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Drugs for Psychotic Disorders

   
The Medical Letter on Drugs and Therapeutics • Dec 19, 2016  (Issue 1510)
in Table 1 on page 161. Parenteral antipsychotic drugs used for treatment of these disorders are listed ...
Oral antipsychotic drugs used for treatment of schizophrenia, schizoaffective disorder, delusional disorder, and other manifestations of psychosis or mania are listed in Table 1. Parenteral antipsychotic drugs used for treatment of these disorders are listed in Table 2.
Med Lett Drugs Ther. 2016 Dec 19;58(1510):160-4 | Show Introduction Hide Introduction

Celecoxib Safety Revisited

   
The Medical Letter on Drugs and Therapeutics • Dec 19, 2016  (Issue 1510)
Celecoxib Safety Revisited The results of a clinical trial (PRECISION)1 comparing ...
The results of a clinical trial (PRECISION) comparing the cardiovascular safety of the COX-2 selective NSAID celecoxib (Celebrex, and generics) with that of ibuprofen and naproxen, which are nonselective, have been described in the lay press in terms that may overestimate the safety of celecoxib.
Med Lett Drugs Ther. 2016 Dec 19;58(1510):159 | Show Introduction Hide Introduction

In Brief: PPIs and Torsades de Pointes

   
The Medical Letter on Drugs and Therapeutics • Dec 05, 2016  (Issue 1509)
.1 PPIs do not directly cause prolongation of the QT interval, but they have been associated ...
Therapeutics (AZCERT) has recently added the proton pump inhibitors (PPIs) omeprazole (Prilosec, and others), esomeprazole (Nexium, and others), lansoprazole (Prevacid, and others), and pantoprazole (Protonix, and generics) to its lists of Drugs with Conditional Risk of Torsades de Pointes (TdP) and Drugs to Avoid in Patients with Congenital Long QT Syndrome.1PPIs do not directly cause prolongation of the QT interval, but they can cause hypomagnesemia, which is often accompanied by hypocalcemia and hypokalemia and can result in cardiac repolarization disturbances such as QT interval...
Med Lett Drugs Ther. 2016 Dec 5;58(1509):153 | Show Introduction Hide Introduction

In Brief: Phentermine (Lomaira) for Weight Loss

   
The Medical Letter on Drugs and Therapeutics • Dec 05, 2016  (Issue 1509)
with topiramate for years.1 Table 1. Phentermine Products Usual Drug Formulations Dosage Cost1 Phentermine2 ...
The FDA has approved Lomaira (KVK Tech), an 8-mg tablet formulation of phentermine that can be taken up to three times daily before meals, as an adjunct to lifestyle modifications for weight loss. It is only approved for short-term use (a few weeks) in adults with a body mass index (BMI) ≥30 kg/m2, or with a BMI ≥27 kg/m2 in addition to a weight-related comorbidity such as hypertension, dyslipidemia, or diabetes. Phentermine has been available alone and in combination with topiramate for years.1Lomaira was approved by the FDA under an abbreviated new drug application (ANDA) and is...
Med Lett Drugs Ther. 2016 Dec 5;58(1509):158 | Show Introduction Hide Introduction

Sublingual Nitroglycerin Powder (GoNitro)

   
The Medical Letter on Drugs and Therapeutics • Dec 05, 2016  (Issue 1509)
of nitroglycerin (NitroMist, Nitrolingual Pumpspray, and generics) are also available.1 CLINICAL STUDIES ...
The FDA has approved a sublingual powder formulation of nitroglycerin (GoNitro – Espero) for prevention or acute relief of an attack of angina pectoris. It is the first powder formulation of nitroglycerin to become available in the US. Most patients with angina use sublingual nitroglycerin tablets (Nitrostat, and generics). Translingual spray formulations of nitroglycerin (NitroMist, Nitrolingual Pumpspray, and generics) are also available.
Med Lett Drugs Ther. 2016 Dec 5;58(1509):156-7 | Show Introduction Hide Introduction

