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 Efficacy of Botulinum Toxin Vs. Corticosteroid for the Treatment of Refractory Plantar Fasciitis

First Posted Date
2022-05-10
Last Posted Date
2024-09-30
Lead Sponsor
Western Institute for Veterans Research
Target Recruit Count
62
Registration Number
NCT05367271
Locations
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VA Salt Lake City Health Care System, Salt Lake City, Utah, United States

Vestibular Rehabilitation With Intratympanic Drug Therapy in Meniere's Disease

First Posted Date
2022-05-02
Last Posted Date
2022-05-02
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Combined Military Hospital Quetta
Target Recruit Count
93
Registration Number
NCT05355610
Locations
🇵🇰

CMH Quetta, Quetta, Balochistan, Pakistan

Low Dose Olanzapine to the Prophylaxis of Nausea and Vomiting Induced by Chemotherapy in Children and Adolescents

First Posted Date
2022-04-26
Last Posted Date
2022-07-28
Lead Sponsor
Federal Research Institute of Pediatric Hematology, Oncology and Immunology
Target Recruit Count
210
Registration Number
NCT05346731
Locations
🇷🇺

Zhukov Nikolay, Moscow, Russian Federation

Individualizing Corticosteroid Use in Pneumonia

Phase 2
Recruiting
Conditions
Interventions
First Posted Date
2022-04-19
Last Posted Date
2024-12-11
Lead Sponsor
Mayo Clinic
Target Recruit Count
24
Registration Number
NCT05334316
Locations
🇺🇸

Mayo Clinic Rochester, Rochester, Minnesota, United States

Romiplostim Plus Dexamethasone vs Dexamethasone in Patients With Newly Diagnosed Primary Immune Thrombocytopenia

First Posted Date
2022-04-13
Last Posted Date
2024-03-18
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Fundación Pública Andaluza para la gestión de la Investigación en Sevilla
Target Recruit Count
126
Registration Number
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Locations
🇪🇸

Hospital del Mar, Barcelona, Spain

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Centre Sociosanitari Sant Jordi de la Vall D'Hebron, Barcelona, Spain

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Complejo Asistencial Universitario de Burgos, Burgos, Spain

and more 12 locations

Post Operative Pain Management for ACL Reconstruction

First Posted Date
2022-04-07
Last Posted Date
2023-09-21
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Rothman Institute Orthopaedics
Target Recruit Count
154
Registration Number
NCT05316168
Locations
🇺🇸

Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, United States

A Study to Assess the Adverse Events and Change in Disease Activity in Adult Participants With Relapsed or Refractory Multiple Myeloma Receiving Oral ABBV-453 Tablets

First Posted Date
2022-04-04
Last Posted Date
2024-10-22
Lead Sponsor
AbbVie
Target Recruit Count
34
Registration Number
NCT05308654
Locations
🇺🇸

Tulane University School of Medicine /ID# 244854, New Orleans, Louisiana, United States

🇺🇸

American Oncology Partners of Maryland /ID# 244858, Bethesda, Maryland, United States

🇺🇸

Atrium Health Levine Cancer Institute /ID# 243420, Charlotte, North Carolina, United States

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Testing the Combination of Inotuzumab Ozogamicin and Lower Dose Chemotherapy Compared to Usual Chemotherapy for Adults With B-Cell Acute Lymphoblastic Leukemia or B-Cell Lymphoblastic Lymphoma

First Posted Date
2022-03-31
Last Posted Date
2024-12-27
Lead Sponsor
Alliance for Clinical Trials in Oncology
Target Recruit Count
66
Registration Number
NCT05303792
Locations
🇺🇸

UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care, Irvine, California, United States

🇺🇸

UC Irvine Health/Chao Family Comprehensive Cancer Center, Orange, California, United States

🇺🇸

Logan Health Medical Center, Kalispell, Montana, United States

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First Posted Date
2022-03-28
Last Posted Date
2022-03-28
Lead Sponsor
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Target Recruit Count
108
Registration Number
NCT05298683
Locations
🇬🇷

General Hospital of Athens "Evangelismos", Athens, Greece

🇬🇷

Anticancer Oncology Hospital of Athens "Agios Savvas", Athens, Greece

🇬🇷

General Hospital of Athens "Alexandra", Athens, Greece

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