1
In Brief: Alternatives to Adderall
The Medical Letter on Drugs and Therapeutics • November 28, 2022; (Issue 1664)
The short-acting formulation of mixed amphetamine
salts (Adderall, and generics) FDA-approved for
treatment of attention-deficit hyperactivity disorder
(ADHD) and narcolepsy, is currently in short supply in
the US. Until an adequate supply is restored, patients
may be looking for alternatives.
2
Influenza Vaccine for 2024-2025
The Medical Letter on Drugs and Therapeutics • September 16, 2024; (Issue 1711)
Annual vaccination in the US against influenza A and
B viruses is recommended for everyone ≥6 months
old without a contraindication. Influenza vaccines
available in the US for the 2024-2025 season are
listed in Table 2.
3
In Brief: New Warning for the RSV Vaccines Arexvy and Abrysvo
The Medical Letter on Drugs and Therapeutics • February 17, 2025; (Issue 1722)
The FDA has required a new warning in the labels of the
recombinant respiratory syncytial virus (RSV) vaccines
Arexvy (GSK) and Abrysvo (Pfizer) about an increased
risk of Guillain-Barré syndrome (GBS) within 42 days
of administration of either vaccine. Both vaccines
are FDA-approved to prevent lower respiratory tract
disease (LRTD) caused by RSV in adults.Abrysvo is
also approved for use in pregnant women at 32-36
weeks' gestation to prevent RSV-associated LRTD in
their infants from birth through 6 months of age.
4
Antiviral Drugs for Seasonal Influenza for 2024-2025
The Medical Letter on Drugs and Therapeutics • December 9, 2024; (Issue 1717)
Influenza is generally a self-limited illness, but
pneumonia, respiratory failure, and death can occur,
especially in persons at increased risk for influenza
complications (see Table 1). Updated information on
influenza activity and antiviral resistance is available
from the CDC at cdc.gov/flu.
5
Comparison Chart: Interleukin (IL) Receptor Antagonists for Atopic Dermatitis (online only)
The Medical Letter on Drugs and Therapeutics • February 17, 2025; (Issue 1722)
View the Comparison Chart: Interleukin (IL) Receptor Antagonists for Atopic Dermatitis
6
Suzetrigine (Journavx) — A Sodium Channel Blocker for Acute Pain
The Medical Letter on Drugs and Therapeutics • March 3, 2025; (Issue 1723)
The FDA has approved suzetrigine (Journavx –
Vertex), a selective sodium channel blocker, for oral
treatment of moderate to severe acute pain in adults.
Suzetrigine is the first sodium channel blocker to be
approved in the US for this indication and the first oral
nonopioid drug to be approved for treatment of pain
in over 25 years.
7
In Brief: Anaphylaxis with Glatiramer Acetate
The Medical Letter on Drugs and Therapeutics • February 17, 2025; (Issue 1722)
The FDA has required a new boxed warning in the label
of the subcutaneously injected immunomodulatory
drug glatiramer acetate (Copaxone, Glatopa, and
generics) about a risk of anaphylaxis. Glatiramer has
been used for years to treat relapsing forms of multiple
sclerosis (MS).
8
Capvaxive – A 21-Valent Pneumococcal Conjugate Vaccine
The Medical Letter on Drugs and Therapeutics • October 14, 2024; (Issue 1713)
The FDA has licensed Capvaxive (PCV21; Merck),
a 21-valent pneumococcal conjugate vaccine, for
prevention of invasive pneumococcal disease (IPD)
and pneumococcal pneumonia in adults. Four other
pneumococcal vaccines are currently available in the
US: Prevnar 20 (PCV20), Vaxneuvance (PCV15), and
Prevnar 13 (PCV13) are conjugate vaccines licensed
for use in persons ≥6 weeks old, and Pneumovax 23
(PPSV23) is a pneumococcal polysaccharide vaccine
licensed for use in persons ≥2 years old (see Table 1).
9
Drugs for Dry Eye Disease
The Medical Letter on Drugs and Therapeutics • March 3, 2025; (Issue 1723)
Disruption of tear-film homeostasis (altered
composition, reduced production, rapid evaporation)
and resulting ocular surface inflammation cause the
discomfort and blurred vision of dry eye disease.
Many cases are caused by tear evaporation due to
meibomian gland dysfunction. Other precipitating
factors can include lacrimal gland dysfunction, poor
eyelid function, environmental factors, extended
screen time, inflammatory conditions such as
Sjögren's syndrome, and use of some ocular or
systemic drugs such as antihistamines, retinoids,
or selective serotonin reuptake inhibitors (SSRIs).
Benzalkonium chloride, a preservative used in some
eye drops, can cause eye irritation and exacerbate
symptoms of dry eye disease; use of preservative-free
ophthalmic preparations is preferred. Dry eye disease
is most prevalent in females and older adults, but its incidence in young people is increasing, possibly
because of increased screen time.
10
A Renal Indication for Semaglutide (Ozempic)
The Medical Letter on Drugs and Therapeutics • March 3, 2025; (Issue 1723)
The injectable glucagon-like peptide-1 (GLP-1)
receptor agonist semaglutide (Ozempic – Novo
Nordisk) has been approved by the FDA to reduce
the risk of sustained eGFR decline, end-stage kidney
disease, and cardiovascular death in adults with
type 2 diabetes and chronic kidney disease (CKD). It is
the first GLP-1 receptor agonist to be approved in the
US for this indication.