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Prucalopride (Motegrity) for Chronic Idiopathic Constipation

   
The Medical Letter on Drugs and Therapeutics • Jun 03, 2019  (Issue 1573)
of anal blockage or incomplete evacuation, and a need for manual maneuvers to aid defecation.1 ...
The FDA has approved the 5-HT4 receptor agonist prucalopride (Motegrity – Shire) for treatment of chronic idiopathic constipation (CIC) in adults. Prucalopride is the only drug currently approved in the US for treatment of CIC that stimulates colonic peristalsis. It has been available in Europe and Canada for several years.
Med Lett Drugs Ther. 2019 Jun 3;61(1573):86-8 | Show Introduction Hide Introduction

Risankizumab (Skyrizi) for Psoriasis

   
The Medical Letter on Drugs and Therapeutics • Jun 03, 2019  (Issue 1573)
. The first year of treatment costs $88,500. Its long-term safety is unknown. Table 1. Pharmacology Class ...
The FDA has approved the interleukin (IL)-23 antagonist risankizumab-rzaa (Skyrizi – Abbvie) for treatment of moderate to severe plaque psoriasis in adults. Risankizumab is the third IL-23 antagonist to be approved for this indication; guselkumab (Tremfya) and tildrakizumab (Ilumya) were approved earlier.
Med Lett Drugs Ther. 2019 Jun 3;61(1573):81-3 | Show Introduction Hide Introduction

Expanded Table: Some Drugs for Chronic Idiopathic Constipation (online only)

   
The Medical Letter on Drugs and Therapeutics • Jun 03, 2019  (Issue 1573)
, mean spontaneous bowel movement frequency in week 1 was 5.7-5.9 with the drug and 3.5-4.0 ...
View the Expanded Table: Some Drugs for Chronic Idiopathic Constipation
Med Lett Drugs Ther. 2019 Jun 3;61(1573):e88-90 | Show Introduction Hide Introduction

PrabotulinumtoxinA (Jeuveau) for Frown Lines

   
The Medical Letter on Drugs and Therapeutics • May 20, 2019  (Issue 1572)
to be approved in the US for this indication (see Table 1). It has been available in South Korea as Nabota ...
The FDA has approved prabotulinumtoxinA-xvfs (Jeuveau – Evolus) for temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity. Jeuveau is the fourth botulinum toxin product to be approved in the US for this indication (see Table 1). It has been available in South Korea as Nabota since 2014.
Med Lett Drugs Ther. 2019 May 20;61(1572):79-80 | Show Introduction Hide Introduction

Omadacycline (Nuzyra) - A New Tetracycline Antibiotic

   
The Medical Letter on Drugs and Therapeutics • May 20, 2019  (Issue 1572)
to tetracyclines. Pronunciation Key Omadacycline: oh mad" a sye' kleen Nuzyra: new zye' rah Table 1 ...
The FDA has approved omadacycline (Nuzyra – Paratek), a semisynthetic tetracycline derivative, for once-daily IV and oral treatment of community-acquired bacterial pneumonia (CAP) and acute bacterial skin and skin structure infections (ABSSSIs) in adults.
Med Lett Drugs Ther. 2019 May 20;61(1572):74-7 | Show Introduction Hide Introduction

Inhaled Levodopa (Inbrija) for Parkinson's Disease

   
The Medical Letter on Drugs and Therapeutics • May 20, 2019  (Issue 1572)
-B) inhibitor.1 Levodopa is absorbed in the proximal small intestine. In patients with advanced PD ...
The FDA has approved Inbrija (Acorda), an orally inhaled dry-powder formulation of levodopa, for intermittent treatment of "off" episodes in patients with Parkinson's disease (PD) being treated with carbidopa/levodopa (Sinemet, and others).
Med Lett Drugs Ther. 2019 May 20;61(1572):73-4 | Show Introduction Hide Introduction

Emicizumab (Hemlibra) for Subcutaneous Prophylaxis in Hemophilia A

   
The Medical Letter on Drugs and Therapeutics • May 20, 2019  (Issue 1572)
-linked recessive deficiency of coagulation factor VIII that occurs in about 1 in 5000 male births ...
The FDA has approved emicizumab-kxwh (Hemlibra – Genentech), a subcutaneously injected, factor IXa- and X-directed antibody, for routine prophylaxis to prevent or reduce bleeding episodes in patients with hemophilia A. Emicizumab is not recommended for treatment of bleeding.
Med Lett Drugs Ther. 2019 May 20;61(1572):77-9 | Show Introduction Hide Introduction

Insulins for Type 2 Diabetes

   
The Medical Letter on Drugs and Therapeutics • May 06, 2019  (Issue 1571)
patients, the target A1C is ...
The goal of drug therapy for type 2 diabetes is to achieve and maintain a near-normal glycated hemoglobin (A1C) concentration without inducing hypoglycemia; for most patients, the target A1C is <7%. Metformin is the preferred first-line treatment, but most patients with type 2 diabetes eventually require multidrug therapy and/or insulin to achieve glycemic control.
Med Lett Drugs Ther. 2019 May 6;61(1571):65-8 | Show Introduction Hide Introduction

Brexanolone (Zulresso) for Postpartum Depression

   
The Medical Letter on Drugs and Therapeutics • May 06, 2019  (Issue 1571)
for treatment of refractory PPD.1 PHARMACOLOGY — Brexanolone positively modulates neuronal activation ...
The FDA has approved the GABAA receptor modulator brexanolone (Zulresso – Sage Therapeutics) for IV treatment of postpartum depression (PPD). Brexanolone is the first drug to be approved by the FDA for this indication.
Med Lett Drugs Ther. 2019 May 6;61(1571):68-70 | Show Introduction Hide Introduction

Siponimod (Mayzent) - A New Drug for Multiple Sclerosis

   
The Medical Letter on Drugs and Therapeutics • May 06, 2019  (Issue 1571)
– Novartis), a sphingosine 1-phosphate (S1P) receptor modulator, for oral treatment of adults with relapsing ...
The FDA has approved siponimod (Mayzent – Novartis), a sphingosine 1-phosphate (S1P) receptor modulator, for oral treatment of adults with relapsing forms of multiple sclerosis (MS), including clinically isolated syndrome (initial neurological episode), relapsing-remitting disease, and active secondary progressive MS (SPMS). Siponimod is the second S1P receptor modulator to be approved in the US; fingolimod (Gilenya), which is approved for oral treatment of relapsing forms of MS in patients ≥10 years old, was the first. The purine antimetabolite cladribine (Mavenclad) was also...
Med Lett Drugs Ther. 2019 May 6;61(1571):70-2 | Show Introduction Hide Introduction