Chemical Component Summary

Name DEXAMETHASONE
Identifiers (11alpha,14beta,16alpha,17alpha)-9-fluoro-11,17,21-trihydroxy-16-methylpregna-1,4-diene-3,20-dione
(8S,9R,10S,11S,13S,14S,16R,17R)-9-fluoro-11,17-dihydroxy-17-(2-hydroxyethanoyl)-10,13,16-trimethyl-6,7,8,11,12,14,15,16-octahydrocyclopenta[a]phenanthren-3-one
Synonyms 9A-FLUORO-16BETA-METHYLPREDNISOLONE
Formula C22 H29 F O5
Molecular Weight 392.46 g/mol
Type non-polymer
Isomeric SMILES C[C@@H]1C[C@H]2[C@@H]3CCC4=CC(=O)C=C[C@]4(C)[C@@]3(F)[C@@H](O)C[C@]2(C)[C@@]1(O)C(=O)CO
InChI 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/s1
InChI Key UREBDLICKHMUKA-CXSFZGCWSA-N

Chemical Details

Formal Charge 0
Atom Count 57
Chiral Atom Count 8
Chiral Atoms C8 C9 C10 C11 C13 C14 C16 C17
Bond Count 60
Aromatic Bond Count 0

Drug Info: DrugBank

DrugBank ID DB00443   (Different stereochemistry)
Name Betamethasone
Groups approved
Description A glucocorticoid given orally, parenterally, by local injection, by inhalation, or applied topically in the management of various disorders in which corticosteroids are indicated. Its lack of mineralocorticoid properties makes betamethasone particularly suitable for treating cerebral edema and congenital adrenal hyperplasia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p724)
Synonyms
  • 16beta-Methyl-1,4-pregnadiene-9alpha-fluoro-11beta,17alpha,21-triol-3,20-dione
  • 16β-Methyl-1,4-pregnadiene-9α-fluoro-11β,17α,21-triol-3,20-dione
  • 9-Fluoro-16beta-methylprednisolone
  • 9-Fluoro-16β-methylprednisolone
  • 9alpha-Fluoro-16beta-methylprednisolone
  • 9α-Fluoro-16β-methylprednisolone
  • beta-Methasone alcohol
  • Betadexamethasone
  • Betametasona
  • Betamethasone
  • Betamethasonum
  • Betamethasonvalerat Mikron
  • Rinderon
[more]
Salts
  • Betamethasone acetate
  • Betamethasone benzoate
  • Betamethasone dipropionate
  • Betamethasone sodium phosphate
  • Betamethasone valerate
Brand Names
  • Beben Gel 0.025%
  • Beta 1 Kit
  • Betacort Scalp Lotion 0.1%
  • Betaderm Crm 0.05%
  • Betaderm Crm 0.1%
  • Betaderm Lotion 0.1%
  • Betaderm Ont 0.05%
  • Betaderm Ont 0.1%
  • Betagel - 0.1%
  • Betamethasone
  • Betamethasone Clotrimazole
  • Betamethasone Combo 6mg/ml PF
  • Betamethasone Combo 7mg/ml
  • Betamethasone Dipropionate
  • Betamethasone Dipropionate Augmented
  • Betamethasone Sodium Phosphate and Betamethasone Acetate
  • Betamethasone Sp 24mg/2ml PF
  • Betamethasone Valerate
  • Betamethasone Valerate Lot 0.1% USP
  • Betamycin Ophthalmic/otic Solution
  • Betaprolene Cream 0.05%
  • Betaprolene Ointment 0.05%
  • Betaprone Cream 0.05%
  • Betaprone Lotion 0.05%
  • Betaprone Ointment 0.05%
  • Beteflam
  • Betnesol Eye and Ear Drops
  • Betnesol Eye and Ear Drops 0.1%
  • Betnesol Pellets 0.1mg
  • Betnesol Retention Enema 5mg/100ml
  • Betnesol Retention Enemas
  • Betnesol Tab 0.5mg
  • Betnesol Tablets
  • Betnovate 1/2 Crm 0.05%
  • Betnovate 1/2 Lot 0.05%
  • Betnovate 1/2 Ont 0.05%
  • Betnovate Crm 0.1%
  • Betnovate Lot 0.1%
  • Betnovate Lotion 0.1%
  • Betnovate Ont 0.1%
  • Calcipotriene 0.005% and Betamethasone Dipropionate 0.064%
  • Calcipotriene and Betamethasone Dipropionate
  • Celestoderm V
  • Celestoderm V Crm 0.1%
  • Celestoderm V Ont 0.1%
  • Celestoderm V/2
  • Celestoderm V/2 Cream .05%
  • Celestoderm V/2 Ointment 0.05%
  • Celestone Repetabs 1mg
  • Celestone Soluspan
  • Celestone Tab 0.5mg
  • Clotrimazole and Betamethasone Dipropionate
  • Diprogen Cream
  • Diprogen Ointment
  • Diprolene
  • Diprolene AF
  • Diprosalic
  • Diprosone Cream 0.05%
  • Diprosone Lotion 0.05%
  • Diprosone Ointment 0.05%
  • Dom-gentamicin-betamethasone
  • Dovobet Gel
  • Dovobet Ointment
  • Dr. Throwers Beta
  • Dr. Throwers Pbc No. 1
  • Enstilar
  • Garasone Ophthalmic Ointment
  • Garasone Ophthalmic and Otic Solution
  • Lotriderm Cream
  • Lotrisone
  • Luxiq
  • Marbeta 25 Kit
  • Occlucort Film Forming Lot 0.05
