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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Preoperative Corticosteroids in Autoimmune Thyroid Disease

First Posted Date
2022-06-28
Last Posted Date
2023-12-11
Lead Sponsor
Indiana University
Target Recruit Count
76
Registration Number
NCT05435547
Locations
🇺🇸

IU Methodist Hospital, Indianapolis, Indiana, United States

🇺🇸

IU University Hospital, Indianapolis, Indiana, United States

🇺🇸

IU North Hospital, Indianapolis, Indiana, United States

COMbination Regimens in MM Post AHCT to elimiNate MRD Utilizing IbERdomide

First Posted Date
2022-06-28
Last Posted Date
2024-03-01
Lead Sponsor
University of Alabama at Birmingham
Target Recruit Count
80
Registration Number
NCT05434689
Locations
🇺🇸

Duke University, Durham, North Carolina, United States

🇺🇸

University of Wisconsin, Madison, Wisconsin, United States

🇺🇸

Oregon Health and Science University, Portland, Oregon, United States

and more 3 locations

Transversus Abdominis Plane Blocks With and Without Dexamethasone

First Posted Date
2022-06-27
Last Posted Date
2023-12-07
Lead Sponsor
University of Saskatchewan
Target Recruit Count
60
Registration Number
NCT05432934
Locations
🇨🇦

Royal University Hospital, Saskatoon, Saskatchewan, Canada

PVd Versus Vd in NDMM Patients With RI

First Posted Date
2022-06-27
Last Posted Date
2023-01-31
Lead Sponsor
RenJi Hospital
Target Recruit Count
79
Registration Number
NCT05432414
Locations
🇨🇳

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

Selinexor Plus VRd in High Risk Newly Diagnosed Multiple Myeloma

First Posted Date
2022-06-16
Last Posted Date
2024-06-17
Lead Sponsor
Xia Zhongjun
Target Recruit Count
42
Registration Number
NCT05422027
Locations
🇨🇳

Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China,, Guangzhou, Guangdong, China

🇨🇳

Guangdong Provincial Peoples Hospital, Guangzhou, Guangdong, China

🇨🇳

Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China

and more 1 locations

SC Versus IV Isatuximab in Combination With Pomalidomide and Dexamethasone in RRMM

First Posted Date
2022-06-06
Last Posted Date
2024-11-14
Lead Sponsor
Sanofi
Target Recruit Count
531
Registration Number
NCT05405166
Locations
🇺🇸

Arizona Oncology Associates, PC - HAL- Site Number : 8400015, Prescott Valley, Arizona, United States

🇺🇸

Rocky Mountain Cancer Centers, LLP- Site Number : 8400021, Aurora, Colorado, United States

🇺🇸

Mayo Clinic- Site Number : 8400008, Jacksonville, Florida, United States

and more 143 locations

Iberdomide, Daratumumab, Bortezomib, and Dexamethasone for Treatment of Newly Diagnosed Multiple Myeloma, IDEAL Study

First Posted Date
2022-05-26
Last Posted Date
2024-12-24
Lead Sponsor
Mayo Clinic
Target Recruit Count
18
Registration Number
NCT05392946
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

A Study to Evaluate Safety, Drug Levels and Effectiveness of CC-92480 (BMS-986348) in Combination With Other Treatments in Participants With Relapsed or Refractory Multiple Myeloma

First Posted Date
2022-05-12
Last Posted Date
2024-08-09
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
220
Registration Number
NCT05372354
Locations
🇨🇦

University Health Network UHN - Princess Margaret Hospital PMH, Toronto, Ontario, Canada

🇺🇸

John Theurer Cancer Center at Hackensack UMC, Hackensack, New Jersey, United States

🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

and more 14 locations

The Combination of Zanubrutinib and High-dose Dexamethasone as First-line Treatment in Adult Immune Thrombocytopenia

Phase 2
Not yet recruiting
Conditions
Interventions
First Posted Date
2022-05-11
Last Posted Date
2022-05-11
Lead Sponsor
Peking University People's Hospital
Target Recruit Count
150
Registration Number
NCT05369364
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