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
-

Hormone Therapy and Radiation Therapy or Hormone Therapy and Radiation Therapy Followed by Docetaxel and Prednisone in Treating Patients With Localized Prostate Cancer

First Posted Date
2006-02-07
Last Posted Date
2022-06-21
Lead Sponsor
Radiation Therapy Oncology Group
Target Recruit Count
612
Registration Number
NCT00288080
Locations
🇺🇸

DeCesaris Cancer Institute at Anne Arundel Medical Center, Annapolis, Maryland, United States

🇺🇸

St. Agnes Hospital Cancer Center, Baltimore, Maryland, United States

🇺🇸

Cleveland Clinic Cancer Center at Fairview Hospital, Cleveland, Ohio, United States

and more 251 locations

Treatment of Mantle Cell Lymphoma at Diagnosis for Patients Under 65 Years

First Posted Date
2006-02-02
Last Posted Date
2009-02-12
Lead Sponsor
French Innovative Leukemia Organisation
Target Recruit Count
39
Registration Number
NCT00285389
Locations
🇫🇷

Regional university hospital, Rennes, France

🇫🇷

REgional Hospital, Tours, France

Association of L-asparaginase-Methotrexate-Dexamethasone for Nasal and Nasal-type Natural Killer (NK)-T-cell Lymphoma

Phase 2
Completed
Conditions
First Posted Date
2006-01-31
Last Posted Date
2013-02-28
Lead Sponsor
University Hospital, Limoges
Target Recruit Count
40
Registration Number
NCT00283985
Locations
🇫🇷

Service d'Hématologie, Evry, France

🇫🇷

Département Maladies du Sang, Angers, France

🇫🇷

CH Annecy, Annecy, France

and more 22 locations

Combination Chemotherapy, Total-Body Irradiation, and Alemtuzumab in Treating Patients Undergoing an Autologous Stem Cell Transplant for Stage I, Stage II, Stage III, or Stage IV Chronic Lymphocytic Leukemia

Phase 2
Completed
Conditions
First Posted Date
2006-01-13
Last Posted Date
2016-09-26
Lead Sponsor
German CLL Study Group
Target Recruit Count
30
Registration Number
NCT00276809
Locations
🇩🇪

Medizinische Hochschule Hannover, Hannover, Germany

🇩🇪

Universitatsklinikum Heidelberg, Heidelberg, Germany

🇩🇪

University Hospital Schleswig-Holstein - Kiel Campus, Kiel, Germany

and more 9 locations

Induction Therapy Study in Live Donor Kidney Transplant Recipients With a Positive Crossmatch

First Posted Date
2006-01-12
Last Posted Date
2018-01-18
Lead Sponsor
Johns Hopkins University
Target Recruit Count
56
Registration Number
NCT00275509
Locations
🇺🇸

The Johns Hopkins University, School of Medicine, Baltimore, Maryland, United States

Prednisolone or Dexamethasone Combined With Chemotherapy in Treating Young Patients With Newly Diagnosed Lymphoblastic Lymphoma

Phase 3
Terminated
Conditions
First Posted Date
2006-01-11
Last Posted Date
2013-07-10
Lead Sponsor
Children's Cancer and Leukaemia Group
Target Recruit Count
600
Registration Number
NCT00275106
Locations
🇬🇧

Addenbrooke's Hospital, Cambridge, England, United Kingdom

🇬🇧

Royal Manchester Children's Hospital, Manchester, England, United Kingdom

🇩🇪

Kinderklinik, Giessen, Germany

and more 18 locations

Cyclophosphamide and Total Body Irradiation in Treating Patients Who Are Undergoing an Autologous Peripheral Stem Cell Transplant For Chronic Lymphocytic Leukemia

First Posted Date
2006-01-11
Last Posted Date
2018-05-11
Lead Sponsor
German CLL Study Group
Target Recruit Count
169
Registration Number
NCT00275015
Locations
🇩🇪

Charite - Universitaetsmedizin Berlin - Campus Benjamin Franklin, Berlin, Germany

🇩🇪

Robert Roessle Comprehensive Cancer Center at University of Berlin - Charite Campus Buch, Berlin, Germany

🇩🇪

Internistische Praxis - Trier, Trier, Germany

and more 50 locations

Arsenic Trioxide, Ascorbic Acid, Dexamethasone, and Thalidomide in Myelofibrosis/Myeloproliferative Disorder

First Posted Date
2006-01-11
Last Posted Date
2020-07-27
Lead Sponsor
Case Comprehensive Cancer Center
Target Recruit Count
15
Registration Number
NCT00274820
Locations
🇺🇸

Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center, Cleveland, Ohio, United States

🇺🇸

Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center, Cleveland, Ohio, United States

The Effects of Hypercapnia, Supplemental Oxygen, and Dexamethasone on Surgical Wound Infection

Phase 3
Completed
Conditions
First Posted Date
2006-01-09
Last Posted Date
2016-06-29
Lead Sponsor
The Cleveland Clinic
Target Recruit Count
2000
Registration Number
NCT00273377
Locations
🇮🇪

Mater Misericordiae Hospital, Dublin, Ireland

🇺🇸

Outcomes Research Institute, Louisville, Kentucky, United States

🇺🇸

Cleveland Clinic, Cleveland, Ohio, United States

and more 1 locations

Higher Frequency Zoledronic Acid in the Treatment of Multiple Myeloma

First Posted Date
2005-12-08
Last Posted Date
2011-07-21
Lead Sponsor
Gleneagles Hospital
Target Recruit Count
56
Registration Number
NCT00263484
Locations
🇮🇳

Christian Medical College, Vellore, Tamil Nadu, India

🇮🇳

Tata Memorial Hospital, Mumbai, India

🇰🇷

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

and more 7 locations
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