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
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Effect of Dexamethasone Combined With Ondansetron on Postoperative Nausea and Vomiting in Patients With Patient-controlled Analgesia After Video-assisted Thoracoscopic Surgery

Phase 4
Completed
Conditions
Vomiting
Nausea
Interventions
First Posted Date
2009-11-04
Last Posted Date
2016-12-30
Lead Sponsor
Yonsei University
Target Recruit Count
123
Registration Number
NCT01007500
Locations
🇰🇷

Severance Hospital, Yonsei University College of Medicine, Seoul, Korea, Republic of

Combination Chemotherapy in Treating Adult Patients With Newly Diagnosed Acute Lymphoblastic Leukemia

Phase 2
Conditions
Leukemia
First Posted Date
2009-11-01
Last Posted Date
2014-01-10
Lead Sponsor
Ohio State University Comprehensive Cancer Center
Target Recruit Count
180
Registration Number
NCT01005758

Pegaspargase and Combination Chemotherapy in Treating Patients With Newly Diagnosed Acute Lymphoblastic Leukemia

First Posted Date
2009-11-01
Last Posted Date
2023-01-06
Lead Sponsor
OHSU Knight Cancer Institute
Target Recruit Count
11
Registration Number
NCT01005914
Locations
🇺🇸

OHSU Knight Cancer Institute, Portland, Oregon, United States

First-line Dasatinib Plus Conventional Chemotherapy in Adults With Newly Diagnosed Ph-Positive ALL

First Posted Date
2009-10-30
Last Posted Date
2015-05-29
Lead Sponsor
The Catholic University of Korea
Target Recruit Count
51
Registration Number
NCT01004497
Locations
🇰🇷

Soonchunhyang University Bucheon Hospital, Bucheon, Gyeonggi-do, Korea, Republic of

🇰🇷

Yonsei University Severance Hospital, Seoul, Korea, Republic of

🇰🇷

Chonnam National University Hwasun Hospital, Hwasun, Jeonnam, Korea, Republic of

and more 5 locations

Assessment of Efficacy and Safety of Perifosine, Bortezomib and Dexamethasone in Multiple Myeloma Patients

Phase 3
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2009-10-27
Last Posted Date
2018-02-09
Lead Sponsor
AEterna Zentaris
Target Recruit Count
135
Registration Number
NCT01002248
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇮🇪

Keryx / AOI Pharmaceuticals Investigative Site, Dublin 7, Ireland

Mechanisms of Increased Androgen Production Among Women With Polycystic Ovary Syndrome

Not Applicable
Completed
Conditions
Polycystic Ovary Syndrome
Interventions
First Posted Date
2009-10-06
Last Posted Date
2018-06-04
Lead Sponsor
University of California, San Diego
Target Recruit Count
41
Registration Number
NCT00989781
Locations
🇺🇸

UCSD Medical Center, San Diego, California, United States

Dexamethasone Tolerability in the Treatment of Acute Asthma in Children

Not Applicable
Completed
Conditions
Asthma
Interventions
Drug: Dexamethasone
Drug: Ora Sweet
First Posted Date
2009-09-09
Last Posted Date
2015-08-26
Lead Sponsor
IWK Health Centre
Target Recruit Count
430
Registration Number
NCT00973687
Locations
🇨🇦

IWK Health Centre, Halifax, Nova Scotia, Canada

Effect of Combination of Bortezomib/Dexamethasone/Zoledronic Acid on Bone Disease in Patients With Multiple Myeloma Relapsed After 1-3 Prior Lines of Therapy

Phase 2
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2009-09-09
Last Posted Date
2014-08-05
Lead Sponsor
University of Athens
Target Recruit Count
17
Registration Number
NCT00972959
Locations
🇬🇷

Department of Clinical Therapeutics, University of Athens School of Medicine, "Alexandra" General Hospital, Athens, Greece

🇬🇷

Department of Hematology, "Theagenion" Cancer Center, Thessaloniki, Greece

🇬🇷

Department of Hematology & Medical Research, 251 General Air Force Hospital, Athens, Greece

RAD001 Study in Treatment of Relapsed or Refractory Acute Lymphocytic Leukemia

First Posted Date
2009-08-28
Last Posted Date
2019-02-27
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
24
Registration Number
NCT00968253
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

Combination Chemotherapy in Treating Young Patients With Relapsed or Refractory Acute Lymphoblastic Leukemia

First Posted Date
2009-08-27
Last Posted Date
2013-08-12
Lead Sponsor
Children's Cancer and Leukaemia Group
Target Recruit Count
470
Registration Number
NCT00967057
Locations
🇬🇧

Great Ormond Street Hospital for Children, London, England, United Kingdom

🇬🇧

Christie Hospital, Manchester, England, United Kingdom

🇦🇺

Women's and Children's Hospital, North Adelaide, South Australia, Australia

and more 3 locations
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