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A New Dihydroergotamine Nasal Spray (Trudhesa) for Migraine

   
The Medical Letter on Drugs and Therapeutics • Dec 27, 2021  (Issue 1640)
it is still mild to moderate in intensity improves headache response and reduces the risk of recurrence.1 ...
The FDA has approved Trudhesa (Impel Neuropharma), a new dihydroergotamine nasal spray product, for acute treatment of migraine with or without aura in adults. Another dihydroergotamine nasal spray (Migranal, and generics) has been available for many years for the same indication.
Med Lett Drugs Ther. 2021 Dec 27;63(1640):204-7 |  Show IntroductionHide Introduction

Deucravacitinib (Sotyktu) for Plaque Psoriasis

   
The Medical Letter on Drugs and Therapeutics • Feb 20, 2023  (Issue 1670)
as methotrexate, but its use is generally restricted to 1-2 years because of a risk of irreversible ...
The FDA has approved deucravacitinib (Sotyktu – BMS), an oral tyrosine kinase 2 (TYK2) inhibitor, for once-daily treatment of moderate to severe plaque psoriasis in adults who are candidates for systemic therapy or phototherapy. Deucravacitinib is the first selective TYK2 inhibitor to be approved in the US for any indication.
Med Lett Drugs Ther. 2023 Feb 20;65(1670):29-31   doi:10.58347/tml.2023.1670b |  Show IntroductionHide Introduction

Brexpiprazole (Rexulti) for Agitation in Alzheimer's Dementia

   
The Medical Letter on Drugs and Therapeutics • Jun 26, 2023  (Issue 1679)
and as an adjunct to antidepressants for treatment of major depressive disorder.1 Key Points: Brexpiprazole ...
The FDA has approved the oral second-generation antipsychotic drug brexpiprazole (Rexulti – Otsuka/Lundbeck) for once-daily treatment of agitation associated with dementia due to Alzheimer's disease (AD). Brexpiprazole is the first drug to be approved in the US for this indication. It is also approved for treatment of schizophrenia and as an adjunct to antidepressants for treatment of major depressive disorder.
Med Lett Drugs Ther. 2023 Jun 26;65(1679):99-101   doi:10.58347/tml.2023.1679b |  Show IntroductionHide Introduction

Relyvrio for ALS

   
The Medical Letter on Drugs and Therapeutics • Nov 28, 2022  (Issue 1664)
earlier.1,2 CLINICAL STUDIES ― FDA approval of Relyvrio was based on the results of a double-blind phase ...
The FDA has approved Relyvrio (Amylyx), a fixed-dose combination of sodium phenylbutyrate and taurursodiol, for treatment of amyotrophic lateral sclerosis (ALS). Sodium phenylbutyrate (Buphenyl, and others) has been available by prescription for years for treatment of urea cycle disorders. Taurursodiol (tauroursodeoxycholic acid), a derivative of ursodiol, is an over-the-counter bile acid supplement claimed to have neuroprotective benefits. Relyvrio is the third drug to be approved in the US for treatment of ALS; riluzole (Rilutek, and others) and edaravone (Radicava, Radicava...
Med Lett Drugs Ther. 2022 Nov 28;64(1664):190-1 |  Show IntroductionHide Introduction

Comparison Chart: Some Inhaled Drugs for Treatment of Asthma (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 25, 2024  (Issue 1716)
) Albuterol – generic of ProAir HFA (Teva) 90 mcg/inh HFA MDI (200 inh/unit3) 1-2 inh q4-6h PRN ≥4 yrs: 1-2 ...
View the Comparison Chart: Some Inhaled Drugs for Treatment of Asthma
Med Lett Drugs Ther. 2024 Nov 25;66(1716):e192-5   doi:10.58347/tml.2024.1716b |  Show IntroductionHide Introduction

