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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Early Treatment Strategy With High-dose Dexamethasone in Patients With SARS-CoV-2

Phase 3
Conditions
Interventions
First Posted Date
2022-03-24
Last Posted Date
2023-03-01
Lead Sponsor
Hospital Universitario Infanta Leonor
Target Recruit Count
200
Registration Number
NCT05293210

Intrathecal Pemetrexed for Leptomeningeal Metastasis

First Posted Date
2022-03-22
Last Posted Date
2024-11-11
Lead Sponsor
The First Hospital of Jilin University
Target Recruit Count
34
Registration Number
NCT05289908
Locations
🇨🇳

The First Hospital of Jilin University, Changchun, Jilin, China

Study of Novel Regimens in Relapsed or Refractory Multiple Myeloma

First Posted Date
2022-03-21
Last Posted Date
2024-10-26
Lead Sponsor
iTeos Belgium SA
Target Recruit Count
16
Registration Number
NCT05289492
Locations
🇺🇸

Fred Hutchinson Cancer Center, Seattle, Washington, United States

🇺🇸

Eastern Connecticut Hematology & Oncology, Norwich, Connecticut, United States

🇧🇪

ZNA Cadix, Antwerp, Belgium

and more 10 locations

Immunomodulatory Drugs (Lenalidomide With or Without Pomalidomide) in Combination With a Corticosteroid Drug (Dexamethasone) for the Treatment of Multiple Myeloma

First Posted Date
2022-03-18
Last Posted Date
2024-02-20
Lead Sponsor
Mayo Clinic
Target Recruit Count
17
Registration Number
NCT05288062
Locations
🇺🇸

Mayo Clinic in Arizona, Scottsdale, Arizona, United States

🇺🇸

Mayo Clinic in Florida, Jacksonville, Florida, United States

🇺🇸

Mayo Clinic Hospital in Arizona, Phoenix, Arizona, United States

and more 1 locations

A Phase II Study of Vibecotamab (XmAb14045) for MRD- Positive AML and MDS After Hypomethylating Agent Failure

First Posted Date
2022-03-18
Last Posted Date
2024-11-01
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
42
Registration Number
NCT05285813
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Comparative Study Between the Prophylactic Intravenous Administrations of Acetaminophen vs Dexamethasone vs Pethidine Regarding the Incidence of Shivering Induced by Single Shot Spinal Anesthesia in the Orthopedic Surgeries of the Lower Limbs

Phase 4
Active, not recruiting
Conditions
Interventions
First Posted Date
2022-03-17
Last Posted Date
2022-09-15
Lead Sponsor
Ain Shams University
Target Recruit Count
108
Registration Number
NCT05284409
Locations
🇪🇬

Ain Shams University Hospitals, Cairo, Egypt

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

First Posted Date
2022-03-15
Last Posted Date
2023-12-01
Lead Sponsor
Hellenic Society of Hematology
Target Recruit Count
36
Registration Number
NCT05280275
Locations
🇬🇷

Anticancer Hospital of Thessaloniki "Theageneio", Thessaloniki, Greece

🇬🇷

Department of Clinical Therapeutics, School of Medicine, National Kapodistrian University of Athens (NKUA), Athens, Greece

Combination of Inhaled DNase, Baricitinib and Tocilizumab in Severe COVID-19

First Posted Date
2022-03-15
Last Posted Date
2022-03-15
Lead Sponsor
Democritus University of Thrace
Target Recruit Count
150
Registration Number
NCT05279391
Locations
🇬🇷

University Hospital of Alexandroupolis, Alexandroupolis, Evros, Greece

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