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Three New Drugs for Multiple Myeloma (online only)

   
The Medical Letter on Drugs and Therapeutics • May 23, 2016  (Issue 1495)
approval for use in patients with relapsed or refractory multiple myeloma (1-3 prior therapies), targets ...
The FDA recently approved ixazomib (Ninlaro – Takeda), daratumumab (Darzalex – Janssen Biotech), and elotuzumab (Empliciti – BMS) for treatment of relapsed and/or refractory multiple myeloma.
Med Lett Drugs Ther. 2016 May 23;58(1495):e70-1 | Show Introduction Hide Introduction

QuilliChew ER - Extended-Release Chewable Methylphenidate Tablets

   
The Medical Letter on Drugs and Therapeutics • May 23, 2016  (Issue 1495)
chewable methylphenidate tablets (Methylin, and generics) have been available since 2003.1 ...
The FDA has approved a once-daily, extended-release chewable tablet formulation of methylphenidate (QuilliChew ER – Pfizer) for treatment of attention-deficit/hyperactivity disorder (ADHD). It is the first long-acting chewable formulation of the drug to be marketed in the US. Immediate-release chewable methylphenidate tablets (Methylin, and generics) have been available since 2003.
Med Lett Drugs Ther. 2016 May 23;58(1495):68-9 | Show Introduction Hide Introduction

Ciprofloxacin (Otiprio) for Tympanostomy Tube Insertion

   
The Medical Letter on Drugs and Therapeutics • May 23, 2016  (Issue 1495)
to 12 years old is tympanostomy tube insertion (TTI).1 About 667,000 TTIs are performed annually ...
The FDA has approved ciprofloxacin 6% otic suspension (Otiprio – Otonomy) for single-dose prophylaxis in children with bilateral otitis media with effusion who are undergoing tympanostomy tube placement. It is the first drug to be approved for this indication in the US. Otic formulations of the fluoroquinolone antibiotics ofloxacin (Floxin Otic, and generics) and ciprofloxacin (plus dexamethasone; Ciprodex) have been available for years for treatment of acute otitis media in children with tympanostomy tubes; an otic suspension containing ciprofloxacin and fluocinolone...
Med Lett Drugs Ther. 2016 May 23;58(1495):69-70 | Show Introduction Hide Introduction

Ixekizumab (Taltz) - A Second IL-17A Inhibitor for Psoriasis

   
The Medical Letter on Drugs and Therapeutics • May 09, 2016  (Issue 1494)
antagonist to be approved for this indication in the US; secukinumab (Cosentyx – Novartis) was the first.1 ...
The FDA has approved ixekizumab (Taltz – Lilly), an injectable humanized interleukin (IL)-17A antagonist, for treatment of adults with moderate to severe plaque psoriasis who are candidates for systemic therapy or phototherapy. Ixekizumab is the second IL-17A antagonist to be approved for this indication in the US; secukinumab (Cosentyx – Novartis) was the first.
Med Lett Drugs Ther. 2016 May 9;58(1494):59-60 | Show Introduction Hide Introduction

BioThrax and Anthrasil for Anthrax

   
The Medical Letter on Drugs and Therapeutics • May 09, 2016  (Issue 1494)
such as ciprofloxacin or doxycycline.1,2 Raxibacumab, an intravenous human monoclonal antibody available only ...
The FDA has approved anthrax vaccine adsorbed (AVA; BioThrax – Emergent BioSolutions) for prevention of anthrax disease in adults following exposure to Bacillus anthracis and intravenous anthrax immune globulin (Anthrasil – Emergent BioSolutions) for treatment of inhalation anthrax in adults and children. AVA has been available since 1970 for prevention of anthrax disease in persons at high risk of exposure.
Med Lett Drugs Ther. 2016 May 9;58(1494):62 | Show Introduction Hide Introduction

Odefsey - Another NNRTI Combination for HIV

   
The Medical Letter on Drugs and Therapeutics • May 09, 2016  (Issue 1494)
transcriptase inhibitors (NRTIs) emtricitabine and tenofovir alafenamide, for initial treatment of HIV-1 ...
The FDA has approved Odefsey (Gilead), a once-daily, fixed-dose combination of the non-nucleoside reverse transcriptase inhibitor (NNRTI) rilpivirine and the nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) emtricitabine and tenofovir alafenamide, for initial treatment of HIV-1 infection in patients with HIV-1 RNA (viral load) ≤100,000 copies/mL or to replace a stable antiretroviral regimen in patients who have been virologically suppressed (viral load <50 copies/mL) for at least six months with no history of treatment failure.
Med Lett Drugs Ther. 2016 May 9;58(1494):60-1 | Show Introduction Hide Introduction

In Brief: Two Drugs for Soft-Tissue Sarcoma (online only)

   
The Medical Letter on Drugs and Therapeutics • May 09, 2016  (Issue 1494)
(Halaven – Eisai), which was approved earlier for treatment of metastatic breast cancer,1 for treatment ...
The anthracycline doxorubicin with or without the alkylating agent ifosfamide is the standard first-line treatment for advanced soft-tissue sarcomas. The FDA recently approved the minor groove DNA intercalator trabectedin (Yondelis – Janssen) for treatment of unresectable or metastatic liposarcoma or leiomyosarcoma in patients previously treated with an anthracycline. Trabectedin has been available for years in Europe for treatment of advanced soft-tissue sarcoma. The FDA has also approved the microtubule inhibitor eribulin mesylate (Halaven – Eisai), which was approved earlier for...
Med Lett Drugs Ther. 2016 May 9;58(1494):e62 | Show Introduction Hide Introduction

Cariprazine (Vraylar) for Schizophrenia and Bipolar I Disorder

   
The Medical Letter on Drugs and Therapeutics • Apr 25, 2016  (Issue 1493)
Table 1. Pharmacology Class Second-generation antipsychotic Mechanism Dopamine (D2) and serotonin (5 ...
The FDA has approved cariprazine (Vraylar – Actavis), an oral, once-daily, second-generation antipsychotic, for treatment of schizophrenia and for acute treatment of manic or mixed episodes associated with bipolar I disorder.
Med Lett Drugs Ther. 2016 Apr 25;58(1493):51-3 | Show Introduction Hide Introduction

Mifepristone (Mifeprex) Label Changes

   
The Medical Letter on Drugs and Therapeutics • Apr 25, 2016  (Issue 1493)
of intrauterine pregnancy.1 It has generally been used with the prostaglandin analog misoprostol (Cytotec ...
The FDA has approved several significant changes in the labeling of mifepristone (Mifeprex – Danco), an oral antiprogestin that has been used in the US for more than 15 years for termination of intrauterine pregnancy. It has generally been used with the prostaglandin analog misoprostol (Cytotec, and generics).
Med Lett Drugs Ther. 2016 Apr 25;58(1493):55-6 | Show Introduction Hide Introduction

Maestro Rechargeable System for Weight Loss

   
The Medical Letter on Drugs and Therapeutics • Apr 25, 2016  (Issue 1493)
procedures such as adjustable gastric banding or sleeve gastrectomy.1 Gastric balloon devices are inserted ...
The FDA has approved the Maestro Rechargeable System (EnteroMedics), a subcutaneously implanted device, for use in adults who have not been able to lose weight with a weight loss program within the past 5 years and who have a body mass index (BMI) of 40 to 45, or a BMI ≥35 and at least one obesity-related comorbidity.
Med Lett Drugs Ther. 2016 Apr 25;58(1493):54-5 | Show Introduction Hide Introduction