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
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Glucocorticoid Therapy in Coronavirus Disease COVID-19 Patients

Phase 4
Terminated
Conditions
Corona Virus Infection
Interventions
First Posted Date
2021-03-03
Last Posted Date
2022-06-14
Lead Sponsor
Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León
Target Recruit Count
127
Registration Number
NCT04780581
Locations
🇪🇸

Complejo Asistencial Universitario de León, León, Spain

🇪🇸

Hospital Clínico Universitario de Valladolid, Valladolid, Spain

🇪🇸

Complejo Asistencial Universitario de Salamanca, Salamanca, Spain

and more 1 locations

Intrathecal Fentanyle Versus Dexamethasone in Gynacological Laparoscopic Surgeries

Not Applicable
Completed
Conditions
Intraoperativ Pain
Interventions
Drug: intrathecal fentanyle
Drug: saline
Drug: dexamethasone
First Posted Date
2021-03-03
Last Posted Date
2021-03-17
Lead Sponsor
Assiut University
Target Recruit Count
120
Registration Number
NCT04779060
Locations
🇪🇬

Assiut university, Assiut, Egypt

Effectiveness of Combined Erector Spinae and Pecto-intercostal Fascial Plane Blocks Versus Thoracic Paravertebral Block in Perioperative Pain in Modified Radical Mastectomy

Phase 4
Completed
Conditions
Modified Radical Mastectomy
Interventions
First Posted Date
2021-03-03
Last Posted Date
2023-03-13
Lead Sponsor
Kasr El Aini Hospital
Target Recruit Count
30
Registration Number
NCT04778267
Locations
🇪🇬

Kase Al Aini teaching hospital, Cairo, Kasr Al Aini, Egypt

Pre-transplant Immunosuppression and Donor Stem Cell Transplant for the Treatment of Severe Hemoglobinopathies

Early Phase 1
Withdrawn
Conditions
Sickle Beta Thalassemia
Beta Thalassemia Major
Sickle Beta 0 Thalassemia
Sickle Beta Plus Thalassemia
Sickle Cell-SS Disease
Sickle Cell Disease
Interventions
First Posted Date
2021-03-02
Last Posted Date
2024-10-24
Lead Sponsor
M.D. Anderson Cancer Center
Registration Number
NCT04776850

DARA RVD For High Risk SMM

Phase 2
Active, not recruiting
Conditions
Multiple Myeloma
High-risk Smoldering Multiple Myeloma
Interventions
First Posted Date
2021-03-01
Last Posted Date
2024-12-12
Lead Sponsor
Omar Nadeem, MD
Target Recruit Count
61
Registration Number
NCT04775550
Locations
🇺🇸

Stamford Hospital, Stamford, Connecticut, United States

🇺🇸

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

🇺🇸

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

and more 3 locations

Iberdomide Alone or in Combination With Dexamethasone for the Treatment of Intermediate- or High-Risk Smoldering Multiple Myeloma

Phase 2
Recruiting
Conditions
Smoldering Plasma Cell Myeloma
Interventions
Drug: Dexamethasone
Drug: Iberdomide Hydrochloride
Other: Quality-of-Life Assessment
First Posted Date
2021-03-01
Last Posted Date
2024-07-15
Lead Sponsor
Emory University
Target Recruit Count
68
Registration Number
NCT04776395
Locations
🇺🇸

Emory University Hospital/Winship Cancer Institute, Atlanta, Georgia, United States

The Effectiveness of Preemptive Nebulized Dexamethasone in Reducing Post-Operative Sore Throat in Supraglottic Airway

Not Applicable
Completed
Conditions
Hoarseness
Supraglottic Airway Devices
Sore Throat
Dexamethasone
Interventions
First Posted Date
2021-02-25
Last Posted Date
2023-09-28
Lead Sponsor
Universiti Sains Malaysia
Target Recruit Count
140
Registration Number
NCT04771026
Locations
🇲🇾

University of Science Malaysia Hospital, Kubang Kerian, Kelantan, Malaysia

PROUD Study - Preventing Opioid Use Disorders

Phase 4
Terminated
Conditions
Opioid Use
Anesthesia
Interventions
Behavioral: Guided mindfulness exercises
Other: Self-administered aromatherapy
Drug: Baby aspirin
Drug: Tylenol/Acetaminophen
Drug: Pregabalin
Drug: Prednisone
Drug: Meloxicam
Drug: Prilosec
Drug: Tramadol
Drug: Voltaren
Drug: Zofran
Drug: Pepcid
Drug: Reglan
Drug: Versed
Drug: Lidocaine
Drug: Propofol
Drug: Ancef
Drug: Tranexamic Acid (TXA)
Drug: Decadron
Drug: Bupivacaine hydrochloride
Drug: Toradol
First Posted Date
2021-02-23
Last Posted Date
2023-06-22
Lead Sponsor
Emory University
Target Recruit Count
57
Registration Number
NCT04766996
Locations
🇺🇸

Emory University Orthopaedic and Spine Hospital, Atlanta, Georgia, United States

Verification of the Efficacy/safety of the Intratympanic Drug Delivery for Hearing Loss

Phase 1
Completed
Conditions
Hearing Loss, Noise-Induced
Hearing Loss, Ototoxic
Meniere Disease
Hearing Loss, Sudden
Interventions
First Posted Date
2021-02-23
Last Posted Date
2024-10-24
Lead Sponsor
Seoul National University Hospital
Target Recruit Count
15
Registration Number
NCT04766853
Locations
🇰🇷

Seoul National University Hospital, Seoul, Korea, Republic of

Selinexor, Pomalidomide, and Dexamethasone With or Without Carfilzomib for the Treatment of Patients With Relapsed Refractory Multiple Myeloma, The SCOPE Trial

Phase 1
Recruiting
Conditions
Recurrent Multiple Myeloma
Refractory Multiple Myeloma
Interventions
Drug: Carfilzomib
Drug: Dexamethasone
Other: Quality-of-Life Assessment
Drug: Pomalidomide
Other: Questionnaire Administration
Drug: Selinexor
Procedure: X-Ray Imaging
Procedure: Computed Tomography
Procedure: Positron Emission Tomography
Procedure: Bone Marrow Biopsy
Procedure: Bone Marrow Aspiration
Procedure: Biospecimen Collection
First Posted Date
2021-02-21
Last Posted Date
2024-01-17
Lead Sponsor
Mayo Clinic
Target Recruit Count
81
Registration Number
NCT04764942
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

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