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Medicines and prescriptions

What Is Monotherapy? Single-Medicine Treatment Explained

Monotherapy · say it: MON-oh-THAIR-uh-peeAlso written: single-agent therapy, single-drug treatment

Short answer

Monotherapy means treating a condition with one medicine on its own, rather than a combination of medicines.

What it means

Monotherapy means using a single medicine to treat a condition. Many conditions, such as high blood pressure, type 2 diabetes or epilepsy, are often started with one medicine. If that is not enough, a second medicine may be added, which is called combination or adjunctive therapy.

Labels say a medicine is approved 'as monotherapy' or 'as adjunctive therapy', or both. This tells you how the medicine was tested and how it is meant to be used. If a label says it is only approved as add-on therapy, it was not studied for use on its own. The word also appears in clinical study descriptions.

Monotherapy is the opposite of combination therapy. It does not mean a weaker treatment; for many people one medicine is enough.

Where you may see it

  • The 'Indications' section of medicine labels
  • Clinical study descriptions in prescribing information
  • Clinic letters describing treatment plans

📄 How it looks on a report

Indicated as monotherapy or as adjunctive therapy in the treatment of partial-onset seizures.

🙅 What it does not mean

  • It does not mean you cannot take other medicines for other conditions.
  • Starting with monotherapy does not mean treatment has failed if a second medicine is added later.
  • It does not mean the medicine is weaker than a combination.

🎯 Check yourself

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🗒️ Questions to ask your doctor

🧾 Reports where you will see “Monotherapy”

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💊 Medicines whose labels mention “Monotherapy”

Plain-English explanations of each medicine, from its official FDA label.

  • Divalproex Sodium

    An anti-epileptic (anti-seizure) drug of the valproate type. The label also uses it to treat manic episodes of bipolar disorder and to prevent migraine headaches.

  • Lamotrigine

    An anti-epileptic (seizure) medicine and mood stabilizer. The label describes it as an anti-epileptic drug of the phenyltriazine class that is chemically unrelated to other anti-epileptic drugs.

  • Lithium Carbonate

    A mood-stabilizing agent, which the label describes as a medicine used to treat bipolar I disorder

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