The Medical Letter, Inc. (original) (raw)

The goal of asthma treatment is to control symptoms, prevent exacerbations, and maintain normal lung function.1,2 Management of acute exacerbations in the emergency department is not discussed here.

ACUTE RELIEF OF SYMPTOMS

INHALED SABAs — The inhaled short-acting beta2-agonists (SABAs) albuterol and levalbuterol are used as needed for rapid relief of asthma symptoms or prevention of exercise-induced bronchoconstriction (EIB). Their effect begins within 5 minutes, peaks within 15-60 minutes, and lasts for... Continue reading

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Femlyv (Millicent), an orally-disintegrating tablet containing ethinyl estradiol and norethindrone acetate, has been approved by the FDA for prevention of pregnancy in females with a body mass index (BMI) ≤35 kg/m2. It is the first hormonal contraceptive to become available in an orally-disintegrating tablet formulation. Traditional oral and chewable tablets containing ethinyl estradiol and norethindrone acetate in a wide range of doses, including those found in Femlyv, have been available in the US for years.

CHOICE OF CONTRACEPTIVES — Intrauterine devices (IUDs) and the etonogestrel implant (Nexplanon) are the most effective reversible contraceptive methods, but they require an office visit for placement and removal. Combination and progestin-only hormonal contraceptives (oral tablets, transdermal patches, … Continue reading