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.
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.
Mater Misericordiae University Hospital, Dublin, Ireland
Leeds Cancer Centre at St. James's University Hospital, Leeds, England, United Kingdom
Adelaide and Meath Hospital, Dublin Incorporating the National Children's Hospital, Dublin, Ireland
VU University Medical Center, Amsterdam, Netherlands
Abteilung für Netzhaut und Glaskörperchirurgie, Frankfurt/Main, Hessen, Germany
Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada
Cleveland Clinic, Cleveland, Ohio, United States
RWTH Aachen University; Department of Anesthesiology, Aachen, Germany
Cancer Center of Kansas-Kingman, Kingman, Kansas, United States
Lawrence Memorial Hospital, Lawrence, Kansas, United States
Southwest Medical Center, Liberal, Kansas, United States
City of Hope Medical Center, Duarte, California, United States
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