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Baricitinib (Olumiant) for Rheumatoid Arthritis

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
nib Olumiant: oh loo’ mee ant Table 1. Pharmacology Class Janus kinase (JAK) inhibitor Formulation ...
The FDA has approved the Janus kinase (JAK) inhibitor baricitinib (Olumiant – Lilly) for oral treatment of adults with moderately to severely active rheumatoid arthritis (RA) that has not responded adequately to one or more tumor necrosis factor (TNF) inhibitors. Baricitinib is the second JAK inhibitor to be approved for treatment of RA; tofacitinib (Xeljanz, Xeljanz XR) was the first.
Med Lett Drugs Ther. 2018 Jul 16;60(1551):120-1 | Show Introduction Hide Introduction

Lofexidine (Lucemyra) for Opioid Withdrawal

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
.1 It is comparable in efficacy to the full opioid agonist methadone, but it is safer and does ...
The FDA has approved lofexidine (Lucemyra – US WorldMeds/Salix), a centrally acting alpha2 receptor agonist, to manage withdrawal symptoms in adults abruptly stopping opioid use. Available in the UK since 1992, lofexidine is the first nonopioid to be approved in the US for management of opioid withdrawal symptoms. Clonidine (Catapres, and generics), another central alpha2 receptor agonist, has been used off-label for this indication for many years.
Med Lett Drugs Ther. 2018 Jul 16;60(1551):115-7 | Show Introduction Hide Introduction

Two New Drugs for Glaucoma

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
effective and may be better tolerated. The 0.1% formulation of the drug is better tolerated than higher ...
The FDA has approved two new ophthalmic drugs for reduction of intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension: latanoprostene bunod (Vyzulta – Bausch and Lomb), a modified prostaglandin analog, and netarsudil (VRhopressa – Aerie), the first Rho kinase inhibitor to be approved in the US.
Med Lett Drugs Ther. 2018 Jul 16;60(1551):117-20 | Show Introduction Hide Introduction

Firvanq - Vancomycin Oral Solution

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
1. SN Bass et al. Comparison of oral vancomycin capsule and solution for treatment of initial ...
The FDA has approved vancomycin oral solution (Firvanq – Cutis Pharma) for treatment of Clostridium difficile-associated diarrhea and enterocolitis caused by Staphylococcus aureus, including methicillin-resistant strains (MRSA).
Med Lett Drugs Ther. 2018 Jul 16;60(1551):122 | Show Introduction Hide Introduction

Correction: Abuse-Deterrent Opioids

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
-deterrent opioids, the information on Targiniq ER in Table 1 is incorrect. The drug, which is not available ...
In our article on abuse-deterrent opioids (Med Lett Drugs Ther 2017; 59:95), the information on Targiniq ER in Table 1 is incorrect. The drug, which is not available in the US, is a combination of oxycodone ER and naloxone, not naltrexone, and naloxone is dispersed throughout the tablet, not sequestered. Targiniq ER will be deleted from the table in the article as it appears on our website.
Med Lett Drugs Ther. 2018 Jul 16;60(1551):122 | Show Introduction Hide Introduction

Axicabtagene Ciloleucel (Yescarta) for B-Cell Lymphoma (online only)

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
-cell precursor acute lymphoblastic leukemia (ALL) in patients ≤25 years old,1 was recently also ...
The FDA has approved axicabtagene ciloleucel (Yescarta – Kite) for treatment of adults with relapsed or refractory CD19+ large B-cell lymphoma after ≥2 lines of systemic therapy. Yescarta is an individualized cellular product prepared from the patient's own T cells, which are genetically modified to express chimeric antigen receptors (CAR) and then infused back into the patient. It is the second CAR T-cell immunotherapy to become available in the US. Tisagenlecleucel (Kymriah), a CAR T-cell product previously approved for treatment of relapsed or refractory B-cell...
Med Lett Drugs Ther. 2018 Jul 16;60(1551):e122-3 | Show Introduction Hide Introduction

Apalutamide (Erleada) for Prostate Cancer (online only)

   
The Medical Letter on Drugs and Therapeutics • Jul 16, 2018  (Issue 1551)
with apalutamide and was 39 months with placebo.1 Enzalutamide (Xtandi), an androgen receptor inhibitor ...
Apalutamide (Erleada – Janssen) has received accelerated approval from the FDA for treatment of nonmetastatic castration-resistant prostate cancer. It is the first drug to be approved in the US for this indication. Apalutamide is an oral antiandrogen that binds to the ligand-binding domain of the androgen receptor.
Med Lett Drugs Ther. 2018 Jul 16;60(1551):e124-5 | Show Introduction Hide Introduction

Erenumab (Aimovig) for Migraine Prevention

   
The Medical Letter on Drugs and Therapeutics • Jun 18, 2018  (Issue 1549)
preventive treatment.1,2 Beta blockers and antiepileptic drugs are commonly used for prevention of migraine ...
The FDA has approved erenumab-aooe (Aimovig – Amgen/Novartis), a once-monthly, subcutaneously-injected, monoclonal antibody against the calcitonin gene-related peptide receptor, for preventive treatment of migraine in adults. It is the first drug in its class to be approved by the FDA.
Med Lett Drugs Ther. 2018 Jun 18;60(1549):101-3 | Show Introduction Hide Introduction

Andexxa - An Antidote for Apixaban and Rivaroxaban

   
The Medical Letter on Drugs and Therapeutics • Jun 18, 2018  (Issue 1549)
for reversal of the anticoagulant effect of the direct thrombin inhibitor dabigatran etexilate (Pradaxa).1 ...
Coagulation factor Xa (recombinant), inactivated-zhzo (andexanet alfa; Andexxa – Portola) has received accelerated approval from the FDA for urgent reversal of the anticoagulant effect of the direct factor Xa inhibitors apixaban (Eliquis) and rivaroxaban (Xarelto). Andexanet alfa is the second antidote for a direct oral anticoagulant to become available in the US, and the fi rst for factor Xa inhibitors. Idarucizumab (Praxbind) was approved in 2015 for reversal of the anticoagulant effect of the direct thrombin inhibitor dabigatran etexilate (Pradaxa). Andexanet alfa has not...
Med Lett Drugs Ther. 2018 Jun 18;60(1549):99-101 | Show Introduction Hide Introduction

Meropenem/Vaborbactam (Vabomere) for Complicated Urinary Tract Infection

   
The Medical Letter on Drugs and Therapeutics • Jun 18, 2018  (Issue 1549)
Vabomere: vay' boh mere Vaborbactam: vab" or bak' tam Table 1. Pharmacology Class Carbapenem/beta ...
The FDA has approved a fixed-dose combination of meropenem, a carbapenem antibiotic, and vaborbactam, a new beta-lactamase inhibitor (Vabomere – Melinta), for IV treatment of adults with complicated urinary tract infections (UTIs) that are proven or strongly suspected to be caused by Escherichia coli, Klebsiella pneumoniae, or Enterobacter cloacae spp. complex. Meropenem (Merrem, and generics) has been approved for years for treatment of complicated skin and skin structure infections, intra-abdominal infections, and bacterial meningitis. Resistance to meropenem and other...
Med Lett Drugs Ther. 2018 Jun 18;60(1549):103-5 | Show Introduction Hide Introduction