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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
-

PAD. ICORG 05-01, V11

Phase 2
Completed
Conditions
Multiple Myeloma and Plasma Cell Neoplasm
Interventions
First Posted Date
2008-12-25
Last Posted Date
2014-12-31
Lead Sponsor
Cancer Trials Ireland
Target Recruit Count
53
Registration Number
NCT00814541
Locations
🇮🇪

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

and more 5 locations

Study of Bortezomib and Dexamethasone With or Without Cyclophosphamide in Patients With Relapsed or Not Controllable Multiple Myeloma

Phase 3
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2008-12-22
Last Posted Date
2014-08-15
Lead Sponsor
Janssen-Cilag G.m.b.H
Target Recruit Count
96
Registration Number
NCT00813150

Steroid-induced Reduction of Surgical Stress Study

Not Applicable
Withdrawn
Conditions
Coronary Artery Bypass Graft Surgery
Coronary Artery Stenosis
Interventions
Drug: Placebo
Drug: Dexamethasone
First Posted Date
2008-12-12
Last Posted Date
2014-12-17
Lead Sponsor
Amsterdam UMC, location VUmc
Registration Number
NCT00807521
Locations
🇳🇱

VU University Medical Center, Amsterdam, Netherlands

Combined Therapy in Age-Related Macular Degeneration (ARMD)

Phase 4
Completed
Conditions
Age-Related Macular Degeneration
Interventions
Drug: bevacizumab
Procedure: Low fluorescence Photodynamic therapy
Procedure: core pars plana vitrectomy
Drug: dexamethasone
Drug: triamcincolone
First Posted Date
2008-12-09
Last Posted Date
2012-09-27
Lead Sponsor
Johann Wolfgang Goethe University Hospital
Target Recruit Count
150
Registration Number
NCT00805649
Locations
🇩🇪

Abteilung für Netzhaut und Glaskörperchirurgie, Frankfurt/Main, Hessen, Germany

Dexamethasone and Analgesic Duration After Supraclavicular Brachial Plexus Blockade

Not Applicable
Completed
Conditions
Anesthesia
Interventions
Drug: Dexamethasone
Drug: Mepivicaine
First Posted Date
2008-12-04
Last Posted Date
2010-01-26
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
44
Registration Number
NCT00802009
Locations
🇨🇦

Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada

The Effect of Dexamethasone on the Duration of Interscalene Nerve Blocks With Ropivacaine or Bupivacaine

Not Applicable
Terminated
Conditions
Anesthesia, Local
Shoulder Surgery
Interventions
First Posted Date
2008-12-03
Last Posted Date
2017-05-01
Lead Sponsor
The Cleveland Clinic
Target Recruit Count
218
Registration Number
NCT00801138
Locations
🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

Safety and Efficacy of a New Treatment in Vitrectomized Subjects With Diabetic Macular Edema

Phase 2
Completed
Conditions
Vitrectomy
Diabetic Macular Edema
Interventions
First Posted Date
2008-11-27
Last Posted Date
2019-04-23
Lead Sponsor
Allergan
Target Recruit Count
56
Registration Number
NCT00799227

Depth of Hypnosis and Postoperative Nausea and Vomiting During Xenon Anaesthesia

Phase 4
Completed
Conditions
Anaesthetics Gases, Xenon
Anaesthetics Volatile, Sevoflurane
Depth of Anaesthesia
Postoperative Nausea
Postoperative Vomiting
Interventions
First Posted Date
2008-11-19
Last Posted Date
2011-05-17
Lead Sponsor
RWTH Aachen University
Target Recruit Count
220
Registration Number
NCT00793663
Locations
🇩🇪

RWTH Aachen University; Department of Anesthesiology, Aachen, Germany

Combination Chemotherapy With or Without Donor Stem Cell Transplant in Treating Patients With Acute Lymphoblastic Leukemia

Phase 2
Active, not recruiting
Conditions
Acute Lymphoblastic Leukemia
Adult B Acute Lymphoblastic Leukemia
Adult B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1
Adult L1 Acute Lymphoblastic Leukemia
Adult L2 Acute Lymphoblastic Leukemia
Adult T Acute Lymphoblastic Leukemia
Recurrent Adult Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2008-11-18
Last Posted Date
2024-12-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
97
Registration Number
NCT00792948
Locations
🇺🇸

Cancer Center of Kansas-Kingman, Kingman, Kansas, United States

🇺🇸

Lawrence Memorial Hospital, Lawrence, Kansas, United States

🇺🇸

Southwest Medical Center, Liberal, Kansas, United States

and more 154 locations

Bortezomib, Thalidomide, and Dexamethasone After Melphalan and Stem Cell Transplant in Treating Patients With Stage I-III Multiple Myeloma

Phase 2
Completed
Conditions
Multiple Myeloma and Plasma Cell Neoplasm
Neurotoxicity
Interventions
Drug: bortezomib
Drug: dexamethasone
Drug: melphalan
Drug: thalidomide
Genetic: cytogenetic analysis
Genetic: fluorescence in situ hybridization
Other: laboratory biomarker analysis
Other: questionnaire administration
Procedure: autologous hematopoietic stem cell transplantation
Procedure: peripheral blood stem cell transplantation
First Posted Date
2008-11-17
Last Posted Date
2021-08-19
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
45
Registration Number
NCT00792142
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

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