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Drugs for Epilepsy

   
The Medical Letter on Drugs and Therapeutics • Aug 05, 2024  (Issue 1708)
tonic-clonic” (see Table 1). The new terminology is used here. Controlled monotherapy trials ...
When used for the appropriate seizure type, antiseizure medications (ASMs) are roughly equivalent in efficacy. In addition to the seizure type, the choice of drug is usually based on factors such as ease of use, spectrum of activity, adverse effects, interactions with other drugs, presence of comorbid conditions, suitability for elderly persons and those with childbearing potential, and cost. Treatment should begin with a single drug, increasing the dosage gradually until seizures are controlled or adverse effects become unacceptable. If seizures persist, expert clinicians generally...
Med Lett Drugs Ther. 2024 Aug 5;66(1708):121-8   doi:10.58347/tml.2024.1708a |  Show IntroductionHide Introduction

Drugs for Treatment and Prevention of Venous Thromboembolism

   
The Medical Letter on Drugs and Therapeutics • Jul 25, 2022  (Issue 1655)
in 2020 and 2021.1,2 STANDARD TREATMENT — Patients with acute VTE have traditionally been treated ...
Anticoagulants are the drugs of choice for treatment and prevention of deep venous thrombosis (DVT) and pulmonary embolism (PE), collectively referred to as venous thromboembolism (VTE). US guidelines for treatment of VTE were updated in 2020 and 2021.
Med Lett Drugs Ther. 2022 Jul 25;64(1655):113-20 |  Show IntroductionHide Introduction

Lipid-Lowering Drugs

   
The Medical Letter on Drugs and Therapeutics • Sep 19, 2022  (Issue 1659)
. An increase in serum aminotransferase levels to >3 times the upper limit of normal (ULN) occurs in 1-2 ...
Cholesterol management guidelines from the American College of Cardiology/American Heart Association Task Force were last published in 2019.
Med Lett Drugs Ther. 2022 Sep 19;64(1659):145-52 |  Show IntroductionHide Introduction

In Brief: Expanded Heart Failure Indication for Empagliflozin (Jardiance)

   
The Medical Letter on Drugs and Therapeutics • Apr 18, 2022  (Issue 1648)
(HFrEF; LVEF ≤40%), regardless of whether or not they have type 2 diabetes.1 The indication has now ...
The sodium-glucose cotransporter 2 (SGLT2) inhibitor empagliflozin (Jardiance – Boehringer Ingelheim) was approved by the FDA in 2021 to reduce the risk of hospitalization for heart failure (HF) and cardiovascular death in patients with heart failure with reduced ejection fraction (HFrEF; LVEF ≤40%), regardless of whether or not they have type 2 diabetes. The indication has now been expanded to include patients with HF with any ejection fraction. Empagliflozin is the first SGLT2 inhibitor to be approved in the US for this indication.
Med Lett Drugs Ther. 2022 Apr 18;64(1648):57 |  Show IntroductionHide Introduction

In Brief: Furoscix - A Subcutaneous Furosemide Infusor for Heart Failure

   
The Medical Letter on Drugs and Therapeutics • Jan 23, 2023  (Issue 1668)
diuretic resistance.1 EFFICACY AND SAFETY — FDA approval of the of the new formulation was based ...
The FDA has approved Furoscix (scPharmaceuticals), a subcutaneous formulation of the loop diuretic furosemide administered via a single-use, on-body infusor, for treatment of congestion due to fluid overload in adults with New York Heart Association (NYHA) Class II-III chronic heart failure (HF). Furosemide (Lasix, and generics) has been available for years in oral and IV formulations.
Med Lett Drugs Ther. 2023 Jan 23;65(1668):14-5   doi:10.58347/tml.2023.1668d |  Show IntroductionHide Introduction

COVID-19 Update: Tocilizumab (Actemra) FDA-Approved for Treatment of COVID-19 (online only)

