MedPath

Dexamethasone

Generic Name
Dexamethasone
Brand Names
Baycadron, Ciprodex, Decadron, Dexamethasone Intensol, Dextenza, Dioptrol, Hexadrol, Hidex 6-day Taper, Maxidex, Maxitrol, Neofordex, Ozurdex, Taperdex 12 Day Taper, Taperdex 6 Day Taper, Taperdex 7-day Taper, Tobradex, Zcort 7 Day Taper
Drug Type
Small Molecule
Chemical Formula
C22H29FO5
CAS Number
50-02-2
Unique Ingredient Identifier
7S5I7G3JQL
Background

Dexamethasone, or MK-125, is a corticosteroid fluorinated at position 9 used to treat endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Developed in 1957, it is structurally similar to other corticosteroids like hydrocortisone and prednisolone.

Dexamethasone was granted FDA approval on 30 October 1958. In a press release for the Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial on 16 June 2020, dexamethasone was recommended for use in COVID-19 patients with severe respiratory symptoms. Dexamethasone reduced deaths by approximately one third in patients requiring ventilation and by one fifth in those requiring oxygen.

Indication

Dexamethasone and ciprofloxacin otic suspension is indicated for bacterial infections with inflammation in acute otitis media and acute otitis externa. Intramuscular and intravenous injections are indicated for a number of endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions. Oral tablets are indicated for the treatment of multiple myeloma. An intravitreal implant is indicated for some forms of macular edema and non-infectious posterior uveitis affecting the posterior of the eye. Various ophthalmic formulations are indicated for inflammatory conditions of the eye.

Associated Conditions
Acute Gouty Arthritis, Acute Leukemia, Acute Otitis Externa, Acute Otitis Media (AOM), Adrenocortical Hyperfunction, Adrenocortical Insufficiency, Allergic Conjunctivitis (AC), Alopecia Areata (AA), Ankylosing Spondylitis (AS), Aspiration Pneumonitis, Asthma, Atopic Dermatitis, Berylliosis, Bullous dermatitis herpetiformis, Bursitis, Chorioretinitis, Choroiditis, Congenital Adrenal Hyperplasia (CAH), Congenital Hypoplastic Anemia, Conjunctivitis, Contact Dermatitis, Cushing's Syndrome, Dermatitis, Diabetic Macular Edema (DME), Discoid Lupus Erythematosus (DLE), Drug hypersensitivity reaction, Edema of the cerebrum, Epicondylitis, Episcleritis, Erythroblastopenia, Eye Infections, Eye allergy, Glaucoma, Hypercalcemia, Immune Thrombocytopenia (ITP), Infection, Inflammation, Inflammation of the External Auditory Canal, Intraocular Inflammation, Iridocyclitis, Iritis, Keloids Scars, Keratitis, Lichen Planus (LP), Lichen simplex chronicus, Loeffler's syndrome, Lymphoma, Macular Edema, Meningitis caused by Mycobacterium Tuberculosis, Middle ear inflammation, Mucosal Inflammation of the eye, Multiple Myeloma (MM), Muscle Inflammation caused by Cataract Surgery of the eye, Mycosis Fungoides (MF), Necrobiosis lipoidica diabeticorum, Non-infectious Posterior Uveitis, Ocular Infections, Irritations and Inflammations, Ocular Inflammation, Ocular Inflammation and Pain, Ocular Irritation, Ocular Itching, Ophthalmia, Sympathetic, Optic Neuritis, Otitis Externa, Pemphigus, Perennial Allergic Rhinitis (PAR), Phlyctenular keratoconjunctivitis, Postoperative Infections of the eyes caused by susceptible bacteria, Posttraumatic Osteoarthritis, Regional Enteritis, Rheumatoid Arthritis, Rheumatoid Arthritis, Juvenile, Rosacea, Sarcoidosis, Scleritis, Seasonal Allergic Rhinitis, Secondary thrombocytopenia, Serum Sickness, Severe Seborrheic Dermatitis, Stevens-Johnson Syndrome, Synovitis, Systemic Lupus Erythematosus, Tenosynovitis, Trichinosis, Tuberculosis (TB), Ulcerative Colitis, Uveitis, Vernal Keratoconjunctivitis, Acquired immune hemolytic anemia, Acute rheumatic carditis, Anterior eye segment inflammation, Corticosteroid-responsive dermatoses, Ear infection-not otherwise specified caused by susceptible bacteria, Exfoliative erythroderma, Granuloma annulare lesions, Non-suppurative Thyroiditis, Ocular bacterial infections, Severe Psoriasis, Steroid-responsive inflammation of the eye, Swelling of the eyes, Varicella-zoster virus acute retinal necrosis, Watery itchy eyes
Associated Therapies
-

Efficiency Study for Acute Radiation-induced and Chemotherapy-induced Pulmonary Fibrosis With Bevasizumab

Phase 2
Recruiting
Conditions
Pulmonary Fibrosis
Interventions
First Posted Date
2013-08-07
Last Posted Date
2023-03-29
Lead Sponsor
Qingdao Central Hospital
Target Recruit Count
30
Registration Number
NCT01917877
Locations
🇨🇳

