS Pharma) for emergency treatment of type 1 hypersensitivity reactions including anaphylaxis ...
The FDA has approved an epinephrine nasal spray (neffy – ARS Pharma) for emergency treatment of type 1 hypersensitivity reactions including anaphylaxis in patients who weigh ≥30 kg. It is the first noninjectable epinephrine product to be approved for this indication.
Med Lett Drugs Ther. 2024 Oct 14;66(1713):163-4   doi:10.58347/tml.2024.1713b |  Show IntroductionHide Introduction

Azstarys (Serdexmethylphenidate/Dexmethylphenidate) for ADHD

   
The Medical Letter on Drugs and Therapeutics • Oct 04, 2021  (Issue 1634)
for 8-16 hours.1,2 All products containing methylphenidate, including Azstarys, are classified ...
The FDA has approved a long-acting fixed-dose combination of the stimulant dexmethylphenidate and the prodrug serdexmethylphenidate (Azstarys – Corium) for once-daily treatment of attention-deficit/hyperactivity disorder (ADHD) in patients ≥6 years old. Azstarys is the first product containing serdexmethylphenidate to become available in the US.
Med Lett Drugs Ther. 2021 Oct 4;63(1634):157-9 |  Show IntroductionHide Introduction

Elafibranor (Iqirvo) for Primary Biliary Cholangitis

   
The Medical Letter on Drugs and Therapeutics • Dec 23, 2024  (Issue 1718)
response.1 Fibrates have been added to UDCA (off-label use) in patients with an inadequate response ...
Elafibranor (Iqirvo – Ipsen), a peroxisome proliferator-activated receptor (PPAR) agonist, has been granted accelerated approval by the FDA for treatment of primary biliary cholangitis (PBC) in adults. It is indicated for use in combination with ursodeoxycholic acid (ursodiol, UDCA; Urso, and others) in patients with an inadequate response to UDCA alone and as monotherapy in those unable to tolerate UDCA.
Med Lett Drugs Ther. 2024 Dec 23;66(1718):202-4   doi:10.58347/tml.2024.1718b |  Show IntroductionHide Introduction

A New RSV Vaccine (mResvia) for Adults ≥60 Years Old

   
The Medical Letter on Drugs and Therapeutics • Oct 14, 2024  (Issue 1713)
and Abrysvo, are also available for prevention of RSV LRTD.1 Arexvy is approved for use in adults ≥50 years ...
TThe FDA has licensed mResvia (Moderna), an mRNA respiratory syncytial virus (RSV) vaccine, for prevention of lower respiratory tract disease (LRTD) caused by RSV in adults ≥60 years old. It is the first mRNA vaccine to be licensed in the US for this indication. Two recombinant RSV vaccines, Arexvy and Abrysvo, are also available for prevention of RSV LRTD. Arexvy is approved for use in adults ≥50 years old. Abrysvo is approved for use in adults ≥60 years old and in pregnant women to prevent RSV LRTD in their infants.
Med Lett Drugs Ther. 2024 Oct 14;66(1713):166-8   doi:10.58347/tml.2024.1713d |  Show IntroductionHide Introduction

Shield — A Blood Test for Colorectal Cancer Screening

   
The Medical Letter on Drugs and Therapeutics • Jun 09, 2025  (Issue 1730)
; ColoHealth (formerly Epi proColon) was approved in 2016.1 COLORECTAL CANCER SCREENING ― Guidelines ...
The FDA has approved Shield (Guardant), a DNA blood test, for colorectal cancer (CRC) screening in average-risk adults ≥45 years old. Shield is the second blood-based DNA test to be approved for CRC screening; ColoHealth (formerly Epi proColon) was approved in 2016.
Med Lett Drugs Ther. 2025 Jun 9;67(1730):90-2   doi:10.58347/tml.2025.1730b |  Show IntroductionHide Introduction