   
The Medical Letter on Drugs and Therapeutics • Jan 09, 2023  (Issue 1667)
supplemental oxygen, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO).1 Tocilizumab ...
The interleukin-6 (IL-6) receptor antagonist tocilizumab (Actemra – Genentech) has been approved by the FDA for IV treatment of COVID-19 in hospitalized adults who are receiving a systemic corticosteroid and require supplemental oxygen, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO). Tocilizumab was previously available for this indication under an Emergency Use Authorization (EUA); it remains available under an EUA for treatment of children 2-17 years old who are hospitalized with COVID-19 and require oxygen support.
Med Lett Drugs Ther. 2023 Jan 9;65(1667):e9   doi:10.58347/tml.2023.1667d |  Show IntroductionHide Introduction

In Brief: Adstiladrin – A Gene Therapy for Bladder Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Mar 06, 2023  (Issue 1671)
. The median duration of response was 9.7 months.1 ADVERSE EFFECTS — The most common adverse effects ...
Nadofaragene firadenovec-vncg (Adstiladrin – Ferring), an adenoviral vector-based gene therapy, has been approved by the FDA for treatment of adults with high-risk Bacillus Calmette-Guérin (BCG)-unresponsive non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ with or without papillary tumors. It is the first adenoviral vector-based gene therapy to be approved in the US for this indication. The immune checkpoint inhibitor pembrolizumab (Keytruda) was approved for the same indication in 2021.
Med Lett Drugs Ther. 2023 Mar 6;65(1671):e40-1   doi:10.58347/tml.2023.1671e |  Show IntroductionHide Introduction

In Brief: Prevention of Measles

   
The Medical Letter on Drugs and Therapeutics • Jun 09, 2025  (Issue 1730)
whose vaccination history was unknown.1 TRANSMISSION — The measles virus can be transmitted by direct ...
According to the Centers for Disease Control (CDC), as of April 24 there have been 844 confirmed cases of measles in the US in 2025; 11% of cases have resulted in hospitalization and 3 patients have died. The majority of cases (96%) have been in unvaccinated persons or in those whose vaccination history was unknown
Med Lett Drugs Ther. 2025 Jun 9;67(1730):94-5   doi:10.58347/tml.2025.1730d |  Show IntroductionHide Introduction

In Brief: Abemaciclib (Verzenio) for Early Breast Cancer

   
The Medical Letter on Drugs and Therapeutics • Dec 13, 2021  (Issue 1639)
, early breast cancer at high risk of recurrence and a Ki-67 score >20%.1 HR-POSITIVE, HER2-NEGATIVE ...
The oral cyclin-dependent kinase (CDK) 4/6 inhibitor abemaciclib (Verzenio – Lilly), which was approved by the FDA in 2017 for treatment of hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer, has now been approved for use in combination with endocrine therapy (tamoxifen or an aromatase inhibitor) for adjuvant treatment of patients with HR-positive, HER2-negative, node-positive, early breast cancer at high risk of recurrence and a Ki-67 score ≥20%.
Med Lett Drugs Ther. 2021 Dec 13;63(1639):199-200 |  Show IntroductionHide Introduction

Efgartigimod alfa (Vyvgart) for Myasthenia Gravis

   
The Medical Letter on Drugs and Therapeutics • Apr 18, 2022  (Issue 1648)
complement inhibitor eculizumab (Soliris) was approved for the same indication in 2017. Table 1 ...
Efgartigimod alfa-fcab (Vyvgart – Argenx), a first-in-class neonatal Fc receptor (FcRn) antagonist, has been approved by the FDA for IV treatment of generalized myasthenia gravis in adults who are anti-acetylcholine receptor (AChR) antibody positive. The IV complement inhibitor eculizumab (Soliris) was approved for the same indication in 2017.
Med Lett Drugs Ther. 2022 Apr 18;64(1648):62-3 |  Show IntroductionHide Introduction