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Comparison Chart: Correct Use of Inhalers for Asthma (online only)
The Medical Letter on Drugs and Therapeutics • Nov 25, 2024 (Issue 1716)
, the inhaler is ready to use
▶ The dose indicator should count down by 1
▶ Exhale fully
▶ Close lips around ...
View the Comparison Chart: Correct Use of Inhalers for Asthma
Med Lett Drugs Ther. 2024 Nov 25;66(1716):e196-8 doi:10.58347/tml.2024.1716c | Show Introduction Hide Introduction
Drugs for Depression
The Medical Letter on Drugs and Therapeutics • Dec 11, 2023 (Issue 1691)
benefit may not be achieved for 4-8 weeks.1
FIRST-LINE DRUGS
SSRIs — There is no convincing evidence ...
A selective serotonin reuptake inhibitor (SSRI) is
generally used for initial treatment of major depressive
disorder (MDD). A serotonin-norepinephrine reuptake
inhibitor (SNRI), bupropion (Wellbutrin SR, and
others), and mirtazapine (Remeron, and others) are
reasonable alternatives. Improvement in symptoms
can occur within the first two weeks of treatment
with these drugs, but a substantial benefit may not be
achieved for 4-8 weeks.
Med Lett Drugs Ther. 2023 Dec 11;65(1691):193-200 doi:10.58347/tml.2023.1691a | Show Introduction Hide Introduction
Addendum: Urinary Incontinence with Second-Generation Antipsychotic Drugs
The Medical Letter on Drugs and Therapeutics • Mar 02, 2026 (Issue 1749)
-matched controls.2
1. Med Lett Drugs Ther 2026; 68:20.
2. L Yosef et al. Antipsychotic treatment ...
Our recent article entitled Lumateperone (Caplyta) for Adjunctive
Treatment of Depression should have included
urinary incontinence among the adverse effects associated
with use of second-generation antipsychotic drugs. Urinary
incontinence has been reported with both first- and second-generation antipsychotics. Possible causes include the
anti-alpha-adrenergic, antidopaminergic, and anticholinergic
effects of these drugs, as well as sedation. In an observational
study in 200 women 20-40 years old, urinary incontinence
was reported by 29% of those taking antipsychotic drugs and
by 13%...
Med Lett Drugs Ther. 2026 Mar 2;68(1749):40 doi:10.58347/tml.2026.1749c | Show Introduction Hide Introduction
Alpelisib (Vijoice) for PIK3CA-Related Overgrowth Spectrum (online only)
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022 (Issue 1663)
coagulation were also reported.1
Key Points: Alpelisib (Vijoice)
▶ Description: An oral kinase inhibitor FDA ...
The oral kinase inhibitor alpelisib (Vijoice – Novartis)
has been approved by the FDA for treatment of
patients ≥2 years old with severe manifestations of
PIK3CA-related overgrowth spectrum (PROS) who
require systemic treatment. Alpelisib is the first
drug to be approved in the US for this indication.
It was also approved in 2019 as Piqray for use in
combination with fulvestrant for treatment of certain
types of breast cancer.
Benzgalantamine (Zunveyl) for Alzheimer's Disease
The Medical Letter on Drugs and Therapeutics • Apr 14, 2025 (Issue 1726)
for treatment of AD.1
MECHANISM OF ACTION ― Cognitive decline in AD is
associated with depletion ...
The FDA has approved Zunveyl (Alpha Cognition),
a delayed-release formulation of the prodrug
benzgalantamine, for treatment of mild to moderate
dementia of Alzheimer's disease (AD). Immediate- and
extended-release formulations of the acetylcholinesterase
inhibitor galantamine have been
available in the US for years for treatment of AD.
Med Lett Drugs Ther. 2025 Apr 14;67(1726):59-60 doi:10.58347/tml.2025.1726b | Show Introduction Hide Introduction
In Brief: Label Changes for Menopausal Hormone Therapy Products
The Medical Letter on Drugs and Therapeutics • Feb 16, 2026 (Issue 1748)
hormones for primary prevention of coronary heart
disease (CHD) in postmenopausal women 50-79
years old.1 ...
The FDA has requested the removal of some boxed
warnings from the labels of vaginal and systemic
menopausal hormone therapy (MHT) products. The
warnings were initially added in 2003 based on the
results of two placebo-controlled Women's Health
Initiative (WHI) trials evaluating the use of systemic
hormones for primary prevention of coronary heart
disease (CHD) in postmenopausal women 50-79
years old.
