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
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Multimodal Pain Package vs. Regular Formulation for Pain Management in Ambulatory Spinal Surgery

First Posted Date
2023-07-28
Last Posted Date
2024-06-21
Lead Sponsor
University of Miami
Target Recruit Count
100
Registration Number
NCT05965492
Locations
🇺🇸

university of Miami, Miami, Florida, United States

🇺🇸

University of Miami, Miami, Florida, United States

A Randomized Controlled Study of High-dose Cyclophosphamide Induction Therapy in Adult Patients With HLH

First Posted Date
2023-07-07
Last Posted Date
2023-08-30
Lead Sponsor
shifeng Lou
Target Recruit Count
160
Registration Number
NCT05936086
Locations
🇨🇳

The Second affiliated Hosptial of Chongqing medical University, Chongqing, China

Low-dose Baricitinib Plus High-dose Dexamethasone for Patients With Newly Diagnosed Immune Thrombocytopenia

First Posted Date
2023-07-06
Last Posted Date
2023-07-12
Lead Sponsor
Peking University People's Hospital
Target Recruit Count
132
Registration Number
NCT05932524
Locations
🇨🇳

Peking University Insititute of Hematology, Peking University People's Hospital, Beijing, China

🇨🇳

Beijing Friendship Hospital, Beijing, China

🇨🇳

Beijing Hospital, Beijing, China

and more 7 locations

Isatuximab, Bela Maf, Pom, and Dex in Relapsed/Refractory Multiple Myeloma

First Posted Date
2023-06-28
Last Posted Date
2024-02-02
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
50
Registration Number
NCT05922501
Locations
🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

PANDORA: Paravertebral AdjuNctive DexamethasOne Palmitate Reducing Chronic Pain After Caridiac Surgery

First Posted Date
2023-06-27
Last Posted Date
2024-02-02
Lead Sponsor
Xijing Hospital
Target Recruit Count
902
Registration Number
NCT05920967
Locations
🇨🇳

Xijing Hospital, Xi'an, China

Comparison Between Bupivacaine and Bupivacaine- Dexamethasone QLB for Postoperative Analgesia

Phase 1
Completed
Conditions
Interventions
First Posted Date
2023-06-26
Last Posted Date
2023-08-24
Lead Sponsor
Ain Shams University
Target Recruit Count
60
Registration Number
NCT05918796
Locations
🇪🇬

Ain Shams University Hospital, Cairo, EL Abassia, Egypt

Isa-Pom-Dex in Elderly/Frail Subjects With RRMM

First Posted Date
2023-06-22
Last Posted Date
2024-08-20
Lead Sponsor
UNC Lineberger Comprehensive Cancer Center
Target Recruit Count
49
Registration Number
NCT05911321
Locations
🇺🇸

Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, United States

🇺🇸

Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, United States

🇺🇸

Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States

Carfilzomib, Oral Cyclophosphamide, and Dexamethasone for RRMM

First Posted Date
2023-06-18
Last Posted Date
2023-06-18
Lead Sponsor
Dong-A University Hospital
Target Recruit Count
49
Registration Number
NCT05909826

SVRd for the Treatment of Newly Diagnosed Multiple Myeloma Patients Presenting With Extramedullary Disease

First Posted Date
2023-06-13
Last Posted Date
2023-08-14
Lead Sponsor
The First Affiliated Hospital with Nanjing Medical University
Target Recruit Count
35
Registration Number
NCT05900882
Locations
🇨🇳

Nanjing First People's Hospital, Nanjing, Jiangsu, China

🇨🇳

The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China

🇨🇳

Taizhou People's Hospital, Taizhou, Jiangsu, China

and more 3 locations

Iberdomide, Daratumumab, Carfilzomib, and Dexamethasone (Iber-KDd) in Patients With Relapsed/Refractory Multiple Myeloma

First Posted Date
2023-06-09
Last Posted Date
2024-03-01
Lead Sponsor
Carl Ola Landgren, MD, PhD
Target Recruit Count
30
Registration Number
NCT05896228
Locations
🇺🇸

University of Miami, Miami, Florida, United States

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