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Gepotidacin (Blujepa) — A New Antibiotic for Uncomplicated UTI

   
The Medical Letter on Drugs and Therapeutics • Jan 05, 2026  (Issue 1745)
urogenital gonorrhea; its use for this indication will be reviewed in a future issue.1 Table 1 ...
The FDA has approved gepotidacin (Blujepa – GSK), a triazaacenaphthylene bacterial type II topoisomerase inhibitor, for oral treatment of uncomplicated urinary tract infections (uUTI) in female patients ≥12 years old who weigh ≥40 kg. Gepotidacin is the first triazaacenaphthylene antibiotic to be approved in the US.
Med Lett Drugs Ther. 2026 Jan 5;68(1745):1-3   doi:10.58347/tml.2026.1745a |  Show IntroductionHide Introduction

Insect Repellents

   
The Medical Letter on Drugs and Therapeutics • Jul 07, 2025  (Issue 1732)
, pants, and socks and avoiding outdoor activities during peak mosquito-biting times.1 Some insect ...
The Centers for Disease Control and Prevention (CDC) and the Environmental Protection Agency (EPA) recommend using insect repellents to avoid being bitten by mosquitoes, ticks, and other arthropods that transmit disease-causing pathogens. Repellents applied to exposed skin should be used in conjunction with other preventive measures such as wearing long-sleeved shirts, pants, and socks and avoiding outdoor activities during peak mosquito-biting times. Some insect repellents are listed in Table 1.
Med Lett Drugs Ther. 2025 Jul 7;67(1732):105-9   doi:10.58347/tml.2025.1732a |  Show IntroductionHide Introduction

Maribavir (Livtencity) for Cytomegalovirus Infection (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 28, 2022  (Issue 1664)
strains.1,2 MECHANISM OF ACTION — Maribavir inhibits CMV pUL97 kinase, resulting in inhibition of viral ...
Maribavir (Livtencity – Takeda), an oral cytomegalovirus (CMV) pUL97 kinase inhibitor, has been approved by the FDA for treatment of post-transplant CMV infection refractory to standard antiviral therapy in patients ≥12 years old who weigh at least 35 kg.
Med Lett Drugs Ther. 2022 Nov 28;64(1664):e193-4 |  Show IntroductionHide Introduction

Mobocertinib (Exkivity) for Non-Small Cell Lung Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 28, 2022  (Issue 1664)
Exkivity: ex ki' vi tee Table 1. Pharmacology Class Kinase inhibitor Formulation 40 mg capsules Route ...
Mobocertinib (Exkivity – Takeda), an oral kinase inhibitor, has received accelerated approval from the FDA for treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 20 insertion mutations in adults whose disease has progressed on or after platinum-based chemotherapy. Accelerated approval was based on the overall response rate and duration of response. Mobocertinib is the second drug to become available in the US for this indication; the IV EGFR-MET bispecific antibody amivantamab (Rybrevant) was approved...
Med Lett Drugs Ther. 2022 Nov 28;64(1664):e197-8 |  Show IntroductionHide Introduction

AD-Detect — A Blood Test for Alzheimer's Disease

   
The Medical Letter on Drugs and Therapeutics • Oct 30, 2023  (Issue 1688)
) can improve their accuracy.1,2 In addition to AD-Detect, Quest offers a blood test for the ApoE ...
AD-Detect (Quest), a blood test to evaluate Alzheimer's disease risk, is being marketed directly to consumers. It has not been cleared or approved by the FDA (laboratory-developed tests like this one currently do not need FDA authorization to be marketed).
Med Lett Drugs Ther. 2023 Oct 30;65(1688):175-6   doi:10.58347/tml.2023.1688b |  Show IntroductionHide Introduction

