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.
M D Anderson Cancer Center, Houston, Texas, United States
The Hospital for Sick Children, Toronto, Ontario, Canada
The Heart Centre, Rigshospitalet, Copenhagen, Denmark
Chulalongkorn University, Bangkok, Thailand
King Chulalongkorn Memorial Hospital, Bangkok, Thailand
ASL PESCARA-Presidio Ospedaliero Pescara, Pescara, Italy
AOU Policlinico Umberto I, Roma, Italy
Pindara Private Hospital, Benowa, Queensland, Australia
AZ Maria Middelares Gent, Gent, Oost Vlaanderen, Belgium
IGR, Villejuif, France
Prince of Wales Hospital; Haematology, Randwick, New South Wales, Australia
St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia
General Hospital of Athens "Alexandra", NKUA, Therapeutic Clinic, Athens, Greece
Anticancer Hospital of Thessaloniki "Theageneio", Thessaloniki, Greece
Michael E DeBakey VA Medical Center, Houston, Texas, United States
Arthur J E Child Comprehensive Cancer Centre, Calgary, Alberta, Canada
Uls Gaia Espinho, Vila Nova de Gaia, Portugal
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