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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Evaluation Of Aqueous Humor Of Levofloxacin-Dexamethasone Eye Drops And Of Its Components In Patients Undergoing Cataract Surgery

First Posted Date
2018-11-14
Last Posted Date
2020-07-07
Lead Sponsor
NTC srl
Target Recruit Count
125
Registration Number
NCT03740659
Locations
🇮🇹

ASST Santi Paolo e Carlo di Milano - P.O. San Paolo di Milano, Milano, MI, Italy

🇮🇹

A.O.U. Pisana - P.O. di Cisanello, Pisa, PI, Italy

Pomalidomide, Ixazomib, and Dexamethasone With or Without Intensification by Cyclophosphamide in Relapsed or Refractory Multiple Myeloma

Phase 2
Active, not recruiting
Conditions
Refractory Multiple Myeloma
Interventions
First Posted Date
2018-11-06
Last Posted Date
2023-10-12
Lead Sponsor
GWT-TUD GmbH
Target Recruit Count
82
Registration Number
NCT03731832
Locations
🇩🇪

Kliniken Ostalb Stauferklinikum Schwäbisch Gmünd, Mutlangen, Germany

🇩🇪

phase drei Hämato-Onkologischer Studienkreis am Klinikum Aschaffenburg, Aschaffenburg, Germany

🇩🇪

Sozialstiftung Bamberg / Klinik am Bruderwald, Zentrum für Innere Medizin, Med. Klinik V, Hämatologie und internistische Onkologie, Bamberg, Germany

and more 8 locations

Ultrasound Guided Intermediate Cervical Plexus Block in Thyroid Surgery

Not Applicable
Completed
Conditions
Postoperative Pain
Interventions
Drug: local anesthetic
Drug: Dexamethasone
First Posted Date
2018-11-06
Last Posted Date
2021-03-10
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT03731468
Locations
🇪🇬

Assiut university, Assiut, Egypt

Carfilzomib, Lenalidomide, and Dexamethasone Versus Bortezomib, Lenalidomide and Dexamethasone (KRd vs. VRd) in Patients With Newly Diagnosed Multiple Myeloma (COBRA)

Phase 3
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-11-05
Last Posted Date
2024-08-15
Lead Sponsor
University of Chicago
Target Recruit Count
250
Registration Number
NCT03729804
Locations
🇺🇸

University Of Chicago Medicine Comprehensive Cancer Center, Chicago, Illinois, United States

Chemoimmunotherapy and Allogeneic Stem Cell Transplant for NK T-cell Leukemia/Lymphoma

Early Phase 1
Recruiting
Conditions
NK-Cell Leukemia
Peripheral T Cell Lymphoma
NK-Cell Lymphoma
Interventions
First Posted Date
2018-10-25
Last Posted Date
2023-10-26
Lead Sponsor
New York Medical College
Target Recruit Count
40
Registration Number
NCT03719105
Locations
🇺🇸

Children's Hospital Orange County, Orange, California, United States

🇺🇸

Helen De Vos, Grand Rapids, Michigan, United States

🇺🇸

University of Alabama, Birmingham, Alabama, United States

and more 3 locations

Dexamethasone, Elotuzumab, and Pomalidomide in Treating Patients With Refractory Multiple Myeloma

Phase 2
Completed
Conditions
Refractory Plasma Cell Myeloma
Interventions
First Posted Date
2018-10-19
Last Posted Date
2024-11-22
Lead Sponsor
Mayo Clinic
Target Recruit Count
41
Registration Number
NCT03713294
Locations
🇺🇸

Mayo Clinic in Florida, Jacksonville, Florida, United States

Dysphagia Following Anterior Cervical Spine Surgery; Single Dose Steroid vs Saline (DysDexVSSal)

Phase 4
Active, not recruiting
Conditions
Dysphagia
Interventions
First Posted Date
2018-10-18
Last Posted Date
2023-12-06
Lead Sponsor
West Virginia University
Target Recruit Count
80
Registration Number
NCT03711474
Locations
🇺🇸

West Virginia University Department of Orthopaedics, Morgantown, West Virginia, United States

Ibrutinib, Rituximab, Venetoclax, and Combination Chemotherapy in Treating Patients with Newly Diagnosed Mantle Cell Lymphoma

First Posted Date
2018-10-18
Last Posted Date
2024-11-27
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
51
Registration Number
NCT03710772
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

Daratumumab, VELCADE (Bortezomib), Lenalidomide and Dexamethasone Compared to VELCADE, Lenalidomide and Dexamethasone in Subjects With Previously Untreated Multiple Myeloma

Phase 3
Active, not recruiting
Conditions
Multiple Myeloma
Interventions
First Posted Date
2018-10-18
Last Posted Date
2024-12-24
Lead Sponsor
Stichting European Myeloma Network
Target Recruit Count
709
Registration Number
NCT03710603
Locations
🇦🇺

Alfred Hospital, Melbourne, Australia

🇩🇰

Odense University Hospital, Odense, Denmark

🇫🇷

CHRU Hôtel Dieu, Nantes, France

and more 10 locations

International Trial of Selumetinib in Combination With Dexamethasone for the Treatment of Acute Lymphoblastic Leukaemia

Phase 1
Terminated
Conditions
Acute Lymphoblastic Leukemia Recurrent
Acute Lymphoblastic Leukemia, in Relapse
Acute Lymphoblastic Leukemia
Acute Lymphoblastic Leukemia, Adult
Acute Lymphoblastic Leukemia, Pediatric
Interventions
First Posted Date
2018-10-15
Last Posted Date
2023-05-11
Lead Sponsor
University of Birmingham
Target Recruit Count
12
Registration Number
NCT03705507
Locations
🇬🇧

King's College Hospital, London, United Kingdom

🇳🇱

Prinses Maxima Centrum Voor Kinderoncologie, Utrecht, Netherlands

🇬🇧

Birmingham Children's Hospital, Birmingham, United Kingdom

and more 14 locations
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