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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The Effect of Perioperative DEXamethasone on Postoperative Complications After PANcreaticoduodenectomy

First Posted Date
2022-10-05
Last Posted Date
2023-09-18
Lead Sponsor
Ruijin Hospital
Target Recruit Count
300
Registration Number
NCT05567094
Locations
🇨🇳

Ruijin Hospital Shanghai Jiaotong University School of Medicine, Shanghai, Shanghai, China

Triple Antiemetic Regimen for Chemoradiotherapy in Cervical Cancer or Nasopharyngeal Cancer

First Posted Date
2022-10-03
Last Posted Date
2024-02-06
Lead Sponsor
Shantou University Medical College
Target Recruit Count
116
Registration Number
NCT05564286
Locations
🇨🇳

Cancer Hospital of Shantou University Medical College, Shantou, Guangdong, China

Comparing Combinations of Drugs to Treat Newly Diagnosed Multiple Myeloma (NDMM) When a Stem Cell Transplant is Not a Medically Suitable Treatment

First Posted Date
2022-09-30
Last Posted Date
2024-05-06
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
510
Registration Number
NCT05561387
Locations
🇺🇸

Saint Luke's Cancer Institute - Twin Falls, Twin Falls, Idaho, United States

🇺🇸

Illinois CancerCare-Carthage, Carthage, Illinois, United States

🇺🇸

Saint Anthony's Health, Alton, Illinois, United States

and more 393 locations

A Study of Iberdomide (CC-220) in Combination With Elotuzumab and Dexamethasone for Relapsed/Refractory Multiple Myeloma

Early Phase 1
Active, not recruiting
Conditions
Interventions
First Posted Date
2022-09-29
Last Posted Date
2024-12-02
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
7
Registration Number
NCT05560399
Locations
🇺🇸

Icahn School of Medicine, New York, New York, United States

NDMM Patients Candidates for ASCT Comparing Extended VRD Plus vs. Isa-VRD vs. Isa-V-Iberdomide

First Posted Date
2022-09-28
Last Posted Date
2022-09-28
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
480
Registration Number
NCT05558319
Locations
🇪🇸

Hospital Principe de Asturias, Alcalá de Henares, Madrid, Spain

🇪🇸

Hospital Germans Trias i Pujol (ICO BADALONA), Badalona, Spain

🇪🇸

Clinica Universidad Navarra (CUN), Pamplona, Navarra, Spain

and more 65 locations

Assessment of Rituximab Therapeutic Response Versus Conventional Treatment

Phase 2
Not yet recruiting
Conditions
Interventions
First Posted Date
2022-09-23
Last Posted Date
2022-09-23
Lead Sponsor
Ain Shams University
Target Recruit Count
40
Registration Number
NCT05553496

A Study of Teclistamab in Combination With Daratumumab and Lenalidomide (Tec-DR) and Talquetamab in Combination With Daratumumab and Lenalidomide (Tal-DR) in Participants With Newly Diagnosed Multiple Myeloma

First Posted Date
2022-09-23
Last Posted Date
2024-12-06
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
1590
Registration Number
NCT05552222
Locations
🇨🇳

The Second Xiangya Hospital of Central South Hospital, Changsha, China

🇨🇳

The First Affliated Hospital Of Nanchang University, Nanchang, China

🇦🇹

SCRI CCCIT gem GmbH, Salzburg, Austria

and more 162 locations

A Study to Evaluate Mezigdomide in Combination With Carfilzomib and Dexamethasone (MeziKD) Versus Carfilzomib and Dexamethasone (Kd) in Participants With Relapsed or Refractory Multiple Myeloma (SUCCESSOR-2)

First Posted Date
2022-09-23
Last Posted Date
2024-12-18
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
525
Registration Number
NCT05552976
Locations
🇺🇸

USA Mitchell Cancer Institute, Mobile, Alabama, United States

🇺🇸

TOI Clinical Research, Cerritos, California, United States

🇺🇸

Kaiser Permanente - Irvine, Irvine, California, United States

and more 211 locations

Effect of Intrathecal Dexamethasone on Intra-operative Hemodynamic in Elderly Patients Undergoing Urologic Endoscopic Surgery

First Posted Date
2022-09-22
Last Posted Date
2022-09-30
Lead Sponsor
Assiut University
Target Recruit Count
90
Registration Number
NCT05549895

Study of Intravenous Amisulpride for Prophylaxis of Post-operative Nausea and Vomiting (PONV) in Pediatric Patients

First Posted Date
2022-09-19
Last Posted Date
2024-04-25
Lead Sponsor
Acacia Pharma Ltd
Target Recruit Count
410
Registration Number
NCT05546359
Locations
🇫🇷

HCL - Hôpital Mère Enfant, Bron, France

🇩🇪

Universitätsklinikum Würzburg, Würzburg, Bayern, Germany

🇺🇸

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States

and more 11 locations
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