Ciprofloxacin/Fluocinolone (Otovel) for Otitis Media with Tympanostomy Tubes

   
The Medical Letter on Drugs and Therapeutics • Dec 05, 2016  (Issue 1509)
0.1% (Ciprodex) has been available for many years. In December 2015, a suspension of ciprofloxacin 6 ...
The FDA has approved Otovel (Arbor), a combination of the fluoroquinolone antibiotic ciprofloxacin 0.3% and the corticosteroid fluocinolone acetonide 0.025%, for otic treatment of acute otitis media with tympanostomy tubes (AOMT) in children ≥6 months old. It is the second fluoroquinolone/corticosteroid combination to be approved for this indication; ciprofloxacin 0.3%/dexamethasone 0.1% (Ciprodex) has been available for many years. In December 2015, a suspension of ciprofloxacin 6% (Otiprio) was approved for otic treatment of bilateral otitis media with effusion in children...
Med Lett Drugs Ther. 2016 Dec 5;58(1509):153-5 | Show Introduction Hide Introduction

Ameluz for Actinic Keratoses

   
The Medical Letter on Drugs and Therapeutics • Dec 05, 2016  (Issue 1509)
2002.1 Pronunciation Key Aminolevulinic acid: a mee" noe lev" ue lin' ik as' id Ameluz: am' e looz ...
The FDA has approved a 10% nanoemulsion gel formulation of the porphyrin-based photosensitizer aminolevulinic acid hydrochloride (ALA; Ameluz – Biofrontera) for use in combination with a narrowband red light photodynamic therapy (PDT) lamp (BF-RhodoLED) for treatment of actinic keratoses (AKs) of mild to moderate severity on the face and scalp. A 20% ALA solution (Levulan Kerastick) approved for use in combination with blue light PDT (BLU-U) has been available in the US since 2002.
Med Lett Drugs Ther. 2016 Dec 5;58(1509):155-6 | Show Introduction Hide Introduction

Addendum: Statins for Primary Prevention of Cardiovascular Disease

   
The Medical Letter on Drugs and Therapeutics • Dec 05, 2016  (Issue 1509)
:133) In our recent article on Lipid-Lowering Drugs,1 we said that statins can reduce the risk ...
In our recent article on Lipid-Lowering Drugs,1 we said that statins can reduce the risk of first cardiovascular events and death (primary prevention) in patients at high risk for atherosclerotic cardiovascular disease (CVD) and significantly reduce the incidence of cardiovascular events in patients at lower risk for CVD. Now the United States Preventive Services Task Force (USPSTF) has issued new recommendations on the appropriate use of statins for primary prevention of CVD.2The USPSTF states that clinicians should periodically screen all persons 40-75 years old for cardiovascular risk...
Med Lett Drugs Ther. 2016 Dec 5;58(1509):158 | Show Introduction Hide Introduction

Drugs for Head Lice

   
The Medical Letter on Drugs and Therapeutics • Nov 21, 2016  (Issue 1508)
, but especially in elementary school children. In most cases, transmission occurs by head-to-head contact.1 ...
Head lice infestation occurs in all age groups, but especially in elementary school children. In most cases, transmission occurs by head-to-head contact.
Med Lett Drugs Ther. 2016 Nov 21;58(1508):150-2 | Show Introduction Hide Introduction

Minimed 670G: A Hybrid Closed-Loop Insulin Delivery System

   
The Medical Letter on Drugs and Therapeutics • Nov 21, 2016  (Issue 1508)
≥14 years old with type 1 diabetes. The system uses an algorithm to automatically adjust basal ...
The FDA has approved the Minimed 670G (Medtronic), a hybrid closed-loop insulin delivery system for use in patients ≥14 years old with type 1 diabetes. The system uses an algorithm to automatically adjust basal insulin doses based on readings from a continuous glucose monitor (CGM). It fully automates basal insulin delivery in "auto" mode, but is considered a "hybrid" system (not a true "artificial pancreas") because it requires some action by the patient. The 670G system is expected to become available in Spring 2017.
Med Lett Drugs Ther. 2016 Nov 21;58(1508):147-8 | Show Introduction Hide Introduction