Dexamethasone, a glucocorticoid medication, effectively treats various health conditions such as rheumatic problems, skin diseases, allergies, respiratory issues, brain swelling, and eye pain. It is also used in treating adrenocortical insufficiency, preterm labor complications, and tuberculosis. Administration routes include oral, injection, topical cream, and eye drops. Its effects typically manifest within a day and persist for approximately three days.
Philip Showalter Hench first synthesized Dexamethasone in 1957.
Dexamethasone was approved for medical use in 1958.
On June 16, 2020, the RECOVERY Trial announced preliminary results showing dexamethasone improved survival rates in hospitalized COVID-19 patients receiving oxygen or on a ventilator.
In July 2020, the World Health Organization (WHO) stated dexamethasone should be reserved for seriously ill or critical hospitalized COVID-19 patients, emphasizing potential harm for milder cases. They announced an update to treatment guidelines to include dexamethasone or other steroids.
The preliminary report on the RECOVERY trial for Dexamethasone was published in The New England Journal of Medicine in July 2020.
In September 2020, the European Medicines Agency (EMA) endorsed the use of dexamethasone in adults and adolescents (12 years and older, weighing at least 40 kg) who require supplemental oxygen therapy for COVID-19.
In September 2020, the WHO released updated guidance on using corticosteroids, including dexamethasone, for COVID-19.
In November 2020, the Public Health Agency of Canada's Clinical Pharmacology Task Group recommended dexamethasone for hospitalized patients requiring mechanical ventilation, but acknowledged an increased risk of secondary infections.
The final report of the RECOVERY Trial was published in February 2021.
In 2021, Dexamethasone was the 260th most commonly prescribed medication in the United States, with over 1 million prescriptions.
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