  • PMS-clotrimazole-betamethasone
  • PMS-gentamicin-betamethasone
  • Prevex B Cream 0.1%
  • Pro-lene Glycol Cream - 0.05%
  • Pro-lene Glycol Lotion - 0.05%
  • Pro-lene Glycol Ointment - 0.05%
  • Pro-sone Cream - 0.05%
  • Pro-sone Lotion - 0.05%
  • Pro-sone Ointment - 0.05%
  • Ratio-ectosone
  • Ratio-ectosone Mild Cream 0.05%
  • Ratio-ectosone Mild Lotion 0.05%
  • Ratio-ectosone Regular Cream 0.1%
  • Ratio-ectosone Regular Lotion 0.1%
  • Ratio-topilene
  • Ratio-topisalic
  • Ratio-topisone
  • Rhoprolene Glycol Cream 0.5mg/gm
  • Rhoprolene Glycol Lotion 0.5mg/gm
  • Rhoprolene Glycol Ointment 0.5mg/gm
  • Rhoprosone Cream 0.05%
  • Rhoprosone Lotion 0.05%
  • Rhoprosone Oint 0.05%
  • Rivasone Scalp Lot 0.1%
  • Rolene Cream 0.05%
  • Rolene Lotion 0.05%
  • Rolene Ointment 0.05%
  • Rosone Cream 0.05%
  • Rosone Lotion 0.05%
  • Rosone Ointment 0.05%
  • Sandoz Pentasone
  • Taclonex
  • Taclonex Scalp
  • Taro Sone Lot 0.05%
  • Taro Sone Ont
  • Taro-sone Cream 0.05%
  • Valisone Scalp Lotion
  • Valisone-G Cream
  • Valisone-G Ointment
  • Bentelan
  • Betnovate
  • Celestamine
  • Celestone
  • Diprosone
  • Fucibet
  • Procort
  • Rinderon
[more]
Affected Organism Humans and other mammals
Indication Topical use (cream, lotion and ointment): for relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses
Topical use (foam): relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses of the scalp
Systemic use: for the treatment of edocrine disorders, rheumatic disorders, collagen diseases, dermatological diseases, allergic states, ophthalmic diseases, respiratory diseases, hematologic disorders, neoplastic diseases, edematous states, gastrointestinal diseases, tuberculous meningitis and trichinosis.
Pharmacology Betamethasone and its derivatives, betamethasone sodium phosphate and betamethasone acetate, are synthetic glucocorticoids. Used for its antiinflammatory or immunosuppressive properties, betamethasone is combined with a mineralocorticoid to manage adrenal insufficiency and is used in the form of betamethasone benzoate, betamethasone dipropionate, or betamethasone valerate for the treatment of inflammation due to corticosteroid-responsive dermatoses. Betamethasone and clotrimazole are used together to treat cutaneous tinea infections.
Mechanism of action Betamethasone is a glucocorticoid receptor agonist. This leads to changes in genetic expression once this complex binds to the GRE. The antiinflammatory actions of corticosteroids are thought to involve lipocortins, phospholipase A2 inhibitory proteins which, through inhibition arachidonic acid, control the biosynthesis of prostaglandins and leukotrienes. The immune system is suppressed by corticosteroids due to a decrease in the function of the lymphatic system, a reduction in immunoglobulin and complement concentrations, the precipitation of lymphocytopenia, and interference with antigen-antibody binding. Betamethasone binds to plasma transcortin, and it becomes active when it is not bound to transcortin.
Route of administration
  • cutaneous
  • epidural; infiltration; intra-articular; intralesional; intramuscular; topical
  • epidural; intramuscular; intraspinal; intrathecal
  • intra-articular; intralesional; intramuscular
  • intra-articular; intralesional; intramuscular; soft tissue
  • intramuscular
  • ophthalmic
  • ophthalmic; otic
  • oral
  • rectal
  • topical
[more]
Categories
  • Anti-Asthmatic Agents
  • Anti-Inflammatory Agents
  • Glucocorticoids
  • Corticosteroids
ATC-Code
  • A07EA04
  • C05AA05
  • D07AC01
  • D07XC01
  • H02AB01
  • R01AD06
  • R03BA04
  • S01BA06
  • S01CB04
  • S02BA07
  • S03BA03
[more]
AHFS-Code 84:06.00
CAS number 378-44-9

Drug Targets

Name Sequence Search Pharmacological Action Actions
Glucocorticoid receptor Search yes agonist
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS. Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID: 21059682