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Mylan Institutional LLC
ATC Code
A01AC02
Source
OPENFDA_NDC
USDailyMed:Dexamethasone
AU:A
A01AC02(WHO)C05AA09(WHO),D07AB19(WHO),D10AA03(WHO),H02AB02(WHO),R01AD03(WHO),S01BA01(WHO),S02BA06(WHO),S03BA01(WHO)
AU:S4(Prescription only)CA:℞-onlyUK:POM(Prescription only)US:℞-onlyEU:Rx-onlyIn general: ℞ (Prescription only)
(8S,9R,10S,11S,13S,14S,16R,17R)-9-Fluoro-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13,16-trimethyl-6,7,8,9,10,11,12,13,14,15,16,17-dodecahydro-3H-cyclopenta[a]phenanthren-3-one
50-02-2Y
5743
2768
DB01234N
5541Y
7S5I7G3JQL
D00292Y
CHEBI:41879Y
ChEMBL384467Y
DEX (PDBe,RCSB PDB)
DTXSID3020384
Interactive image
O=C(CO)[C@]3(O)[C@]2(C[C@H](O)[C@]4(F)[C@@]1(C(=CC(=O)C=C1)CC[C@H]4[C@@H]2C[C@H]3C)C)C
InChI=1S/C22H29FO5/c1-12-8-16-15-5-4-13-9-14(25)6-7-19(13,2)21(15,23)17(26)10-20(16,3)22(12,28)18(27)11-24/h6-7,9,12,15-17,24,26,28H,4-5,8,10-11H2,1-3H3/t12-,15+,16+,17+,19+,20+,21+,22+/m1/s1YKey:UREBDLICKHMUKA-CXSFZGCWSA-NY
Dexamethasoneis a fluorinatedglucocorticoid medicationused to treatrheumatic problems, a number ofskin diseases, severeallergies,asthma,chronic obstructive pulmonary disease(COPD),croup,brain swelling, eye pain followingeye surgery,superior vena cava syndrome(a complication of some forms of cancer),and along withantibioticsintuberculosis.Inadrenocortical insufficiency, it may be used in combination with amineralocorticoidmedication such asfludrocortisone.Inpreterm labor, it may be used to improve outcomes in the baby.It may be givenby mouth, as aninjection into a muscle, as aninjection into a vein, as a topical cream or ointment for the skin or as a topical ophthalmic solution to the eye.The effects of dexamethasone are frequently seen within a day and last for about three days.
The long-term use of dexamethasone may result inthrush, bone loss,cataracts, easy bruising, or muscle weakness.It is inpregnancy categoryC in the United States, meaning that it should only be used when the benefits are predicted to be greater than the risks.In Australia, the oral use is category A, meaning it has been frequently used in pregnancy and not been found to cause problems to the baby.It should not be taken whenbreastfeeding.Dexamethasone hasanti-inflammatoryandimmunosuppressanteffects.
Dexamethasone was first synthesized in 1957 byPhilip Showalter Henchand was approved for medical use in 1958.It is on theWorld Health Organization's List of Essential Medicines.In 2023, it was the 246th most commonly prescribed medication in the United States, with more than 1million prescriptions.It is available as ageneric medication.In 2023, the combination of dexamethasone withneomycinandpolymyxin Bwas the 260th most commonly prescribed medication in the United States, with more than 1million prescriptions;and the combination of dexamethasone withciprofloxacinwas the 283rd most commonly prescribed medication in the United States, with more than 700,000 prescriptions;