DEX

DEXAMETHASONE

Created:	2002-07-19
Last modified:	2020-06-05

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20 entries where DEX is found as a standalone ligand

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Chemical Details
Formal Charge	0
Atom Count	57
Chiral Atom Count	8
Bond Count	60
Aromatic Bond Count	0

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Chemical Component Summary
Name	DEXAMETHASONE
Synonyms	9A-FLUORO-16BETA-METHYLPREDNISOLONE
Systematic Name (OpenEye OEToolkits)	(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
Formula	C₂₂ H₂₉ F O₅
Molecular Weight	392.461
Type	NON-POLYMER

Chemical Descriptors
Type	Program	Version	Descriptor
SMILES	ACDLabs	10.04	O=C(CO)C3(O)C2(CC(O)C4(F)C1(C(=CC(=O)C=C1)CCC4C2CC3C)C)C
SMILES	CACTVS	3.341	C[CH]1C[CH]2[CH]3CCC4=CC(=O)C=C[C]4(C)[C]3(F)[CH](O)C[C]2(C)[C]1(O)C(=O)CO
SMILES	OpenEye OEToolkits	1.5.0	CC1CC2C3CCC4=CC(=O)C=CC4(C3(C(CC2(C1(C(=O)CO)O)C)O)F)C
Canonical SMILES	CACTVS	3.341	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
Canonical SMILES	OpenEye OEToolkits	1.5.0	C[C@@H]1C[C@H]2[C@@H]3CCC4=CC(=O)C=C[C@@]4([C@]3([C@H](C[C@@]2([C@]1(C(=O)CO)O)C)O)F)C
InChI	InChI	1.03	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
InChIKey	InChI	1.03	UREBDLICKHMUKA-CXSFZGCWSA-N

Drug Info: DrugBank

DrugBank data are sourced from datasets licensed under a Creative Common's Attribution-NonCommercial 4.0 International License

