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.
Ospedale di Ferrara, Ferrara, Italy
ASST Santi Paolo e Carlo, Milan, Italy
ASST Fatebenefratelli-Sacco, Milan, Italy
Northwestern Memorial Hospital, Chicago, Illinois, United States
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
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
Montefiore, Bronx, New York, United States
Combined Military Hospital, Quetta, Balochistan, Pakistan
IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
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
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