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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RCT on the Efficacy of Dexamethasone Versus Methyl Prednisolone in Covid-19 Infected Patients With High Oxygen Flow

First Posted Date
2021-09-30
Last Posted Date
2021-09-30
Lead Sponsor
Cairo University
Target Recruit Count
60
Registration Number
NCT05062681
Locations
🇪🇬

Eman Osama, Cairo, Egypt

Study of Belantamab Mafodotin in Combination With Kd for the Treatment of Relapsed Myeloma Patients, Refractory to Lenalidomide

First Posted Date
2021-09-29
Last Posted Date
2022-09-08
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
60
Registration Number
NCT05060627
Locations
🇪🇸

Hospital Universitario 12 de Octubre, Madrid, Spain

🇪🇸

Hospital Germans Trias i Pujol (ICO BADALONA), Badalona, Spain

🇪🇸

Hospital Clinic, Barcelona, Spain

and more 12 locations

Treatment of Mature B-ALL and Burkitt Lymphoma (BL) in Adult Patients. BURKIMAB-14.

First Posted Date
2021-09-20
Last Posted Date
2021-09-20
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
100
Registration Number
NCT05049473
Locations
🇪🇸

Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain

🇪🇸

Hospital del Mar, Barcelona, Spain

🇪🇸

ICO-Hospital Duran i Reynals, Bellvitge, Spain

and more 26 locations

Marizomib Central Nervous System (CNS)

First Posted Date
2021-09-20
Last Posted Date
2024-07-16
Lead Sponsor
Dana-Farber Cancer Institute
Registration Number
NCT05050305
Locations
🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

🇺🇸

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

A Dose-escalating Pilot Study of Orelabrutinib for Newly-diagnosed PCNSL

First Posted Date
2021-09-05
Last Posted Date
2024-10-18
Lead Sponsor
Huashan Hospital
Target Recruit Count
15
Registration Number
NCT05036577
Locations
🇨🇳

Department of Hematology, Huashan Hospital, Fudan University, Shanghai, Shanghai, China

ESP Block vs Control for Pain Control Following Percutaneous Nephrolithotomy

First Posted Date
2021-08-27
Last Posted Date
2024-12-04
Lead Sponsor
University of Tennessee Medical Center
Target Recruit Count
128
Registration Number
NCT05024344
Locations
🇺🇸

University of Tennessee Medical Center, Knoxville, Tennessee, United States

A Multicenter Randomized Open-label Study of Diammonium Glycyrrhizinate Enteric-coated Capsule Plus DXM Versus DXM in Treatment of ITP

First Posted Date
2021-08-27
Last Posted Date
2021-08-27
Lead Sponsor
Shandong University
Target Recruit Count
106
Registration Number
NCT05023915
Locations
🇨🇳

Qilu hospital (Qingdao), Shandong University, Qingdao, Shandong, China

🇨🇳

Qilu hospital, Shandong University, Jinan, Shandong, China

MagnetisMM-5: Study of Elranatamab (PF-06863135) Monotherapy and Elranatamab + Daratumumab Versus Daratumumab + Pomalidomide + Dexamethasone in Participants With Relapsed/Refractory Multiple Myeloma

First Posted Date
2021-08-25
Last Posted Date
2024-10-10
Lead Sponsor
Pfizer
Target Recruit Count
761
Registration Number
NCT05020236
Locations
🇺🇸

MSK Bergen, Montvale, New Jersey, United States

🇺🇸

MSK Commack, Commack, New York, United States

🇺🇸

MSK Westchester, Harrison, New York, United States

and more 258 locations

Venetoclax Plus Inotuzumab for B-ALL

First Posted Date
2021-08-23
Last Posted Date
2024-08-14
Lead Sponsor
Dana-Farber Cancer Institute
Target Recruit Count
26
Registration Number
NCT05016947
Locations
🇺🇸

Dana Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

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