Estetrol/Drospirenone (Nextstellis) - A New Combination Oral Contraceptive
Date: June 28, 2021 Issue #:  1627Summary:  The FDA has approved a combination oral contraceptive containing the estrogen estetrol and the progestin drospirenone (Nextstellis– Mithra/Mayne). Estetrol is the first new estrogen to become available in the US in 50 years. Drospirenone is available alone(Slynd) and in combinations with the estrogen ethinyl estradiol for prevention of pregnancy. (Source: The Medical Letter)
Source: The Medical Letter - May 19, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Drospirenone estetrol Estrogens etonogestrel Medroxyprogesterone Nexplanon Nextstellis Oral contraceptives Progestins Slynd Source Type: research

Viloxazine ER (Qelbree) for ADHD
Date: June 28, 2021 Issue #:  1627Summary:  The FDA has approved viloxazine extended-release capsules (Qelbree– Supernus) for treatment of attention-deficit/hyperactivity disorder (ADHD) in children 6-17 years old. Viloxazine is the second selective norepinephrine reuptake inhibitor to be approved in the US for treatment of ADHD; atomoxetine (Strattera, and generics) was approved in 2002. (Source: The Medical Letter)
Source: The Medical Letter - May 19, 2021 Category: Drugs & Pharmacology Authors: admin Tags: ADHD Amphetamine Atomoxetine Clonidine Guanfacine Methylphenidate Qelbree Stimulants Strattera viloxazine Source Type: research

Viloxazine (Qelbree) for ADHD
Date: June 28, 2021 Issue #:  1627Summary:  The FDA has approved viloxazine extended-release capsules (Qelbree– Supernus) for treatment of attention-deficit/hyperactivity disorder (ADHD) in children 6-17 years old. Viloxazine is the second selective norepinephrine reuptake inhibitor to be approved in the US for treatment of ADHD; atomoxetine (Strattera, and generics) was approved in 2002. (Source: The Medical Letter)
Source: The Medical Letter - May 19, 2021 Category: Drugs & Pharmacology Authors: admin Tags: ADHD Amphetamine Atomoxetine Clonidine Guanfacine Methylphenidate Qelbree Stimulants Strattera viloxazine Source Type: research

In Brief: Pfizer/BioNTech COVID-19 Vaccine Authorized for Adolescents 12-15 Years Old
Date: May 31, 2021 Issue #:  1625Summary:  On May 10, 2021, the FDA expanded its Emergency Use Authorization (EUA) for the Pfizer/BioNTech mRNA-based COVID-19 vaccine to include adolescents 12-15 years old.1The vaccine has been authorized for use in persons ≥16 years old since December 2020. (Source: The Medical Letter)
Source: The Medical Letter - May 11, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Teprotumumab (Tepezza) for Thyroid Eye Disease
Date: May 31, 2021 Issue #:  1625Summary:  Teprotumumab-trbw (Tepezza - Horizon), an insulin-like growth factor-1 receptor (IGF-1R) inhibitor, has been approved by the FDA for IV treatment of thyroid eye disease. It is the first drug to be approved in the US for this indication. (Source: The Medical Letter)
Source: The Medical Letter - May 4, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Inhaled Mannitol (Bronchitol) for Cystic Fibrosis
Date: May 31, 2021 Issue #:  1625Summary:  The FDA has approved mannitol powder for oral inhalation (Bronchitol– Chiesi) as add-on maintenance treatment to improve pulmonary function in adults with cystic fibrosis (CF). This product has been available in Europe for the same indication since 2012. Another formulation of mannitol inhalation powder(Aridol) is approved in the US for assessment of bronchial hyperresponsiveness. (Source: The Medical Letter)
Source: The Medical Letter - May 4, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Tramadol Oral Solution (Qdolo) for Pain
Date: May 31, 2021 Issue #:  1625Summary:  The opioid agonist tramadol is now available in an oral solution (Qdolo– Athena Bioscience) for management of pain severe enough to require an opioid and for which alternative treatment options are inadequate. Tramadol has been available for years in immediate-release tablets and capsules, extended-release capsules (Ultram, and others), and in a fixed-dose combination tablet with acetaminophen (Ultracet, and generics). (Source: The Medical Letter)
Source: The Medical Letter - May 4, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

Cabotegravir/Rilpivirine (Cabenuva) for HIV-1 Infection
Date: May 31, 2021 Issue #:  1625Summary:  The FDA has approvedCabenuva (ViiV Healthcare), an extended-release formulation of the new integrase strand transfer inhibitor (INSTI) cabotegravir copackaged with an extended-release formulation of the non-nucleoside reverse transcriptase inhibitor (NNRTI) rilpivirine, as a once-monthly complete regimen for intramuscular (IM) treatment of adults with HIV-1 infection who are virologically suppressed (HIV-1 RNA<50 copies/mL) on a stable antiretroviral (ARV) regimen, have no history of treatment failure, and have no known or suspected res...
Source: The Medical Letter - May 4, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research

