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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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Factorial Randomized Trial of Rendesivir and Baricitinib Plus Dexamethasone for COVID-19 (the AMMURAVID Trial)

First Posted Date
2021-04-06
Last Posted Date
2021-04-06
Lead Sponsor
ASST Fatebenefratelli Sacco
Target Recruit Count
4000
Registration Number
NCT04832880
Locations
🇮🇹

Ospedale di Ferrara, Ferrara, Italy

🇮🇹

ASST Santi Paolo e Carlo, Milan, Italy

🇮🇹

ASST Fatebenefratelli-Sacco, Milan, Italy

and more 18 locations

Corticosteroids as an Additional Treatment for Mastoiditis In Children

Phase 3
Conditions
Mastoiditis; Acute
Interventions
Drug: normal saline
Drug: Dexamethasone
First Posted Date
2021-04-02
Last Posted Date
2021-04-06
Lead Sponsor
ori snapiri
Target Recruit Count
50
Registration Number
NCT04828525

Oral Statins and Protection From Hearing Loss

Phase 4
Recruiting
Conditions
Sudden Sensorineural Hearing Loss
Interventions
First Posted Date
2021-04-01
Last Posted Date
2024-12-05
Lead Sponsor
Northwestern University
Target Recruit Count
100
Registration Number
NCT04826237
Locations
🇺🇸

Northwestern Memorial Hospital, Chicago, Illinois, United States

Dose Escalation and Expansion Study of CM313 in Subjects With Relapsed or Refractory Multiple Myeloma and Lymphoma

Phase 1
Conditions
Multiple Myeloma
Lymphoma
Interventions
Drug: CM313
Drug: CM313-Dose escalation
Drug: Dexamethasone
Drug: Lenalidomide
First Posted Date
2021-03-26
Last Posted Date
2021-11-12
Lead Sponsor
Keymed Biosciences Co.Ltd
Target Recruit Count
87
Registration Number
NCT04818372
Locations
🇨🇳

Beijing Chao-Yang Hospital, Capital Medical University (West Branch), Beijing, Beijing, China

🇨🇳

Beijing Chao-Yang Hospital, Beijing, Beijing, China

🇨🇳

Peking University Third Hospital, Beijing, Beijing, China

Dexamethasone Before Elective Cesarean Section at Term in Reducing Neonatal Respiratory Distress Syndrome

Phase 4
Conditions
C08.381.840.500.475
C08.381.840.500.737
Interventions
First Posted Date
2021-03-25
Last Posted Date
2021-03-26
Lead Sponsor
Ain Shams University
Target Recruit Count
950
Registration Number
NCT04816097

Belantamab Mafodotin in Newly Diagnosed Transplant Eligible Multiple Myeloma Patients

Phase 2
Recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-03-17
Last Posted Date
2021-12-06
Lead Sponsor
PETHEMA Foundation
Target Recruit Count
50
Registration Number
NCT04802356
Locations
🇪🇸

Hospital Gregorio Marañon, Madrid, Comunidad Autónoma De Madrid, Spain

🇪🇸

Institut Catala d'Oncologia (ICO) Hospitalet, Hospitalet de Llobregat, Cataluña, Spain

🇪🇸

Clinica Universidad Navarra (CUN), Pamplona, Navarra, Spain

and more 15 locations

Dexamethasone for Post Traumatic Headache

Phase 4
Recruiting
Conditions
Post-Traumatic Headache
Interventions
First Posted Date
2021-03-16
Last Posted Date
2024-10-09
Lead Sponsor
Montefiore Medical Center
Target Recruit Count
162
Registration Number
NCT04799015
Locations
🇺🇸

Montefiore, Bronx, New York, United States

Effectiveness of Intratympanic Dexamethasone With Ligmocaine for Alleviation of Tinnitus

Phase 4
Conditions
Tinnitus
Interventions
First Posted Date
2021-03-15
Last Posted Date
2021-03-15
Lead Sponsor
Combined Military Hospital, Pakistan
Target Recruit Count
264
Registration Number
NCT04798391
Locations
🇵🇰

Combined Military Hospital, Quetta, Balochistan, Pakistan

Study of the Excretion of Orally Administered Corticosteroids for the Improval of the Detection of Said Substances in Anti-doping Controls

Phase 1
Conditions
Healthy Volunteers
Interventions
First Posted Date
2021-03-10
Last Posted Date
2021-04-01
Lead Sponsor
Parc de Salut Mar
Target Recruit Count
50
Registration Number
NCT04791345
Locations
🇪🇸

IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain

Trial to Determine the Efficacy/Safety of Plitidepsin vs Control in Patients With Moderate COVID-19 Infection

Phase 3
Terminated
Conditions
COVID-19 Infection
Interventions
First Posted Date
2021-03-05
Last Posted Date
2023-03-09
Lead Sponsor
PharmaMar
Target Recruit Count
205
Registration Number
NCT04784559
Locations
🇧🇷

Hospital Felicio Rocho, Belo Horizonte, MG, Brazil

🇲🇽

Universidad Autonoma de Nuevo Leon - Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Monterrey, NL, Mexico

🇷🇴

Institutul National De Boli Infectioase "Prof. Dr. Matei Bals", Bucharest, Romania

and more 25 locations
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