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
-

Phase I Study of Perifosine + Lenalidomide and Dexamethasone for Patients With Multiple Myeloma

Phase 1
Completed
Conditions
First Posted Date
2006-12-22
Last Posted Date
2012-07-06
Lead Sponsor
AEterna Zentaris
Target Recruit Count
32
Registration Number
NCT00415064

VELCADE,Rituximab,Cyclophosphamide and Decadron

First Posted Date
2006-12-20
Last Posted Date
2018-09-19
Lead Sponsor
Oncology Specialists, S.C.
Target Recruit Count
12
Registration Number
NCT00413959
Locations
🇺🇸

Onocology Specialists, S.C, Niles, Illinois, United States

🇺🇸

Oncology Specialists, S.C, Park Ridge, Illinois, United States

Pulses of Vincristine and Dexamethasone in BFM Protocols for Children With Acute Lymphoblastic Leukemia

Phase 4
Completed
Conditions
First Posted Date
2006-12-14
Last Posted Date
2006-12-14
Lead Sponsor
International BFM Study Group
Target Recruit Count
2600
Registration Number
NCT00411541
Locations
🇦🇷

Department of Pediatric Hematology-Oncology, Italian Hospital, Buenos Aires, Argentina

🇧🇪

Department of Pediatric Hemato-Oncology, Gent University Hospital, Gent, Belgium

🇦🇹

Children's Cancer Research Institute, St Anna Kinderspital, Vienna, Austria

and more 5 locations

Palonosetron in Sarcoma Patients Receiving Chemotherapy With Adriamycin and Ifosfamide (AI)

First Posted Date
2006-12-13
Last Posted Date
2013-03-22
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
51
Registration Number
NCT00410488
Locations
🇺🇸

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

Bevacizumab, Lenalidomide, and Dexamethasone in Patients With Relapsed or Refractory Stage II or III Multiple Myeloma

First Posted Date
2006-12-13
Last Posted Date
2017-09-01
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
39
Registration Number
NCT00410605
Locations
🇺🇸

University of Wisconsin Hospital and Clinics, Madison, Wisconsin, United States

🇺🇸

University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States

Combination Chemotherapy in Treating Young Patients With Newly Diagnosed T-Cell Acute Lymphoblastic Leukemia or T-cell Lymphoblastic Lymphoma

First Posted Date
2006-12-05
Last Posted Date
2024-12-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
1895
Registration Number
NCT00408005
Locations
🇺🇸

Scott and White Memorial Hospital, Temple, Texas, United States

🇺🇸

Henry Ford Health Saint John Hospital, Detroit, Michigan, United States

🇺🇸

Children's Hospital of Alabama, Birmingham, Alabama, United States

and more 212 locations

Dexamethasone for Paediatric Adeno-tonsillectomy - A Dose-finding Study

First Posted Date
2006-11-27
Last Posted Date
2010-08-16
Lead Sponsor
University Hospital, Geneva
Target Recruit Count
215
Registration Number
NCT00403806
Locations
🇨🇭

University Hospital of Geneva, Anesthesia Department, Geneva, Canton of Geneva, Switzerland

Phase 2 Neoadjuvant Doxorubicin and Cyclophosphamide -> Docetaxel With Lapatinib in Stage II/III Her2Neu+ Breast Cancer

First Posted Date
2006-11-27
Last Posted Date
2017-12-22
Lead Sponsor
George Albert Fisher
Target Recruit Count
21
Registration Number
NCT00404066
Locations
🇺🇸

Stanford University School of Medicine, Stanford, California, United States

🇺🇸

Santa Clara Valley Medical Center, San Jose, California, United States

Dexamethasone and Supportive Care With or Without Whole-Brain Radiation Therapy in Treating Patients With Non-Small Cell Lung Cancer That Has Spread to the Brain and Cannot Be Removed By Surgery

Phase 3
Completed
Conditions
First Posted Date
2006-11-23
Last Posted Date
2013-08-26
Lead Sponsor
Medical Research Council
Target Recruit Count
1000
Registration Number
NCT00403065
Locations
🇬🇧

Wansbeck General Hospital, Ashington, England, United Kingdom

🇬🇧

Sussex Cancer Centre at Royal Sussex County Hospital, Brighton, England, United Kingdom

🇬🇧

Whiston Hospital, Prescot Merseyside, England, United Kingdom

and more 66 locations
© Copyright 2024. All Rights Reserved by MedPath