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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Preemptive Dexamethasone , Paracetamol on Postoperative Period Following Adeno-tonsillectomy in Pediatric .

First Posted Date
2021-12-03
Last Posted Date
2022-05-09
Lead Sponsor
Benha University
Target Recruit Count
90
Registration Number
NCT05143762
Locations
🇪🇬

Banha Faculity of Medicine, Banha, Elqalyoubea, Egypt

Comparison of the Anti-Inflammatory Efficacy of Preemptive Dexamethasone and Etoricoxib

First Posted Date
2021-12-02
Last Posted Date
2021-12-16
Lead Sponsor
Dow University of Health Sciences
Target Recruit Count
170
Registration Number
NCT05142098

Low Dose Versus Standard Dose Dexamethasone for Reduction of Swelling in Patients With Primary or Metastatic Brain Tumors

First Posted Date
2021-12-01
Last Posted Date
2024-05-29
Lead Sponsor
City of Hope Medical Center
Target Recruit Count
26
Registration Number
NCT05139043
Locations
🇺🇸

City of Hope Medical Center, Duarte, California, United States

Dexamethasone and Functional Outcome After TKA

First Posted Date
2021-11-30
Last Posted Date
2022-10-06
Lead Sponsor
Slagelse Hospital
Target Recruit Count
162
Registration Number
NCT05137080
Locations
🇩🇰

Næstved, Slagelse og Ringsted Hospitals, Næstved, Denmark

🇩🇰

Næstved, Slagelse and Ringsted Hospitals, Slagelse, Denmark

Safety and Efficacy of Early Administration of Dexamethasone in High-risk Sepsis

Phase 1
Recruiting
Conditions
Interventions
First Posted Date
2021-11-29
Last Posted Date
2024-08-21
Lead Sponsor
CHA University
Target Recruit Count
102
Registration Number
NCT05136560
Locations
🇰🇷

Bundang CHA hospital, Seongnam-si, Gyeonggi-do, Korea, Republic of

🇰🇷

Samsung Hospital, Seoul, Korea, Republic of

Fight INflammation to Improve Outcome After Aneurysmal Subarachnoid HEmorRhage

First Posted Date
2021-11-24
Last Posted Date
2023-05-10
Lead Sponsor
University Hospital, Bonn
Target Recruit Count
334
Registration Number
NCT05132920
Locations
🇩🇪

Otto von Guericke University Magdeburg, Magdeburg, Sachsen-Anhalt, Germany

🇩🇪

University Hospital Bonn, Bonn, NRW, Germany

🇩🇪

University Hospital Leipzig, Leipzig, Sachsen, Germany

and more 10 locations

Effect of Dexmedetomidine on Prevention of Postoperative Nausea and Vomiting in Children

First Posted Date
2021-11-17
Last Posted Date
2022-04-05
Lead Sponsor
Tanta University
Target Recruit Count
4
Registration Number
NCT05124067
Locations
🇸🇦

Sharurah Armed Forces Hospital, Sharurah, Najran, Saudi Arabia

DEXTENZA for the Treatment of Pain and Inflammation Following Surgical Trabeculectomy and Ahmed Valve Procedures

First Posted Date
2021-11-11
Last Posted Date
2021-11-11
Lead Sponsor
Brian Jerkins, MD
Target Recruit Count
30
Registration Number
NCT05116345
Locations
🇺🇸

Hamilton Eye Institute, Memphis, Tennessee, United States

A Study of Teclistamab in Combination With Daratumumab Subcutaneously (SC) (Tec-Dara) Versus Daratumumab SC, Pomalidomide, and Dexamethasone (DPd) or Daratumumab SC, Bortezomib, and Dexamethasone (DVd) in Participants With Relapsed or Refractory Multiple Myeloma

First Posted Date
2021-10-19
Last Posted Date
2024-12-06
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
587
Registration Number
NCT05083169
Locations
🇺🇸

Emory University - Winship Cancer Institute, Atlanta, Georgia, United States

🇺🇸

West Penn Hospital, Pittsburgh, Pennsylvania, United States

🇺🇸

University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States

and more 175 locations
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