Tislelizumab (Tevimbra) for Esophageal Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • May 13, 2024  (Issue 1702)
– BeiGene), a programmed death receptor-1 (PD-1) blocking antibody, for treatment of unresectable ...
The FDA has approved tislelizumab (Tevimbra – BeiGene), a programmed death receptor-1 (PD-1) blocking antibody, for treatment of unresectable or metastatic esophageal squamous cell cancer in adults who received prior systemic chemotherapy that did not include a programmed death ligand-1 (PD-L1) inhibitor.
Med Lett Drugs Ther. 2024 May 13;66(1702):e85-6   doi:10.58347/tml.2024.1702h |  Show IntroductionHide Introduction

In Brief: Keytruda Qlex – A Subcutaneous Formulation of Pembrolizumab (online only)

   
The Medical Letter on Drugs and Therapeutics • Nov 10, 2025  (Issue 1741)
: 800-211-2769 The programmed death receptor-1 (PD-1) blocking antibody pembrolizumab (Keytruda ...
The programmed death receptor-1 (PD-1) blocking antibody pembrolizumab (Keytruda – Merck), which has been available in an IV formulation since 2014 for treatment of various malignancies, has now been approved in a subcutaneous formulation as Keytruda Qlex. Keytruda Qlex is the first immune checkpoint inhibitor to become available in the US that can be administered subcutaneously. It has been approved for 38 of the 41 solid tumor indications that Keytruda is approved for. Keytruda's patent exclusivity expires in 2028.
Med Lett Drugs Ther. 2025 Nov 10;67(1741):e184   doi:10.58347/tml.2025.1741f |  Show IntroductionHide Introduction

COVID-19 Update: Bivalent Pfizer and Moderna COVID-19 Vaccines for Booster Immunization

   
The Medical Letter on Drugs and Therapeutics • Oct 03, 2022  (Issue 1660)
in persons ≥12 years old.1 THE NEW FORMULATIONS – The bivalent vaccine formulations contain equal amounts ...
The FDA has amended its Emergency Use Authorizations (EUAs) for the mRNA COVID-19 vaccines manufactured by Pfizer/BioNTech (Comirnaty) and Moderna (Spikevax) to permit use of bivalent formulations of the products as a single booster dose in persons ≥12 years old (Pfizer) or ≥18 years old (Moderna) whose most recent COVID-19 vaccine dose was a monovalent product given ≥2 months previously as a booster or for completion of a primary series. The bivalent formulations are not authorized for primary immunization. Monovalent Pfizer and Moderna COVID-19 vaccines are no longer...
Med Lett Drugs Ther. 2022 Oct 3;64(1660):159-60 |  Show IntroductionHide Introduction

In Brief: Empagliflozin (Jardiance) for Chronic Kidney Disease

   
The Medical Letter on Drugs and Therapeutics • Nov 13, 2023  (Issue 1689)
to improve renal outcomes (see Table 1). The SGLT2 inhibitors ertugliflozin (Steglatro) and bexagliflozin ...
The sodium-glucose cotransporter 2 (SGLT2) inhibitor empagliflozin (Jardiance – Boehringer Ingelheim/Lilly) is now FDA-approved to reduce the risk of sustained eGFR decline, end-stage kidney disease, cardiovascular death, and hospitalization in adults with chronic kidney disease (CKD) at risk of progression. It is also approved to improve glycemic control in patients ≥10 years old with type 2 diabetes, to reduce the risk of cardiovascular death and hospitalization for heart failure (HF) in adults with HF, and to reduce the risk of cardiovascular death in adults with type...
Med Lett Drugs Ther. 2023 Nov 13;65(1689):183-4   doi:10.58347/tml.2023.1689c |  Show IntroductionHide Introduction

Drugs for Menopausal Symptoms

   
The Medical Letter on Drugs and Therapeutics • Mar 04, 2024  (Issue 1697)
is the most effective treatment for GSM.1 When OTC nonhormonal products are ineffective, low-dose vaginal ...
The primary symptoms of menopause are genitourinary and vasomotor. The genitourinary syndrome of menopause (GSM) includes symptoms such as burning, irritation, dryness, dyspareunia, dysuria, and recurrent urinary tract infection. Vasomotor symptoms (VMS; hot flashes, night sweats) often disrupt sleep.
Med Lett Drugs Ther. 2024 Mar 4;66(1697):33-8   doi:10.58347/tml.2024.1697a |  Show IntroductionHide Introduction