1
Drugs for Hypercholesterolemia
The Medical Letter on Drugs and Therapeutics • June 8, 2026; (Issue 1756)
Recently published multisociety guidelines for the
management of dyslipidemia emphasize early identification
and treatment of dyslipidemia to reduce the lifetime risk of
atherosclerotic cardiovascular disease (ASCVD) and death.
2
Comparison Chart: Statins (online only)
The Medical Letter on Drugs and Therapeutics • June 8, 2026; (Issue 1756)
View the Comparison Chart: Statins
3
Comparison Chart: Some Non-Statin Lipid-Lowering Drugs (online only)
The Medical Letter on Drugs and Therapeutics • June 8, 2026; (Issue 1756)
View the Comparison Chart: Some Non-Statin Lipid-Lowering Drugs
4
COVID-19 Update: 2025-2026 Vaccine Formulations and Recommendations
The Medical Letter on Drugs and Therapeutics • October 13, 2025; (Issue 1739)
The FDA has licensed new 2025-2026 formulations
of the mRNA COVID-19 vaccines manufactured by
Pfizer/BioNTech (Comirnaty) and Moderna (Spikevax,
mNEXSPIKE) and the adjuvanted protein subunit
COVID-19 vaccine manufactured by Novavax
(Nuvaxovid). The new formulations are indicated
for use in all adults ≥65 years old and in persons
6 months (Spikevax), 5 years (Comirnaty), or 12
years (mNEXSPIKE, Nuvaxovid) through 64 years old
who are at high risk for severe COVID-19 because
of an underlying condition. An Emergency Use
Authorization allowing administration of the Pfizer
vaccine to children 6 months through 4 years old has
been withdrawn.
5
In Brief: Widaplik — Another Three-Drug Combination for Hypertension
The Medical Letter on Drugs and Therapeutics • June 22, 2026; (Issue 1757)
The FDA has approved Widaplik (Azurity), a fixed-dose
combination of the angiotensin receptor blocker (ARB)
telmisartan, the dihydropyridine calcium channel blocker
amlodipine, and the thiazide-like diuretic indapamide, for
treatment of hypertension in adults. Telmisartan, amlodipine,
and indapamide are also available alone and in various
combinations for treatment of hypertension. Two three-drug
combinations containing an ARB, amlodipine, and the thiazide
diuretic hydrochlorothiazide (Exforge HCT and Tribenzor) have
been available for years
(see Table 1).
6
In Brief: Apixaban vs Rivaroxaban for Acute VTE
The Medical Letter on Drugs and Therapeutics • June 22, 2026; (Issue 1757)
The direct oral anticoagulants (DOACs) apixaban (Eliquis)
and rivaroxaban (Xarelto, and generics) are frequently used
for treatment of acute venous thromboembolism (VTE)
and are usually continued for at least 3 months. The other
DOACs (edoxaban [Savaysa] and dabigatran [Pradaxa, and
generics]) are alternatives for long-term treatment, but they
require prior treatment with low-molecular-weight heparin
for ≥5 days. Until recently, no large randomized trial directly
comparing the safety of apixaban and rivaroxaban for
treatment of VTE was available.
7
Comparison Chart: Drugs for Motion Sickness (online only)
The Medical Letter on Drugs and Therapeutics • June 22, 2026; (Issue 1757)
View the Comparison Chart: Drugs for Motion Sickness
8
In Brief: Dupilumab (Dupixent) for Allergic Fungal Rhinosinusitis
The Medical Letter on Drugs and Therapeutics • June 22, 2026; (Issue 1757)
Dupilumab (Dupixent – Sanofi/Regeneron), a subcutaneously
injected interleukin (IL)-4 receptor alpha antagonist that is FDA-approved
for several indications, including treatment of chronic
rhinosinusitis with nasal polyps, has now been approved for
treatment of allergic fungal rhinosinusitis (AFRS) in patients
≥6 years old who previously had sinonasal surgery. It is the
first drug to be approved in the US for this indication.
9
In Brief: An Expanded Indication for Teplizumab (Tzield)
The Medical Letter on Drugs and Therapeutics • June 22, 2026; (Issue 1757)
The CD3-directed monoclonal antibody teplizumab (Tzield –
Provention Bio), which was previously approved by the FDA to
delay the onset of stage 3 type 1 diabetes in patients ≥8 years
old with stage 2 type 1 diabetes, has now been approved for
such use in children 1-7 years old.
10
Insect Repellents
The Medical Letter on Drugs and Therapeutics • July 7, 2025; (Issue 1732)
The Centers for Disease Control and Prevention
(CDC) and the Environmental Protection Agency (EPA)
recommend using insect repellents to avoid being
bitten by mosquitoes, ticks, and other arthropods
that transmit disease-causing pathogens. Repellents
applied to exposed skin should be used in conjunction
with other preventive measures such as wearing long-sleeved
shirts, pants, and socks and avoiding outdoor
activities during peak mosquito-biting times. Some
insect repellents are listed in Table 1.