DrugBank ID	DB01234
Name	Dexamethasone
Groups	approved investigational vet_approved
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]
Synonyms	dexamethason Dexamethasone phosphate 16alpha-Methyl-9alpha-fluoro-1-dehydrocortisol 16α-Methyl-9α-fluoro-1-dehydrocortisol dexamethosone Dexamethazone Dexamethasone Hexadecadrol 1-Dehydro-16α-methyl-9α-fluorohydrocortisone Dexamethasonum Dexametasona Dexamethasone sodium phosphate 9alpha-Fluoro-16alpha-methylprednisolone Dexametasone 1-Dehydro-16alpha-methyl-9alpha-fluorohydrocortisone 9α-Fluoro-16α-methylprednisolone Dexaméthasone
Brand Names	Dex-Moxi Decadron Dexamethasone Sodium Phosphate 0.1% / Finasteride 0.1% / Minoxidil 5% / Tretinoin 0.025% Neodecadron Eye Ear Soln 0.1% Ciprodex Decadron Tab 0.5mg ZonaCort 7-Day Dexamethasone Dexlido Kit Dex-Moxi PF Encor Dec Model 033-448 Imp 0.5mg/imp TopiDex LoCort 7-Day Netildex Neo/Poly-B/Dex Ophth Oint Apo-dexamethasone LoCort 11-Day AK-Trol ReadySharp Dexamethasone Dom-dexamethasone Tablet 4mg Tobradex Ludaxine Dexamethasone Sodium Phosphate Inj USP 4mg/ml Tobradex ST Ciprofloxacin and dexamethasone Encor Dec Model 033-757 Imp 0.5mg/imp Npd Dexamethasone Sod Phos Inj 4mg/ml PMS-dexamethasone Sod Phosphate Inj 10mg/ml Odan-dexamethasone Elixir PMS-dexamethasone Sod Phosphate Inj 4mg/ml Neomycin Sulfate, Polymyxin B Sulfate and Dexamethasone Dextenza PMS-dexamethasone Sod Phosphate Dps 1mg/ml Dexamethasone Sodium Phosphate 0.1% / Finasteride 0.1% / Minoxidil 5% TaperDex 6-day Hemady Ciprofloxacin and Dexamethasone Dexamethasone Sodium Phosphates Tobramycin and dexamethasone TaperDex 7-day HiDex 6-day Dmt Suik Neomycin Polymyxin B Sulfates and Dexamethasone Dioptrol Ointment Hexadrol Phosphate Encor Dec Model 033-159 Imp 0.5mg/imp Dexamethasone 1.5 mg Ratio-dexamethasone Tablets, USP Dexopin Dioptrol Suspension Maxitrol Decadron Phosphate Inj 4mg/ml Odan-dexamethasone Odan-trol Sandoz Ciprofloxacin / Dexamethasone TaperDex 12-day Maxidex DexMoxiKetor PF PHL-dexamethasone Cresophene Liq 999 Itch Relief Dexamethasone Sodium Phosphate 0.1% R.O.-dexsone PMS-dexamethasone Elixir Dexycu Dexamethasone Intensol Tobramycin and Dexamethasone Dexasone 0.5mg Ocudex Liq 0.1% Dexamethasone-omega TobraDex Ratio-dexamethasone Cortaren Corticosteroid/Anti-Inflammatory System Ozurdex Dexasone 0.75mg ZoDex Cushings Syndrome Diagnostic Gati-Dex Dexasone 4mg Encor Dec Model 033-443 Imp 0.5mg/imp Dexamethasone sodium phosphate Decadron Tab 4mg Hexadrol Phosphate Inj 4mg/ml Sofracort Sterile Ear/eye Ointment Neofordex Accufix II Dec Model 033-212 Decadron DP Methedex Neuromaquel Neuroma/Anti-Inflammatory System Taro-ciprofloxacin/dexamethasone Dexabliss Dexamethasone Unidose Dexlido-M Kit ZonaCort 11-Day Hexadrol Phosphate Inj 10mg/ml Neomycin and Polymyxin B Sulfates and Dexamethasone DoubleDex Kit Levodexa Sandoz Dexamethasone Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate Injection, USP Dexamethasone Sodium Phosphate Injection Sdz Sofracort Ear/eye Ointment Dexamethasone Omega Unidose Zema Pak Dexamethasone Tablets Dex-Moxi-Ketor Dxevo DEXAMETHASONE 6-Day Mas Care-pak Dexamethasone Neo-poly-dex Ropidex Decadron Phosphate Eye Ear Sol 0.1% PMS-dexamethasone Mardex 25 Kit Viadox Baycadron ReadySharp Anesthetics plus Dexamethasone Dexamethasone Sod Phosph Inj 10mg/ml USP Dexlido M-C Sandoz Tobramycin / Dexamethasone DEXAMETHASONE Sodium Phosphate Pro-dexamethasone - 4 Encor Dec Model 033-856 Imp 0.5mg/imp Zcort
