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
-

First Autologous Transplant on Minimal Residual Disease Markers in Previously Untreated Myeloma Undergoing Initial Treatment With Velcade

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2010-10-06
Last Posted Date
2018-05-15
Lead Sponsor
Vanderbilt-Ingram Cancer Center
Target Recruit Count
36
Registration Number
NCT01215344
Locations
🇺🇸

Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, United States

🇺🇸

University of Tennessee Cancer Institute, Boston Baskin Cancer Group, Memphis, Tennessee, United States

Pomalidomide, Bortezomib, and Dexamethasone in Treating Patients With Relapsed or Refractory Multiple Myeloma

Phase 1
Completed
Conditions
Refractory Multiple Myeloma
Interventions
Drug: pomalidomide
Drug: bortezomib
Drug: dexamethasone
Other: laboratory biomarker analysis
Other: gene expression analysis
First Posted Date
2010-10-01
Last Posted Date
2020-04-17
Lead Sponsor
Mayo Clinic
Target Recruit Count
50
Registration Number
NCT01212952
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

🇺🇸

Mayo Clinic in Arizona, Scottsdale, Arizona, United States

🇺🇸

Mayo Clinic in Florida, Jacksonville, Florida, United States

Topical Cyclosporine for Vernal Keratoconjunctivitis (VKC) in Rwanda

Phase 4
Completed
Conditions
Vernal Keratoconjunctivitis
Interventions
First Posted Date
2010-09-29
Last Posted Date
2010-09-29
Lead Sponsor
University Hospital, Ghent
Target Recruit Count
366
Registration Number
NCT01211327
Locations
🇷🇼

Kabgayi Hospital, Gitarama/Muhanga, Rwanda

Randomized Trial of Lenalidomide, Bortezomib, Dexamethasone vs High-Dose Treatment With SCT in MM Patients up to Age 65

Phase 3
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
Drug: Lenalidomide
Drug: Bortezomib
Drug: Dexamethasone
Procedure: Autologous Stem Cell Transplant
First Posted Date
2010-09-24
Last Posted Date
2025-01-06
Lead Sponsor
Paul Richardson, MD
Target Recruit Count
729
Registration Number
NCT01208662
Locations
🇺🇸

Newton-Wellesley Hospital, Newton, Massachusetts, United States

🇺🇸

City of Hope, Duarte, California, United States

🇺🇸

Arizona Comprehensive Cancer Center, Tucson, Arizona, United States

and more 41 locations

Phase 1 Study of TG02 Citrate in Patients With Advanced Hematological Malignancies

Phase 1
Completed
Conditions
Blast Crisis
AML
Multiple Myeloma
ALL
MDS
Interventions
First Posted Date
2010-09-17
Last Posted Date
2016-05-06
Lead Sponsor
Tragara Pharmaceuticals, Inc.
Target Recruit Count
120
Registration Number
NCT01204164
Locations
🇺🇸

MDACC, Houston, Texas, United States

🇺🇸

RMCC, Denver, Colorado, United States

🇺🇸

Cornell, New York City, New York, United States

and more 6 locations

The Effect of Peritonsillar Infiltration of Ketamine and Dexamethasone for Postoperative Pain Relief in Children Following Adenotonsillectomy

Phase 1
Conditions
Tonsillectomy
Interventions
Drug: saline
Drug: Dexamethasone
Drug: ketamine-dexamethasone
Drug: Ketamine
First Posted Date
2010-09-10
Last Posted Date
2013-05-07
Lead Sponsor
Qazvin University Of Medical Sciences
Target Recruit Count
160
Registration Number
NCT01198210
Locations
🇮🇷

Qazvin university of medical science, Qazvin, Iran, Islamic Republic of

Lendexal in Patients With Primary Systemic Amyloidosis (AL) Newly Diagnosed

Phase 2
Completed
Conditions
Primary Systemic Amyloidosis
Interventions
First Posted Date
2010-09-03
Last Posted Date
2017-04-25
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
30
Registration Number
NCT01194791
Locations
🇪🇸

Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

🇪🇸

Hospital Clínico San Carlos, Madrid, Spain

🇪🇸

Hospital Lozano Blesa, Zaragoza, Spain

and more 7 locations

Risk-Adapted Chemotherapy in Treating Younger Patients With Newly Diagnosed Standard-Risk Acute Lymphoblastic Leukemia or Localized B-Lineage Lymphoblastic Lymphoma

Phase 3
Active, not recruiting
Conditions
Ann Arbor Stage I B Lymphoblastic Lymphoma
Childhood B Acute Lymphoblastic Leukemia
Acute Lymphoblastic Leukemia
Adult B Lymphoblastic Lymphoma
Childhood B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1
Down Syndrome
Hypodiploid B Acute Lymphoblastic Leukemia
Philadelphia Chromosome Positive
Ann Arbor Stage II B Lymphoblastic Lymphoma
Childhood B Lymphoblastic Lymphoma
Interventions
First Posted Date
2010-08-30
Last Posted Date
2024-02-08
Lead Sponsor
Children's Oncology Group
Target Recruit Count
9350
Registration Number
NCT01190930
Locations
🇺🇸

Valley Children's Hospital, Madera, California, United States

🇺🇸

University of Maryland/Greenebaum Cancer Center, Baltimore, Maryland, United States

🇺🇸

UCLA / Jonsson Comprehensive Cancer Center, Los Angeles, California, United States

and more 241 locations

Preoperative Single-dose Steroid Application for the Treatment of Nausea and Vomiting After Thyroid Surgery

Phase 3
Completed
Conditions
Thyroidectomy
Thyroid Diseases
Interventions
Other: NaCl 0.9%
Drug: Dexamethasone
First Posted Date
2010-08-26
Last Posted Date
2015-07-07
Lead Sponsor
Cantonal Hospital of St. Gallen
Target Recruit Count
152
Registration Number
NCT01189292
Locations
🇨🇭

Department of Surgery, St. Gallen, Switzerland

Comparison of Docetaxel/Prednisone to Docetaxel/Prednisone in Combination With OGX-011 in Men With Prostate Cancer

Phase 3
Completed
Conditions
Prostate Cancer
Interventions
First Posted Date
2010-08-25
Last Posted Date
2016-10-14
Lead Sponsor
Achieve Life Sciences
Target Recruit Count
1022
Registration Number
NCT01188187
Locations
🇳🇱

Teva Investigational Site 852, Rotterdam, Netherlands

🇺🇸

Teva Investigational Site 093, Marina del Rey, California, United States

🇺🇸

Teva Investigational Site 100, Birmingham, Alabama, United States

and more 137 locations
© Copyright 2025. All Rights Reserved by MedPath