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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Dexamethasone Treatment for OSA in Children

Phase 3
Active, not recruiting
Conditions
Interventions
First Posted Date
2022-12-06
Last Posted Date
2024-12-16
Lead Sponsor
The Hospital for Sick Children
Target Recruit Count
10
Registration Number
NCT05638087
Locations
🇨🇦

The Hospital for Sick Children, Toronto, Ontario, Canada

Efficacy of Dengue Infection With Warning Signs Treated With Dexamethasone (DengDex Study)

Not Applicable
Recruiting
Conditions
Interventions
First Posted Date
2022-11-30
Last Posted Date
2023-05-23
Lead Sponsor
Chulalongkorn University
Target Recruit Count
200
Registration Number
NCT05631405
Locations
🇹🇭

Chulalongkorn University, Bangkok, Thailand

🇹🇭

King Chulalongkorn Memorial Hospital, Bangkok, Thailand

A Study to Learn About the Effects of the Combination of Elranatamab (PF-06863135), Daratumumab, Lenalidomide or Elranatamab and Lenalidomide Compared With Daratumumab, Lenalidomide, and Dexamethasone in Patients With Newly Diagnosed Multiple Myeloma Who Are Not Candidates for Transplant

First Posted Date
2022-11-21
Last Posted Date
2024-11-13
Lead Sponsor
Pfizer
Target Recruit Count
1116
Registration Number
NCT05623020
Locations
🇮🇹

ASL PESCARA-Presidio Ospedaliero Pescara, Pescara, Italy

🇮🇹

AOU Policlinico Umberto I, Roma, Italy

🇦🇺

Pindara Private Hospital, Benowa, Queensland, Australia

and more 63 locations

A Study Evaluating the Safety and Efficacy of Multiple Treatments in Participants With Multiple Myeloma

First Posted Date
2022-10-18
Last Posted Date
2024-08-22
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
200
Registration Number
NCT05583617
Locations
🇫🇷

IGR, Villejuif, France

🇦🇺

Prince of Wales Hospital; Haematology, Randwick, New South Wales, Australia

🇦🇺

St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia

and more 11 locations

A Study to Investigate Safety and Clinical Activity of Belantamab Mafodotin in Combination With Lenalidomide, Dexamethasone and Nirogacestat in Patients With Transplant Ineligible Newly Diagnosed Multiple Myeloma

First Posted Date
2022-10-10
Last Posted Date
2023-10-24
Lead Sponsor
Hellenic Society of Hematology
Target Recruit Count
36
Registration Number
NCT05573802
Locations
🇬🇷

General Hospital of Athens "Alexandra", NKUA, Therapeutic Clinic, Athens, Greece

🇬🇷

Anticancer Hospital of Thessaloniki "Theageneio", Thessaloniki, Greece

A Study Comparing Teclistamab Monotherapy Versus Pomalidomide, Bortezomib, Dexamethasone (PVd) or Carfilzomib, Dexamethasone (Kd) in Participants With Relapsed or Refractory Multiple Myeloma

First Posted Date
2022-10-07
Last Posted Date
2024-12-06
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
650
Registration Number
NCT05572515
Locations
🇺🇸

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

and more 205 locations
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