In Brief: New Warnings for Carbidopa/Levodopa Products

   
The Medical Letter on Drugs and Therapeutics • Apr 27, 2026  (Issue 1753)
disease and recent evidence favors its early use.1 Vitamin B6 is required for the conversion of levodopa ...
The FDA has required that the labels of all carbidopa/levodopa-containing products (Crexont, Dhivy, Duopa, Rytary, Sinemet, Sinemet CR, Stalevo, Vyalev) include a warning about the risk of vitamin B6 (pyridoxine) deficiency and vitamin B6 deficiency-related seizures associated with their use. The combination of carbidopa/levodopa is the most effective treatment for the motor symptoms of Parkinson's disease and recent evidence favors its early use.
Med Lett Drugs Ther. 2026 Apr 27;68(1753):72   doi:10.58347/tml.2026.1753b |  Show IntroductionHide Introduction

COVID-19 Update: Prescription of Paxlovid by Pharmacists (online only)

   
The Medical Letter on Drugs and Therapeutics • Aug 08, 2022  (Issue 1656)
, to allow for it to be prescribed by licensed pharmacists in certain situations.1 Paxlovid is authorized ...
The FDA has amended its Emergency Use Authorization (EUA) for Paxlovid (Pfizer), the investigational oral antiviral drug nirmatrelvir copackaged with oral ritonavir, to allow for it to be prescribed by licensed pharmacists in certain situations. Paxlovid is authorized for oral treatment of mild to moderate COVID-19 in high-risk outpatients ≥12 years old who weigh at least 40 kg. NIH guidelines list it as the treatment of choice for COVID-19 in high-risk adult outpatients.
Med Lett Drugs Ther. 2022 Aug 8;64(1656):e124 |  Show IntroductionHide Introduction

In Brief: A Home Test for Chlamydia, Gonorrhea, and Trichomoniasis

   
The Medical Letter on Drugs and Therapeutics • May 12, 2025  (Issue 1728)
. At-home tests that require the sample be 1. EN Kersh and LA Mena. At-home diagnostics solutions ...
The FDA has authorized use of the Visby Medical Women's Sexual Health Test (Visby), an at-home test available without a prescription, for detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis infections in women with and without symptoms. It is the first test to become available in the US for these sexually transmitted infections (STIs) that can be performed entirely at home. Other at-home tests are available in the US for diagnosis of chlamydia, gonorrhea, and trichomoniaisis, but they require mailing a urine or blood sample to a...
Med Lett Drugs Ther. 2025 May 12;67(1728):80   doi:10.58347/tml.2025.1728e |  Show IntroductionHide Introduction

Vimseltinib (Romvimza) for Tenosynovial Giant Cell Tumor (online only)

   
The Medical Letter on Drugs and Therapeutics • Apr 14, 2025  (Issue 1726)
, or tendon sheaths. Standard treatment is surgical resection.1 MECHANISM OF ACTION — Tenosynovial giant ...
Vimseltinib (Romvimza – Deciphera), an oral kinase inhibitor, has been approved by the FDA for treatment of symptomatic tenosynovial giant cell tumor in adults for whom surgical resection would cause worsening functional limitation or severe morbidity. The kinase inhibitor pexidartinib (Turalio) was approved for a similar indication in 2019.
Med Lett Drugs Ther. 2025 Apr 14;67(1726):e66-7   doi:10.58347/tml.2025.1726h |  Show IntroductionHide Introduction

COVID-19 Update: mNEXSPIKE — A New Moderna mRNA Vaccine for COVID-19

   
The Medical Letter on Drugs and Therapeutics • Jul 21, 2025  (Issue 1733)
outcomes from COVID-19.1 Spikevax, the original Moderna mRNA COVID-19 vaccine, remains in production2 ...
The FDA has licensed mNEXSPIKE (Moderna), an mRNA vaccine, for prevention of COVID-19 in adults ≥65 years old and in persons 12-64 years old who have a condition that puts them at high risk for severe outcomes from COVID-19. Spikevax, the original Moderna mRNA COVID-19 vaccine, remains in production2; it is licensed for use in persons ≥12 years old and is available under an Emergency Use Authorization (EUA) for children 6 months to 11 years old.
Med Lett Drugs Ther. 2025 Jul 21;67(1733):119-20   doi:10.58347/tml.2025.1733h |  Show IntroductionHide Introduction