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.
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.
University of California San Francisco-Benioff Children's Hospital, San Francisco, California, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
The First Hospital of Jilin University, Changchun, Jilin, China
Fred Hutchinson Cancer Center, Seattle, Washington, United States
Eastern Connecticut Hematology & Oncology, Norwich, Connecticut, United States
ZNA Cadix, Antwerp, Belgium
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
National Institutes of Health Clinical Center, Bethesda, Maryland, United States
M D Anderson Cancer Center, Houston, Texas, United States
Ain Shams University Hospitals, Cairo, Egypt
Anticancer Hospital of Thessaloniki "Theageneio", Thessaloniki, Greece
Department of Clinical Therapeutics, School of Medicine, National Kapodistrian University of Athens (NKUA), Athens, Greece
University Hospital of Alexandroupolis, Alexandroupolis, Evros, Greece
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