Indication	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]
Categories	Adrenal Cortex Hormones Adrenals Agents Causing Muscle Toxicity Agents for Treatment of Hemorrhoids and Anal Fissures for Topical Use Alimentary Tract and Metabolism Anti-Acne Preparations Anti-Acne Preparations for Topical Use Anti-Inflammatory Agents Antiemetics Antineoplastic Agents Antineoplastic Agents, Hormonal Autonomic Agents BCRP/ABCG2 Inhibitors BSEP/ABCB11 inducers Central Nervous System Agents Corticosteroid Hormone Receptor Agonists Corticosteroids Corticosteroids for Local Oral Treatment Corticosteroids for Systemic Use Corticosteroids for Systemic Use, Plain Corticosteroids, Dermatological Preparations Corticosteroids, Moderately Potent (Group II) Cytochrome P-450 CYP2A6 Inducers Cytochrome P-450 CYP2B6 Inducers Cytochrome P-450 CYP2B6 Inducers (strength unknown) Cytochrome P-450 CYP2C19 Inducers Cytochrome P-450 CYP2C19 Inducers (strength unknown) Cytochrome P-450 CYP2C8 Inducers Cytochrome P-450 CYP2C8 Inducers (strength unknown) Cytochrome P-450 CYP2E1 Inducers Cytochrome P-450 CYP2E1 Inducers (strength unknown) Cytochrome P-450 CYP3A Inducers Cytochrome P-450 CYP3A Inducers (strong) Cytochrome P-450 CYP3A Inhibitors Cytochrome P-450 CYP3A Substrates Cytochrome P-450 CYP3A4 Inducers Cytochrome P-450 CYP3A4 Inducers (moderate) Cytochrome P-450 CYP3A4 Inducers (strong) Cytochrome P-450 CYP3A4 Inhibitors Cytochrome P-450 CYP3A4 Inhibitors (weak) Cytochrome P-450 CYP3A4 Substrates Cytochrome P-450 CYP3A5 Inducers Cytochrome P-450 CYP3A5 Inducers (moderate) Cytochrome P-450 CYP3A5 Substrates Cytochrome P-450 CYP3A7 Inducers Cytochrome P-450 CYP3A7 Inducers (strength unknown) Cytochrome P-450 CYP3A7 Substrates Cytochrome P-450 Enzyme Inducers Cytochrome P-450 Enzyme Inhibitors Cytochrome P-450 Substrates Dermatologicals Experimental Unapproved Treatments for COVID-19 Fused-Ring Compounds Gastrointestinal Agents Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Hyperglycemia-Associated Agents Immunosuppressive Agents Inducers of Drug Clearance Nasal Preparations OAT3/SLC22A8 Substrates Ophthalmological and Otological Preparations Ophthalmologicals Otologicals P-glycoprotein inducers P-glycoprotein inhibitors P-glycoprotein substrates Peripheral Nervous System Agents Pregnadienes Pregnadienetriols Pregnanes Sensory Organs Steroids Steroids, Fluorinated Stomatological Preparations Systemic Hormonal Preparations, Excl. Sex Hormones and Insulins Vasoprotectives
ATC-Code	R01AD53 D07XB05 R01AD03 D10AA03 S01CB01 S02CA06 S03CA01 C05AA09 S01CA01 D07CB04 H02AB02 S01BA01 A01AC02 S03BA01 D07AB19 S02BA06
CAS number	50-02-2

