Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Dexamethasone
Drug ID BADD_D00623
Description 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.[L10701] Developed in 1957, it is structurally similar to other corticosteroids like [hydrocortisone] and [prednisolone].[A188724] Dexamethasone was granted FDA approval on 30 October 1958.[L10695] 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.[L14318]
Indications and Usage Dexamethasone and [ciprofloxacin] otic suspension is indicated for bacterial infections with inflammation in acute otitis media and acute otitis externa.[L10698] Intramuscular and intravenous injections are indicated for a number of endocrine, rheumatic, collagen, dermatologic, allergic, ophthalmic, gastrointestinal, respiratory, hematologic, neoplastic, edematous, and other conditions.[L10701] Oral tablets are indicated for the treatment of multiple myeloma.[L10710] An intravitreal implant is indicated for some forms of macular edema and non-infectious posterior uveitis affecting the posterior of the eye.[L10719] Various ophthalmic formulations are indicated for inflammatory conditions of the eye.[L10704,L10707,L10713,L10716,L10722,L10725]
Marketing Status approved; investigational; vet_approved
ATC Code A01AC02; C05AA09; D07AB19; D07XB05; D10AA03; H02AB02; R01AD03; S01BA01; S01CB01; S02BA06; S03BA01
DrugBank ID DB01234
KEGG ID D00292
MeSH ID D003907
PubChem ID 5743
TTD Drug ID D0IT2G
NDC Product Code 80425-0328; 0009-5019; 22552-0039; 38779-0405; 0904-7266; 55154-4901; 63187-561; 67296-1496; 70518-2998; 70868-920; 0054-4183; 0054-8176; 0054-8181; 0054-8183; 0998-0615; 55718-133; 71161-138; 79572-012; 42195-490; 45865-989; 55154-4914; 68788-8223; 70382-204; 71205-012; 42291-155; 50090-0088; 60687-718; 60687-729; 64980-509; 68788-8467; 72189-383; 55289-582; 60219-2044; 67296-0326; 0054-4179; 0054-8179; 0054-8180; 72893-015; 55718-157; 65089-0045; 42195-127; 60219-2043; 63629-7850; 70954-402; 71205-013; 0054-4181; 0054-4182; 0054-4186; 71205-703; 71879-001; 46439-8765; 82298-111; 50090-6151; 61919-827; 63187-383; 63629-4129; 63629-7806; 68788-7267; 69306-111; 69306-114; 70518-3050; 70954-404; 0054-4184; 49452-2465; 0078-0925; 0023-3348; 61919-269; 68071-2744; 68788-8293; 0054-3177; 70954-403; 0054-8175; 71335-2108; 72189-254; 51552-0430; 51927-1081; 52128-170; 42195-721; 43063-266; 48102-051; 50090-0089; 54879-003; 60219-2056; 62135-114; 68788-7142; 70954-401; 0054-8174; 72189-468; 60722-3013; 0121-1814; 42195-121; 42195-149; 42195-221; 47781-914; 47781-916; 55700-961; 69306-112; 55289-903; 63629-3742; 66993-730; 67296-1837; 68071-2321; 0054-4180; 55718-156; 57582-031; 57582-931; 42195-270; 50090-6152; 51407-361
UNII 7S5I7G3JQL
Synonyms Dexamethasone | Methylfluorprednisolone | Hexadecadrol | Decameth | Decaspray | Dexasone | Dexpak | Maxidex | Millicorten | Oradexon | Decaject | Decaject-L.A. | Decaject L.A. | Hexadrol
Chemical Information
Molecular Formula C22H29FO5
CAS Registry Number 50-02-2
SMILES CC1CC2C3CCC4=CC(=O)C=CC4(C3(C(CC2(C1(C(=O)CO)O)C)O)F)C
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Foetal growth restriction18.03.01.0020.002761%
Sperm concentration abnormal13.20.04.007--Not Available
Posterior reversible encephalopathy syndrome17.13.02.0070.001744%
Macular fibrosis06.09.03.0140.000581%Not Available
Substance-induced psychotic disorder12.03.01.053; 19.03.01.0070.002092%Not Available
White matter lesion24.04.06.027; 17.11.01.0090.000145%Not Available
Reversible cerebral vasoconstriction syndrome24.04.06.026; 18.06.01.004; 17.08.02.0140.000145%Not Available
Hypothalamic pituitary adrenal axis suppression05.03.04.0070.000145%Not Available
Multiple organ dysfunction syndrome08.01.03.0570.003778%
Somatic symptom disorder19.24.01.0060.000145%Not Available
Adenocarcinoma of colon16.13.01.010; 07.21.01.0080.000145%Not Available
Amyotrophy15.05.05.010; 17.05.03.0140.000145%Not Available
B precursor type acute leukaemia16.01.01.004; 01.10.01.0040.000218%Not Available
Brain neoplasm malignant17.20.04.002; 16.30.04.0020.000145%Not Available
Brief psychotic disorder, with postpartum onset19.03.05.002; 18.06.03.0010.000145%Not Available
Catabolic state14.11.01.0340.000218%Not Available
Dermatitis exfoliative generalised23.03.07.002; 10.01.01.0290.000145%Not Available
Empty sella syndrome05.03.04.0090.000218%Not Available
Flat anterior chamber of eye06.06.07.0030.000145%Not Available
Intraventricular haemorrhage neonatal24.07.04.029; 18.04.16.002; 17.08.01.0530.000218%Not Available
Lung adenocarcinoma22.08.01.007; 16.19.01.0020.000291%Not Available
Lymphadenopathy mediastinal22.09.03.006; 01.09.01.0250.000218%Not Available
Malignant melanoma in situ23.08.01.004; 16.03.01.0040.000145%Not Available
Metastases to lymph nodes16.22.02.006; 01.09.01.0150.000291%Not Available
Neonatal asphyxia22.11.02.006; 18.04.15.0050.000145%Not Available
Neonatal respiratory distress syndrome18.04.10.003; 22.11.02.0100.000436%Not Available
Normal newborn18.08.06.0010.000392%Not Available
Open angle glaucoma06.03.01.0040.000218%Not Available
Persecutory delusion19.10.01.0070.000145%Not Available
Placental insufficiency24.04.12.002; 18.05.02.0060.000218%Not Available
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ADReCS-Target
Drug Name ADR Term Target
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