Med Lett Drugs Ther. 2026 Feb 16;68(1748):30-1 doi:10.58347/tml.2026.1748d | Show Introduction Hide Introduction
Lazertinib (Lazcluze) for Non-Small Cell Lung Cancer (online only)
The Medical Letter on Drugs and Therapeutics • Oct 28, 2024 (Issue 1714)
and
pemetrexed for treatment of NSCLC with EGFR exon
20 insertion mutations.1
Key Points: Lazertinib (Lazcluze ...
Lazertinib (Lazcluze – Janssen Biotech), an oral
kinase inhibitor, has been approved by the FDA for use
in combination with the EGFR-MET bispecific antibody
amivantamab (Rybrevant) for first-line treatment of
locally advanced or metastatic non-small cell lung
cancer (NSCLC) in adults with epidermal growth factor
receptor (EGFR) exon 19 deletions or exon 21 L858R
substitution mutations. This is the first approval for
Lazcluze; amivantamab was previously approved for
use alone and in combination with carboplatin and
pemetrexed for treatment of NSCLC with EGFR exon
20 insertion...
Med Lett Drugs Ther. 2024 Oct 28;66(1714):e176-7 doi:10.58347/tml.2024.1714g | Show Introduction Hide Introduction
Ensartinib (Ensacove) for Non-Small Cell Lung Cancer (online only)
The Medical Letter on Drugs and Therapeutics • Feb 17, 2025 (Issue 1722)
% with crizotinib.1
ADVERSE EFFECTS — In the eXALT3 trial, the most
common adverse effects of ensartinib were rash ...
The FDA has approved ensartinib (Ensacove –
Xcovery), an oral kinase inhibitor, for treatment of
anaplastic lymphoma kinase (ALK)-positive, locally
advanced or metastatic non-small cell lung cancer
(NSCLC) in adults who have not previously received an
ALK inhibitor (e.g, crizotinib [Xalkori], certinib [Zykadia],
alectinib [Alecensa], brigatinib [Alunbrig], lorlatinib
[Lorbrena]). All previously approved ALK inhibitors are
also approved for first-line use.
Med Lett Drugs Ther. 2025 Feb 17;67(1722):e34-5 doi:10.58347/tml.2025.1722h | Show Introduction Hide Introduction
A New Indication for Axicabtagene Ciloleucel (Yescarta) (online only)
The Medical Letter on Drugs and Therapeutics • Nov 14, 2022 (Issue 1663)
follicular lymphoma
after ≥2 lines of systemic therapy.1 Yescarta is an
individualized cellular product ...
The FDA recently approved axicabtagene ciloleucel
(Yescarta – Kite), a CD19-directed genetically
modified cellular product, for treatment of large B-cell
lymphoma that is refractory to first-line chemoimmunotherapy
or that relapses within 12 months
of first-line treatment. It was previously approved for
treatment of relapsed or refractory B-cell lymphoma
after ≥2 lines of systemic therapy and for treatment
of relapsed or refractory follicular lymphoma
after ≥2 lines of systemic therapy. Yescarta is an
individualized cellular product prepared from the
patient's own T cells,...
In Brief: Lisocabtagene Maraleucel (Breyanzi) for Large B-Cell Lymphoma (online only)
The Medical Letter on Drugs and Therapeutics • Jun 26, 2023 (Issue 1679)
) and tisagenlecleucel (Kymriah)
are also FDA-approved for treatment of large B-cell
lymphoma.1
a lentiviral vector ...
The FDA has approved lisocabtagene maraleucel
(Breyanzi – BMS) for treatment of adults with large
B-cell lymphoma (LBCL), including diffuse large
B-cell lymphoma (DLBCL) not otherwise specified,
high-grade B-cell lymphoma, primary mediastinal
large B-cell lymphoma, or follicular lymphoma
grade 3B who have disease refractory to first-line
chemoimmunotherapy, relapsed within 12 months
of or after first-line chemoimmunotherapy, are not
eligible for hematopoietic stem cell transplantation
due to comorbidities or age, or have relapsed
or refractory disease after ≥2 lines of...
Med Lett Drugs Ther. 2023 Jun 26;65(1679):e104-5 doi:10.58347/tml.2023.1679f | Show Introduction Hide Introduction