In Brief: Suspension of Johnson & Johnson COVID-19 Vaccine Lifted (online only)
Date: May 17, 2021 Issue #:  1624Summary:  On April 23, 2021, on advice from the Advisory Committee on Immunization Practices (ACIP), the FDA and CDC recommended that use of the Johnson& Johnson adenovirus-based COVID-19 vaccine resume despite its association with development of thrombosis with thrombocytopenia syndrome (TTS). Administration of the vaccine had been paused on April 13 because of 6 reports of TTS, but after completing a data review that identified a further 9 cases associated with the formulation, the agencies concluded that the benefits of the vaccine outweighed its...
Source: The Medical Letter - April 28, 2021 Category: Drugs & Pharmacology Authors: admin Tags: COVID-19 vaccines Source Type: research

Drugs for Chronic Heart Failure
Date: June 14, 2021 Issue #:  1626Summary:  Among patients with chronic heart failure, those with a left ventricular ejection fraction (LVEF)≤40% are considered to have heart failure with reduced ejection fraction (HFrEF). Patients with a LVEF≥50% are considered to have heart failure with preserved ejection fraction (HFpEF). Those with a LVEF of 41-49% are an intermediate group more similar to patients with HFpEF. (Source: The Medical Letter)
Source: The Medical Letter - April 21, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Accupril ACE inhibitors Aldactone Altace ARBs Atacand Beta blockers BiDil Bisoprolol Bumetanide Burinex Candesartan Captopril Carvedilol cilazapril Coreg Corlanor Coversyl Cozaar dapagliflozin Digoxin Diovan Diu Source Type: research

MenQuadfi - A New Meningococcal (A, C, W, and Y) Vaccine
Date: May 17, 2021 Issue #:  1624Summary:  The FDA has licensedMenQuadfi (Sanofi Pasteur), a quadrivalent polysaccharide conjugate vaccine that uses tetanus toxoid as a protein carrier, for prevention of invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, W, and Y (MenACWY) in persons≥2 years old. (Source: The Medical Letter)
Source: The Medical Letter - April 21, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Bexsero Menactra Meningococcal vaccine MenQuadfi Menveo Neisseria meningitidis Nimenrix Trumenba Source Type: research

Loteprednol 0.25% (Eysuvis) for Dry Eye Disease
Date: May 17, 2021 Issue #:  1624Summary:  The FDA has approved loteprednol etabonate ophthalmic suspension 0.25% (Eysuvis– Kala) for short-term treatment (≤2 weeks) of dry eye disease. It is the first ocular corticosteroid to be approved for this indication. Other formulations of loteprednol are approved for treatment of steroid-responsive ocular inflammatory conditions, inflammation after ocular surgery, and seasonal allergic conjunctivitis. (Source: The Medical Letter)
Source: The Medical Letter - April 21, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Alrex Cequa Cyclosporine Dry eye disease Eysuvis Inveltys Lacrisert lifitegrast Lotemax loteprednol Restasis Tobramycin Xiidra Zylet Source Type: research

Antibacterial Drugs for Lyme Disease
Date: May 17, 2021 Issue #:  1624Summary:  Lyme disease in the US is caused by the spirocheteBorrelia burgdorferi, which is transmitted to humans byIxodes scapularis (blacklegged [deer] tick) andI. pacificus (western blacklegged tick). Most cases of Lyme disease occur in late spring and early summer in northeastern and mid-Atlantic states, the upper Midwest, and in northern California.B. mayonii, which is also transmitted byI. scapularis, has been shown to cause a similar illness in the upper Midwest. (Source: The Medical Letter)
Source: The Medical Letter - April 21, 2021 Category: Drugs & Pharmacology Authors: admin Tags: Amoxicillin Antibacterials Ceftriaxone Cefuroxime Doxycycline Insect repellents Lyme disease penicillin Source Type: research

Plenity for Weight Management
Date: May 17, 2021 Issue #:  1624Summary: Plenity (Gelesis), a nonsystemic oral superabsorbent hydrogel formulation of cellulose and citric acid is now available. It was cleared by the FDA in 2019 to aid in weight management together with diet and exercise in overweight and obese adults (BMI of 25-40 kg/m2). It is classified by the FDA as a device because the contents of the capsule are not absorbed systemically.Plenity is the first ingested, transient, space-occupying hydrogel to be marketed in the US and the only weight management treatment available by prescription for patients with a BMI...
Source: The Medical Letter - April 15, 2021 Category: Drugs & Pharmacology Authors: admin Tags: alli Orlistat Plenity Weight loss Xenical Source Type: research

In Brief: New Recommendations for Gonococcal Infection
Date: May 3, 2021 Issue #:  1623Summary:  The CDC has issued new recommendations for treatment of gonococcal infection. A single 500-mg IM dose (1000 mg in patients weighing ≥150 kg) of the third-generation cephalosporin ceftriaxone is now the treatment of choice for patients with uncomplicated urogenital, rectal, or pharyngeal gonorrhea. (Source: The Medical Letter)
Source: The Medical Letter - April 15, 2021 Category: Drugs & Pharmacology Authors: admin Source Type: research