Azstarys (Serdexmethylphenidate/Dexmethylphenidate) for ADHD
Date: October 4, 2021 Issue #:  1634Summary:  The FDA has approved a long-acting fixed-dose combination of the stimulant dexmethylphenidate and the prodrug serdexmethylphenidate (Azstarys– Corium) for once-daily treatment of attention-deficit/hyperactivity disorder (ADHD) in patients ≥6 years old.Azstarys is the first product containing serdexmethylphenidate to become available in the US. (Source: The Medical Letter)
Source: The Medical Letter - September 7, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Influenza Vaccine for 2021-2022
Date: October 4, 2021 Issue #:  1634Summary:  Annual vaccination against influenza A and B viruses is recommended for everyone ≥6 months old without a contraindication.1 Available influenza vaccines for the 2021-2022 season are listed in Table 2. (Source: The Medical Letter)
Source: The Medical Letter - August 24, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

In Brief: Third Dose of mRNA-based COVID-19 Vaccines for Immunocompromised Persons
Date: September 20, 2021 Issue #:  1633Summary:  The FDA has expanded the Emergency Use Authorizations (EUAs) for the mRNA-based COVID-19 vaccines manufactured by Pfizer/BioNTech(Comirnaty) and Moderna(Spikevax) to include administration of a third dose in persons ≥12 years old (Pfizer/BioNTech) or ≥18 years old (Moderna) who have undergone solid organ transplantation or have a condition that compromises the immune system to a similar extent (see Table 1). (Source: The Medical Letter)
Source: The Medical Letter - August 18, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Anifrolumab (Saphnelo) for Systemic Lupus Erythematosus
Date: September 20, 2021 Issue #:  1633Summary:  The FDA has approved anifrolumab-fnia (Saphnelo– AstraZeneca), a type I interferon receptor antagonist, for IV treatment of adults with moderate to severe systemic lupus erythematosus (SLE) who are receiving standard treatment. Anifrolumab has not been studied in patients with severe active lupus nephritis or severe active CNS lupus. It is the first type I interferon receptor antagonist to become available in the US. (Source: The Medical Letter)
Source: The Medical Letter - August 10, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Ibrexafungerp (Brexafemme) for Vulvovaginal Candidiasis
Date: September 6, 2021 Issue #:  1632Summary:  The FDA has approved ibrexafungerp (Brexafemme– Scynexis), a first-in-class triterpenoid antifungal ( " fungerp " ), for oral treatment of vulvovaginal candidiasis in postmenarchal females. (Source: The Medical Letter)
Source: The Medical Letter - August 10, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Brexafemme Butoconazole Canesten Clotrimazole Diflucan Fluconazole Gynazole Gyne-Lotrimin ibrexafungerp Monistat terconazole Tioconazole Vagistat Vulvovaginal candidiasis Source Type: research

In Brief: Oritavancin (Kimyrsa) for Skin and Skin Structure Infections (online only)
Date: August 23, 2021 Issue #:  1631Summary:  The FDA has approvedKimyrsa (Melinta), a new IV formulation of the long-acting lipoglycopeptide antibiotic oritavancin, for treatment of adults with acute bacterial skin and skin structure infections caused by susceptible gram-positive bacteria.Orbactiv (Melinta), another IV formulation of oritavancin, was approved in 2014 for the same indication.Kimyrsa has a smaller infusion volume (250 mL vs 1 L) and a shorter infusion time (1 hour vs 3 hours) compared toOrbactiv (see Table 1). (Source: The Medical Letter)
Source: The Medical Letter - August 9, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Antibacterials dalbavancin Kimyrsa methicillin-resistant staphylococcus aureus Orbactiv oritavancin skin and skin structure infections televancin Vancomycin Source Type: research

Finerenone (Kerendia) for Chronic Kidney Disease
Date: August 23, 2021 Issue #:  1631Summary:  Finerenone (Kerendia– Bayer), an oral nonsteroidal mineralocorticoid receptor antagonist (MRA), has been approved by the FDA to reduce the risk of sustained eGFR decline, end-stage renal disease, nonfatal MI, hospitalization for heart failure (HF), and cardiovascular death in adults with chronic kidney disease (CKD) associated with type 2 diabetes. It is the first nonsteroidal MRA to be approved in the US. (Source: The Medical Letter)
Source: The Medical Letter - August 6, 2021 Category: Drugs & Pharmacology Authors: admin Tags: ACE inhibitors ARBs chronic kidney disease finerenone Hypertension Kerendia type 2 diabetes Source Type: research

Casirivimab and Imdevimab (REGEN-COV) for Post-Exposure Prophylaxis of COVID-19
Date: August 23, 2021 Issue #:  1631Summary:  The investigational monoclonal antibodies casirivimab and imdevimab (REGEN-COV– Regeneron) have been available in the US under an Emergency Use Authorization (EUA) since late 2020 for use together to treat mild to moderate COVID-19 in persons ≥12 years old who weigh ≥40 kg and are at high risk of progression to severe disease or hospitalization. The FDA has now expanded this EUA to allow use of the antibodies together for post-exposure prophylaxis of COVID-19 in such persons, if they are not fully vaccinated against COVID-19 or ar...
Source: The Medical Letter - August 6, 2021 Category: Drugs & Pharmacology Authors: admin Tags: casirivimab COVID-19 imdevimab REGEN-COV vaccines Source Type: research

