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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Study of SGN-40, Lenalidomide, and Dexamethasone in Patients With Multiple Myeloma

Phase 1
Completed
Conditions
Multiple Myeloma
Interventions
First Posted Date
2007-09-05
Last Posted Date
2014-10-09
Lead Sponsor
Seagen Inc.
Target Recruit Count
36
Registration Number
NCT00525447
Locations
🇺🇸

Hackensack University Medical Center, Hackensack, New Jersey, United States

🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Baylor University Medical Center, Dallas, Texas, United States

and more 6 locations

Calcitriol and Dexamethasone in Treating Patients With Prostate Cancer That Did Not Respond to Hormone Therapy

Phase 2
Terminated
Conditions
Prostate Cancer
Interventions
Dietary Supplement: calcitriol
Drug: dexamethasone
Genetic: protein expression analysis
Other: laboratory biomarker analysis
First Posted Date
2007-09-03
Last Posted Date
2017-11-20
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
18
Registration Number
NCT00524589
Locations
🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

Bortezomib and Dexamethasone With or Without Lenalidomide in Treating Patients With Multiple Myeloma Previously Treated With Dexamethasone

Phase 3
Terminated
Conditions
Stage I Multiple Myeloma
Stage II Multiple Myeloma
Stage III Multiple Myeloma
Interventions
First Posted Date
2007-08-29
Last Posted Date
2015-06-26
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
48
Registration Number
NCT00522392
Locations
🇺🇸

Toledo Radiation Oncology at Northwest Ohio Onocolgy Center, Maumee, Ohio, United States

🇺🇸

Illinois Oncology Research Association CCOP, Peoria, Illinois, United States

🇺🇸

Saint Francis Hospital and Health Centers, Beech Grove, Indiana, United States

and more 273 locations

Bortezomib, Melphalan, and Dexamethasone in Treating Patients With Primary Amyloidosis or Light Chain Deposition Disease

Phase 2
Completed
Conditions
Primary Systemic Amyloidosis
Light Chain Deposition Disease
Interventions
Drug: bortezomib
Drug: dexamethasone
Drug: melphalan
Genetic: microarray analysis
Other: flow cytometry
Other: laboratory biomarker analysis
Procedure: quality-of-life assessment
First Posted Date
2007-08-27
Last Posted Date
2023-12-22
Lead Sponsor
Barbara Ann Karmanos Cancer Institute
Target Recruit Count
35
Registration Number
NCT00520767
Locations
🇺🇸

Providence Cancer Institute at Providence Hospital - Southfield Campus, Southfield, Michigan, United States

🇺🇸

Boston University Cancer Research Center, Boston, Massachusetts, United States

🇺🇸

Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States

and more 4 locations

Efficacy of Intravenous Dexamethasone for Acute Disc Herniation-Induced Sciatica

Not Applicable
Conditions
RADICULAR PAIN
Interventions
Drug: DEXAMETHASONE
Other: PLACEBO
First Posted Date
2007-08-14
Last Posted Date
2007-08-14
Lead Sponsor
Ziv Hospital
Target Recruit Count
40
Registration Number
NCT00516009
Locations
🇮🇱

Neurology Unit - Ziv Mc, Safed, Israel

Papillary Serous Carcinoma of the Endometrium

Phase 2
Completed
Conditions
Endometrial Cancer
Interventions
First Posted Date
2007-08-13
Last Posted Date
2014-07-03
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
30
Registration Number
NCT00515073
Locations
🇺🇸

M. D. Anderson Cancer Center - Orlando, Orlando, Florida, United States

🇺🇸

UT MD Anderson Cancer Center, Houston, Texas, United States

Safety and Efficacy of a New Treatment as Adjunctive Therapy to Anti-vascular Endothelial Growth Factor (Anti-VEGF) Treatment in Patients With Age-Related Macular Degeneration (AMD)

Phase 2
Completed
Conditions
Choroidal Neovascularization
Age-Related Maculopathy
Interventions
Biological: ranibizumab
Drug: dexamethasone
Other: sham
First Posted Date
2007-08-06
Last Posted Date
2019-04-25
Lead Sponsor
Allergan
Target Recruit Count
243
Registration Number
NCT00511706

Bortezomib (Velcade) With Standard Chemotherapy for Relapsed or Refractory Follicular Lymphoma

Phase 2
Terminated
Conditions
Lymphoma, Follicular
Interventions
First Posted Date
2007-08-02
Last Posted Date
2014-05-12
Lead Sponsor
Duke University
Target Recruit Count
14
Registration Number
NCT00510887
Locations
🇺🇸

Duke University Medical Center, Durham, North Carolina, United States

Pemetrexed (Alimta) in Patients With Head and Neck Squamous Cell Cancer

Phase 1
Completed
Conditions
Head and Neck Cancer
Interventions
First Posted Date
2007-07-27
Last Posted Date
2011-09-23
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
36
Registration Number
NCT00507858
Locations
🇺🇸

UT MD Anderson Cancer Center, Houston, Texas, United States

Velcade,Thalidomide, and Dexamethasone Versus Velcade and Dexamethasone Versus Velcade, Melphalan, and Prednisone

First Posted Date
2007-07-26
Last Posted Date
2014-05-01
Lead Sponsor
Millennium Pharmaceuticals, Inc.
Target Recruit Count
502
Registration Number
NCT00507416
Locations
🇺🇸

Hematology Oncology Consultants Inc., Columbus, Ohio, United States

🇺🇸

S. Florida Oncology/ Hematology, West Palm Beach, Florida, United States

🇺🇸

Hematology-Oncology Clinic, Baton Rouge, Louisiana, United States

and more 219 locations
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