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.
Ismail Mohammed Ibrahim, Cairo, Egypt
Mayo Clinic in Rochester, Rochester, Minnesota, United States
West China Hospital of Sichuan University, Chengdu, Sichuan, China
Hospital Universitario La Paz, Madrid, Spain
National Heart, Lung, and Blood Institute (NIH) (Data Collection Only), Bethesda, Maryland, United States
Washington University (Data Collection Only), Saint Louis, Missouri, United States
Memorial Sloan Kettering Monmouth - Limited Protocol Activities, Middletown, New Jersey, United States
North Shore University Hospital, Manhasset, New York, United States
Fred Hutch/University of Washington Cancer Consortium, Seattle, Washington, United States
Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom
Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
Avera Cancer Institute, Sioux Falls, South Dakota, United States
UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States
Children's Hospital North Surgery Center, Sewickley, Pennsylvania, United States
Henan Cancer Hospital, Zhengzhou, Henan, China
The First Affiliated Hospital of Air Force Medical University, Xi'an, Shanxi, China
Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China
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