In Brief: Shingrix for Immunocompromised Adults
Date: August 23, 2021 Issue #:  1631Summary:  The FDA has licensed the adjuvanted, recombinant varicella zoster virus (VZV) vaccineShingrix (GSK) for prevention of herpes zoster (shingles) in adults of any age who are or will be at elevated risk because of disease- or therapy-induced immunodeficiency or immunosuppression.Shingrix has been licensed for herpes zoster prevention in adults ≥50 years old since 2017.1 It is the only VZV vaccine currently available in the US;Zostavax, a live-attenuated VZV vaccine, was withdrawn from the market in 2020. (Source: The Medical Letter)
Source: The Medical Letter - August 3, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Shingles Shingrix vaccines varicella zoster virus Source Type: research

Rilonacept (Arcalyst) for Recurrent Pericarditis
Date: September 6, 2021 Issue #:  1632Summary:  Rilonacept (Arcalyst– Kiniksa), an interleukin-1 (IL-1) antagonist that has been available for years for treatment of cryopyrin-associated periodic syndromes, has now been approved by the FDA for treatment of recurrent pericarditis and prevention of further recurrences in patients ≥12 years old. It is the first dru g to be approved in the US for this indication. Anakinra(Kineret), an IL-1 receptor antagonist FDA-approved for treatment of rheumatoid arthritis, has been used off-label for years for treatment of recurrent pericarditi...
Source: The Medical Letter - July 28, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Anakinra Arcalyst Colchicine Kineret NSAIDs pericarditis Prednisone rilonacept Source Type: research

Ozanimod (Zeposia) for Ulcerative Colitis
Date: September 20, 2021 Issue #:  1633Summary:  The oral sphingosine 1-phosphate (S1P) receptor modulator ozanimod (Zeposia– Bristol Myers Squibb) has been approved by the FDA for treatment of adults with moderately to severely active ulcerative colitis. It is the first S1P receptor modulator to be approved for treatment of ulcerative colitis. Ozanimod was approved in March 2020 for use in adults with relapsing forms of multiple sclerosis. (Source: The Medical Letter)
Source: The Medical Letter - July 27, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Treatment of Clostridioides difficile Infection
Date: September 6, 2021 Issue #:  1632Summary: Clostridioides (formerlyClostridium)difficile infection (CDI) is the most common infectious cause of healthcare-associated diarrhea in adults. Guidelines on management of CDI have recently been updated. (Source: The Medical Letter)
Source: The Medical Letter - July 27, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Antibacterials bezlotoxumab Clindamycin Clostridiodes difficile Clostridium difficile Dificid fidaxomicin Firvanq Flagyl Fluoroquinolones Metro IV metronidazole Rifaximin Vancocin Vancomycin Xifaxan Zaxine Zinplava Source Type: research

Voclosporin (Lupkynis) for Lupus Nephritis
Date: August 23, 2021 Issue #:  1631Summary:  Voclosporin (Lupkynis– Aurinia), an oral calcineurin inhibitor, has been approved by the FDA for use in combination with the antimetabolite immunosuppressant mycophenolate mofetil (Cellcept, and generics) and a corticosteroid for treatment of adults with active lupus nephritis. It is the first calcineurin inhibitor to be approved in the US for this indication. Tacrolimus (Prograf, and others) and cyclosporine (Neoral, and others), the other available systemic calcineurin inhibitors, are approved for prophylaxis of organ rejection in t...
Source: The Medical Letter - July 19, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Abatacept Azathioprine belimumab Benlysta Cellcept corticosteroids Cyclophosphamide Cyclosporine Cytoxan Imuran Lupkynis Lupus Mycophenolate mofetil Neoral Orencia Procytox Prograf Rituxan Rituximab Tacrolimus voclo Source Type: research

In Brief: A Shorter Treatment Regimen for Tuberculosis (online only)
Date: August 23, 2021 Issue #:  1631Summary:  In a clinical trial conducted by the CDC ' s Tuberculosis Trials Consortium in collaboration with the NIH-funded AIDS Clinical Trials Group, a new 4-month regimen for treatment of drug-susceptible pulmonary tuberculosis was found to be noninferior to 6 months of standard treatment. (Source: The Medical Letter)
Source: The Medical Letter - July 19, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Ethambutol Isoniazid Moxifloxacin Pyrazinamide Rifampin Rifapentine Tuberculosis Source Type: research

In Brief: Guillain-Barr é Syndrome with the Johnson & Johnson COVID-19 Vaccine
Date: August 9, 2021 Issue #:  1630Summary:  On July 12, 2021, the FDA added a warning to the Fact Sheet for the Johnson& Johnson (Janssen) adenovirus-based COVID-19 vaccine about an increased risk of Guillain-Barr é syndrome (GBS) following administration of the product. (Source: The Medical Letter)
Source: The Medical Letter - July 15, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research