MedPath

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
-

Dexametasone Versus Dexametasone Plus Dexmedetomidine in Nerve Blocks

Phase 4
Completed
Conditions
Analgesia
Pain, Acute
Upper Extremity Injury
Interventions
Drug: Dexmedetomidine-Dexamethasone
Drug: Dexamethasone
First Posted Date
2021-05-06
Last Posted Date
2022-03-04
Lead Sponsor
University of Chile
Target Recruit Count
50
Registration Number
NCT04875039
Locations
🇨🇱

Hospital Clínico Universidad de Chile, Santiago, Metropolitan, Chile

Safely Stopping Pre-medications in Patients With Breast Cancer Who Are Receiving Paclitaxel

Phase 2
Completed
Conditions
Anatomic Stage I Breast Cancer AJCC v8
Prognostic Stage IIIA Breast Cancer AJCC v8
Prognostic Stage IV Breast Cancer AJCC v8
Anatomic Stage 0 Breast Cancer AJCC v8
Anatomic Stage IA Breast Cancer AJCC v8
Anatomic Stage IB Breast Cancer AJCC v8
Anatomic Stage II Breast Cancer AJCC v8
Anatomic Stage IIA Breast Cancer AJCC v8
Anatomic Stage IIB Breast Cancer AJCC v8
Anatomic Stage III Breast Cancer AJCC v8
Interventions
First Posted Date
2021-04-28
Last Posted Date
2024-08-09
Lead Sponsor
Ohio State University Comprehensive Cancer Center
Target Recruit Count
129
Registration Number
NCT04862585
Locations
🇺🇸

Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States

Human Intravenous Interferon Beta-Ia Safety and Preliminary Efficacy in Hospitalized Subjects With COVID-19

Phase 2
Terminated
Conditions
Covid19
Interventions
Drug: IFN beta-1a
Drug: Dexamethasone
First Posted Date
2021-04-27
Last Posted Date
2023-07-21
Lead Sponsor
Faron Pharmaceuticals Ltd
Target Recruit Count
7
Registration Number
NCT04860518
Locations
🇺🇸

Newton-Wellesley Hospital, Newton, Massachusetts, United States

🇺🇸

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

🇺🇸

University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States

and more 1 locations

Effect of Honey and Dexamethason on Extraction Healing

Early Phase 1
Completed
Conditions
Impacted Third Molar Tooth
Interventions
First Posted Date
2021-04-19
Last Posted Date
2021-07-22
Lead Sponsor
Al-Azhar University
Target Recruit Count
80
Registration Number
NCT04848259
Locations
🇸🇦

Vision colleges, Jeddah, Saudi Arabia

Venetoclax, MLN9708 (Ixazomib Citrate) and Dexamethasone for the Treatment of Relapsed or Refractory Light Chain Amyloidosis

Phase 1
Recruiting
Conditions
AL Amyloidosis
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration and Biopsy
Procedure: Computed Tomography
Drug: Dexamethasone
Drug: Ixazomib Citrate
Procedure: Magnetic Resonance Imaging
Procedure: Positron Emission Tomography
Procedure: Transabdominal Ultrasound
Drug: Venetoclax
Procedure: X-Ray Imaging
First Posted Date
2021-04-19
Last Posted Date
2024-12-27
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
24
Registration Number
NCT04847453
Locations
🇺🇸

City of Hope Comprehensive Cancer Center LAO, Duarte, California, United States

🇺🇸

City of Hope Comprehensive Cancer Center, Duarte, California, United States

🇺🇸

University of California Davis Comprehensive Cancer Center, Sacramento, California, United States

and more 13 locations

Treatment of Selinexor in Combination With Clarithromycin, Pomalidomide and Dexamethasone for Relapsed Refractory Multiple Myeloma Patients

Phase 2
Terminated
Conditions
Myeloma
Myeloma Multiple
Refractory Multiple Myeloma
Interventions
First Posted Date
2021-04-13
Last Posted Date
2023-10-25
Lead Sponsor
Weill Medical College of Cornell University
Target Recruit Count
4
Registration Number
NCT04843579
Locations
🇺🇸

Weill Cornell Medicine - Multiple Myeloma Center, New York, New York, United States

🇺🇸

NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York, United States

Intratumor Injection of Anti-Mesothelin Immunotoxin LMB-100 With Ipilimumab in Malignant Mesothelioma

Phase 1
Terminated
Conditions
Mesothelioma
Interventions
Biological: LMB-100
Drug: ipilimumab
Drug: Diphenhydramine
Drug: Famotidine
Drug: Acetaminophen
Drug: Dexamethasone
Procedure: Biopsy
Diagnostic Test: FDG-PET
Diagnostic Test: CT CAP
Diagnostic Test: MRI
Diagnostic Test: ECG
Diagnostic Test: Echocardiogram
First Posted Date
2021-04-12
Last Posted Date
2024-02-02
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
2
Registration Number
NCT04840615
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Does the Single Use of Intravenous Dexamethasone Enhance Analgesic Quality of Pudendal Analgesia in Children Undergoing Hypospadias Surgery?

Not Applicable
Completed
Conditions
Pediatric Patients Undergoing Hypospadias Surgery
Interventions
Drug: normal saline
Drug: dexamethasone
First Posted Date
2021-04-08
Last Posted Date
2022-08-23
Lead Sponsor
Yonsei University
Target Recruit Count
46
Registration Number
NCT04836962
Locations
🇰🇷

Yonsei University Health System, Severance Hospital, Seoul, Korea, Republic of

Isatuximab, Pomalidomide, Elotuzumab and Dexamethasone in Relapsed and/or Refractory Multiple Myeloma

First Posted Date
2021-04-08
Last Posted Date
2024-02-07
Lead Sponsor
Medical College of Wisconsin
Target Recruit Count
53
Registration Number
NCT04835129
Locations
🇺🇸

The University of Alabama at Birmingham, Birmingham, Alabama, United States

🇺🇸

Froedtert Hospital & the Medical College of Wisconsin, Milwaukee, Wisconsin, United States

DEXamethasone EARLY Administration in Hospitalized Patients With Covid-19 Pneumonia

Phase 3
Recruiting
Conditions
COVID-19
Acute Respiratory Distress Syndrome
Pneumonia, Viral
Interventions
First Posted Date
2021-04-08
Last Posted Date
2023-03-01
Lead Sponsor
Hospital Universitario Infanta Leonor
Target Recruit Count
126
Registration Number
NCT04836780
Locations
🇪🇸

Hospital Universitario Clínico San Carlos, Madrid, Spain

🇪🇸

Hospital Emergencias Enfermera Isabel Zendal, Madrid, Spain

🇪🇸

Hospital Universitario Infanta Leonor, Madrid, Spain

© Copyright 2025. All Rights Reserved by MedPath