Drug Targets

DrugBank data are sourced from datasets licensed under a Creative Common's Attribution-NonCommercial 4.0 International License

Name	Target Sequence	Pharmacological Action	Actions
Glucocorticoid receptor	MDSKESLTPGREENPSSVLAQERGDVMDFYKTLRGGATVKVSASSPSLAV...	unknown	agonist
Nuclear receptor subfamily 0 group B member 1	MAGENHQWQGSILYNMLMSAKQTRAAPEAPETRLVDQCWGCSCGDEPGVG...	unknown	stimulator
Annexin A1	MAMVSEFLKQAWFIENEEQEYVQTVKSSKGGPGSAVSPYPTFNPSSDVAA...	unknown	agonist
Nitric oxide synthase, inducible	MACPWKFLFKTKFHQYAMNGEKDINNNVEKAPCATSSPVTQDDLQYHNLS...	unknown	negative modulator
Nuclear receptor subfamily 1 group I member 2	MEVRPKESWNHADFVHCEDTESVPGKPSVNADEEVGGPQICRVCGDKATG...	unknown	agonist
11-beta-hydroxysteroid dehydrogenase type 2	MERWPWPSGGAWLLVAARALLQLLRSDLRLGRPLLAALALLAALDWLCQR...	unknown	substrate
Cytochrome P450 3A4	MALIPDLAMETWLLLAVSLVLLYLYGTHSHGLFKKLGIPGPTPLPFLGNI...	unknown	substrate,inhibitor,inducer
11-beta-hydroxysteroid dehydrogenase 1	MAFMKKYLLPILGLFMAYYYYSANEEFRPEMLQGKKVIVTGASKGIGREM...	unknown	substrate
Cytochrome P450 3A5	MDLIPNLAVETWLLLAVSLVLLYLYGTRTHGLFKRLGIPGPTPLPLLGNV...	unknown	substrate,inducer
Cytochrome P450 3A7	MDLIPNLAVETWLLLAVSLILLYLYGTRTHGLFKKLGIPGPTPLPFLGNA...	unknown	substrate,inducer
Steroid 17-alpha-hydroxylase/17,20 lyase	MWELVALLLLTLAYLFWPKRRCPGAKYPKSLLSLPLVGSLPFLPRHGHMH...	unknown	inhibitor
Cytochrome P450 1A1	MLFPISMSATEFLLASVIFCLVFWVIRASRPQVPKGLKNPPGPWGWPLIG...	unknown	inhibitor,inducer
Cytochrome P450 2A6	MLASGMLLVALLVCLTVMVLMSVWQQRKSKGKLPPGPTPLPFIGNYLQLN...	unknown	inducer
Cytochrome P450 2B6	MELSVLLFLALLTGLLLLLVQRHPNTHDRLPPGPRPLPLLGNLLQMDRRG...	unknown	inducer
Cytochrome P450 2C19	MDPFVVLVLCLSCLLLLSIWRQSSGRGKLPPGPTPLPVIGNILQIDIKDV...	unknown	inducer
Cytochrome P450 2C8	MEPFVVLVLCLSFMLLFSLWRQSCRRRKLPPGPTPLPIIGNMLQIDVKDI...	unknown	inducer
Cytochrome P450 2E1	MSALGVTVALLVWAAFLLLVSMWRQVHSSWNLPPGPFPLPIIGNLFQLEL...	unknown	inducer
Cytochrome P450 3A43	MDLIPNFAMETWVLVATSLVLLYIYGTHSHKLFKKLGIPGPTPLPFLGTI...	unknown	inducer
Cytochrome P450 4A11	MSVSVLSPSRLLGDVSGILQAASLLILLLLLIKAVQLYLHRQWLLKALQQ...	unknown	inducer
Cytochrome P450 11B1, mitochondrial	MALRAKAEVCMAVPWLSLQRAQALGTRAARVPRTVLPFEAMPRRPGNRWL...	unknown	inhibitor
Albumin	MKWVTFISLLFLFSSAYSRGVFRRDAHKSEVAHRFKDLGEENFKALVLIA...	unknown	binder
ATP-dependent translocase ABCB1	MDLEGDRNGGAKKKNFFKLNNKSEKDKKEKKPTVSVFSMFRYSNWLDKLY...	unknown	substrate,inhibitor,inducer
Organic anion transporter 3	MTFSEILDRVGSMGHFQFLHVAILGLPILNMANHNLLQIFTAATPVHHCR...	unknown	substrate
Bile salt export pump	MSDSVILRSIKKFGEENDGFESDKSYNNDKKSRLQDEKKGDGVRVGFFQL...	unknown	inducer
ATP-binding cassette sub-family C member 2	MLEKFCNSTFWNSSFLDSPEADLPLCFEQTVLVWIPLGYLWLLAPWQLLH...	unknown	inducer
Broad substrate specificity ATP-binding cassette transporter ABCG2	MSSSNVEVFIPVSQGNTNGFPATASNDLKAFTEGAVLSFHNICYRVKLKS...	unknown	inhibitor
Solute carrier organic anion transporter family member 1A2	MGETEKRIETHRIRCLSKLKMFLLAITCAFVSKTLSGSYMNSMLTQIERQ...	unknown	inhibitor
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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

Related Resource References

Resource Name	Reference
Pharos	CHEMBL384467
PubChem	5743
ChEMBL	CHEMBL384467
ChEBI	CHEBI:41879
CCDC/CSD	DEXMET11, DEXMET10, BEGKUX01, HAYBAO, HAYBAO01, BEGKUX, DEXMET12
COD	2213772, 7245187, 7245188