Qingdao Central Hospital, Qingdao, Shandong, China

Maintenance Therapy With Subcutaneous Bortezomib

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2013-08-01
Last Posted Date
2023-12-13
Lead Sponsor
Stichting European Myeloma Network
Target Recruit Count
63
Registration Number
NCT01913730
Locations
🇮🇹

Irccs Crob, Rionero in Vulture, Potenza, Italy

The Efficacy and Safety of Palonosetron in Preventing the Gastrointestinal Reactions Induced by 3-day Highly Emetogenic Chemotherapy

First Posted Date
2013-07-29
Last Posted Date
2015-12-04
Lead Sponsor
Jiangsu Simcere Pharmaceutical Co., Ltd.
Target Recruit Count
92
Registration Number
NCT01909856
Locations
🇨🇳

Tongji Hospital,Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China

S1304, Carfilzomib and Dexamethasone for Treating Patients With Relapsed or Refractory Myeloma

Phase 2
Completed
Conditions
Recurrent Plasma Cell Myeloma
Refractory Plasma Cell Myeloma
Interventions
Drug: Carfilzomib
Drug: Dexamethasone
Other: Laboratory Biomarker Analysis
First Posted Date
2013-07-19
Last Posted Date
2024-12-20
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
143
Registration Number
NCT01903811
Locations
🇺🇸

Illinois CancerCare-Carthage, Carthage, Illinois, United States

🇺🇸

Illinois CancerCare-Princeton, Princeton, Illinois, United States

🇺🇸

John Muir Medical Center-Concord Campus, Concord, California, United States

and more 480 locations

Bendamustine Hydrochloride, Clofarabine, and Etoposide in Treating Younger Patients With Relapsed or Refractory Hematologic Malignancies

Phase 1
Completed
Conditions
Non-Hodgkin Lymphoma
Acute Leukemia
Hodgkin Lymphoma
Interventions
First Posted Date
2013-07-16
Last Posted Date
2017-03-22
Lead Sponsor
St. Jude Children's Research Hospital
Target Recruit Count
16
Registration Number
NCT01900509
Locations
🇺🇸

St. Jude Children's Research Hospital, Memphis, Tennessee, United States

Safety and Efficacy of Melflufen and Dexamethasone in Relapsed and/or Relapsed-Refractory Multiple Myeloma Patients

Phase 1
Terminated
Conditions
Relapsed and/or Relapsed-refractory Multiple Myeloma
Interventions
First Posted Date
2013-07-12
Last Posted Date
2020-10-23
Lead Sponsor
Oncopeptides AB
Target Recruit Count
75
Registration Number
NCT01897714
Locations
🇮🇹

Turin Hospital Myeloma Unit, Turin, Italy

🇩🇰

Vejle Hospital, Vejle, Denmark

🇸🇪

Sahlgrenska Hospital, Gothenburg, Sweden

and more 4 locations

PH III Study of Lenalidomide and Dexamethasone With or Without Elotuzumab to Treat Previously Untreated Multiple Myeloma (ELO 1 Substudy)

Phase 3
Terminated
Conditions
Newly Diagnosed, Previously Untreated Multiple Myeloma
Interventions
First Posted Date
2013-07-03
Last Posted Date
2021-07-01
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
23
Registration Number
NCT01891643
Locations
🇺🇸

Crescent City Research Consortium, LLC, Marrero, Louisiana, United States

🇺🇸

Illinois Cancercare, Pc, Peoria, Illinois, United States

🇺🇸

Memorial Cancer Institute, Hollywood, Florida, United States

and more 7 locations

Vincristine, Doxorubicin, And Dexamethasone + Ixazomib in Acute Lymphoblastic Leukemia (ALL), Lymphoblastic Lymphoma Or Mixed Phenotype Acute Leukemia

Phase 1
Terminated
Conditions
Mixed Phenotype Acute Leukemia
Relapsed or Refractory Acute Lymphoblastic Leukemia
Relapsed or Refractory Lymphoblastic Lymphoma
Interventions
First Posted Date
2013-06-27
Last Posted Date
2020-01-22
Lead Sponsor
Ehab L Atallah
Target Recruit Count
5
Registration Number
NCT01887587
Locations
🇺🇸

Froedtert Hospital and the Medical College of Wisconsin, Milwaukee, Wisconsin, United States

Evaluation of Efficacy and Safety of Epidural Steroid Injection Using Dexamethasone or Betamethasone

Not Applicable
Completed
Conditions
Back Pain
Neck Pain
Interventions
First Posted Date
2013-06-25
Last Posted Date
2016-03-30
Lead Sponsor
Seoul National University Bundang Hospital
Target Recruit Count
600
Registration Number
NCT01885481
Locations
🇰🇷

Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea, Republic of

Oprozomib and Dexamethasone,in Combination With Lenalidomide or Oral Cyclophosphamide to Treat Newly Diagnosed Multiple Myeloma

Phase 1
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2013-06-20
Last Posted Date
2022-11-14
Lead Sponsor
Amgen
Target Recruit Count
22
Registration Number
NCT01881789
Locations
🇺🇸

David Geffen School of Medicine at UCLA, Los Angeles, California, United States

🇺🇸

Providence St. Joseph's Hospital, Burbank, California, United States

🇺🇸

Clearview Cancer Institute, Huntsville, Alabama, United States

and more 11 locations
© Copyright 2025. All Rights Reserved by MedPath