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
-

The Combination of Tacrolimus and High-dose Dexamethasone as First-line Treatment in Adult Immune Thrombocytopenia

Phase 2
Conditions
ITP
Immune Thrombocytopenia
Interventions
First Posted Date
2021-02-10
Last Posted Date
2021-02-10
Lead Sponsor
Peking University People's Hospital
Target Recruit Count
120
Registration Number
NCT04747080
Locations
🇨🇳

Peking University People's Hospital, Beijing, China

Study of Chemotherapy-Free Induction Regimen for Ph+ Acute Lymphoblastic Leukemia With Inotuzumab Ozogamicin (InO)

Phase 2
Recruiting
Conditions
Lymphoblastic Leukemia
Acute Lymphoblastic Leukemia
ph+ Acute Lymphoblastic Leukemia
Interventions
First Posted Date
2021-02-10
Last Posted Date
2024-11-22
Lead Sponsor
University of Chicago
Target Recruit Count
25
Registration Number
NCT04747912
Locations
🇺🇸

University of Chicago Medical Center, Chicago, Illinois, United States

COVID-19 Primary Care Platform for Early Treatment and Recovery (COPPER) Study

Phase 4
Terminated
Conditions
Corona Virus Infection
Covid19
Interventions
First Posted Date
2021-02-09
Last Posted Date
2021-05-11
Lead Sponsor
General Practitioners Research Institute
Target Recruit Count
17
Registration Number
NCT04746430
Locations
🇳🇱

GPRI, Groningen, Netherlands

131I-Omburtamab, in Recurrent Medulloblastoma and Ependymoma

Phase 2
Active, not recruiting
Conditions
Recurrent Medulloblastoma
Recurrent Ependymoma
Interventions
First Posted Date
2021-02-08
Last Posted Date
2024-08-06
Lead Sponsor
Pediatric Brain Tumor Consortium
Target Recruit Count
62
Registration Number
NCT04743661
Locations
🇺🇸

Children's Hospital Los Angeles, Los Angeles, California, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

🇺🇸

Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States

Liposomal Bupivacaine Plus Bupivacaine Peripheral Nerve Blockade Versus Ropivacaine Plus Dexamethasone Peripheral Nerve Blockade for Arthroscopic Rotator Cuff Repair

First Posted Date
2021-02-04
Last Posted Date
2021-02-08
Lead Sponsor
Hospital for Special Surgery Florida
Target Recruit Count
92
Registration Number
NCT04737980
Locations
🇺🇸

HSS Florida, West Palm Beach, Florida, United States

Bioequivalence Study of Prednisolone and Dexamethasone

Phase 1
Conditions
Healthy Volunteers
Interventions
First Posted Date
2021-02-01
Last Posted Date
2022-04-12
Lead Sponsor
University Medical Center Groningen
Target Recruit Count
24
Registration Number
NCT04733144
Locations
🇳🇱

University Medical Center Groningen, Groningen, Netherlands

Open-label, Multicenter Study of Intramuscular PRL-02 Depot in Patients With Advanced Prostate Cancer

Phase 1
Recruiting
Conditions
Prostate Cancer
Metastatic Castration Resistant Prostate Cancer
Metastatic Castration-sensitive Prostate Cancer
Interventions
First Posted Date
2021-01-28
Last Posted Date
2024-12-13
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
100
Registration Number
NCT04729114
Locations
🇺🇸

Northwest Medical Specialties, Tacoma, Washington, United States

🇺🇸

First Urology, Jeffersonville, Indiana, United States

🇺🇸

Garden Sate Urology, Morristown, New Jersey, United States

and more 12 locations

Low-dose Intravenous Dexamethasone at Different Times as Adjunvants for Brachial Plexus Blocks

Phase 4
Completed
Conditions
Shoulder Surgery
Analgesia
Dexamethasone
Intravenous Drug Usage
Brachial Plexus Block
Time
Interventions
First Posted Date
2021-01-19
Last Posted Date
2023-01-26
Lead Sponsor
Shanghai Jiao Tong University Affiliated Sixth People's Hospital
Target Recruit Count
180
Registration Number
NCT04714112
Locations
🇨🇳

Shanghai Jiaotong University affiliated Shanghai Sixth People's Hospital, Shanghai, China

Comparing the Effects of Different Doses of Dexamethasone to Treat Inpatient COVID-19

Phase 4
Completed
Conditions
Covid19
Interventions
First Posted Date
2021-01-13
Last Posted Date
2024-03-29
Lead Sponsor
University of Oklahoma
Target Recruit Count
110
Registration Number
NCT04707534
Locations
🇺🇸

University of Oklahoma Medical Center, Oklahoma City, Oklahoma, United States

A Study of Daratumumab With Pomalidomide, Dexamethasone, and All-Transretinoic Acid in Patients With Multiple Myeloma

Phase 2
Terminated
Conditions
Multiple Myeloma
Interventions
First Posted Date
2021-01-07
Last Posted Date
2024-01-10
Lead Sponsor
Hackensack Meridian Health
Target Recruit Count
1
Registration Number
NCT04700176
Locations
🇺🇸

John Theurer Cancer Center, Hackensack, New Jersey, United States

© Copyright 2025. All Rights Reserved by MedPath