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.
University of Chicago Medical Center, Chicago, Illinois, United States
Norfolk and Norwich Univ Hosp /ID# 202240, Norwich, Norfolk, United Kingdom
Hospital Universitario Vall d'Hebron /ID# 200967, Barcelona, Spain
Washington University-School of Medicine /ID# 201287, Saint Louis, Missouri, United States
Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil
Department of Hematology, Nanfang Hospital, Guangzhou, Guangdong, China
Memorial Sloan Kettering Cancer Center, New York, New York, United States
Wake Forest University (Data Collection Only), Winston-Salem, North Carolina, United States
Memorial Sloan Kettering Nassau (Limited Protocol Activities), Uniondale, New York, United States
Avicenne, Bobigny, France
Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China
GSK Investigational Site, London, United Kingdom
Department of Orthopedics, Chiang Mai University, ChiangMai, Thailand
University of Maryland Medical Center /ID# 217422, Baltimore, Maryland, United States
UPMC Hillman Cancer Ctr /ID# 200063, Pittsburgh, Pennsylvania, United States
Cleveland Clinic Main Campus /ID# 202247, Cleveland, Ohio, United States
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