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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

Opicapone (Ongentys) - A COMT Inhibitor for Parkinson's Disease

   
The Medical Letter on Drugs and Therapeutics • Jan 11, 2021  (Issue 1615)
clinical trials, opicapone significantly reduced “off” time by about 1 hour, compared to placebo. In one ...
The FDA has approved opicapone (Ongentys – Neurocrine), a peripherally-acting reversible catechol-O-methyltransferase (COMT) inhibitor, for oral use as an adjunct to carbidopa/levodopa in adults with Parkinson’s disease (PD) who experience "off" episodes. It is the third COMT inhibitor to be approved for this indication; tolcapone (Tasmar, and generics) and entacapone (Comtan, and generics) were approved earlier. Opicapone has been available in Europe since 2016.
Med Lett Drugs Ther. 2021 Jan 11;63(1615):3-5 |  Show IntroductionHide Introduction

An EUA for Baricitinib (Olumiant) for COVID-19

   
The Medical Letter on Drugs and Therapeutics • Dec 28, 2020  (Issue 1614)
in combination with the IV antiviral drug remdesivir (Veklury).1 Baricitinib has been available for treatment ...
The oral Janus kinase (JAK) inhibitor baricitinib (Olumiant – Lilly) has been granted an FDA Emergency Use Authorization (EUA) for treatment of confirmed or suspected COVID-19 in hospitalized patients ≥2 years old who require supplemental oxygen, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO); the EUA requires that baricitinib be used in combination with the IV antiviral drug remdesivir (Veklury). Baricitinib has been available for treatment of rheumatoid arthritis since 2018. Remdesivir was recently approved by the FDA for treatment of COVID-19 in...
Med Lett Drugs Ther. 2020 Dec 28;62(1614):202-3 |  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

Lemborexant (Dayvigo) for Insomnia

   
The Medical Letter on Drugs and Therapeutics • Jun 29, 2020  (Issue 1601)
) was the first.1 Table 1. Pharmacology Class Orexin receptor antagonist Formulation 5, 10 mg tablets Route ...
The FDA has approved lemborexant (Dayvigo – Eisai), an orexin receptor antagonist, for treatment of sleep-onset and/or sleep-maintenance insomnia in adults. It is the second orexin receptor antagonist to be approved for this indication; suvorexant (Belsomra) was the first.
Med Lett Drugs Ther. 2020 Jun 29;62(1601):97-100 |  Show IntroductionHide Introduction