Dexamethasone

Generic Name: dexamethasone

Corticosteroid [EPC]Over-the-Counter (OTC)

Brand Names:

Ozurdex

OZURDEX is a sterile intravitreal implant containing 0.7 mg dexamethasone in the NOVADUR solid polymer sustained-release drug delivery system, preloaded into a single-use applicator for vitreous injection.

Overview

OZURDEX is a sterile intravitreal implant containing 0.7 mg dexamethasone in the NOVADUR solid polymer sustained-release drug delivery system, preloaded into a single-use applicator for vitreous injection.

Uses

OZURDEX treats: macular edema following branch or central retinal vein occlusion; non-infectious posterior segment uveitis; and diabetic macular edema.

Dosage

For ophthalmic intravitreal injection under controlled aseptic conditions. Post-injection monitoring includes checking optic nerve perfusion, tonometry within 30 minutes, and biomicroscopy days 2-7.

Side Effects

Common reactions (20-70% of patients): cataracts, increased intraocular pressure, conjunctival hemorrhage. In diabetic macular edema trials, 68% of phakic patients developed cataracts; 61% required surgery.

Warnings

Intravitreal injections carry risks of endophthalmitis, eye inflammation, increased intraocular pressure, and retinal detachments. Corticosteroid use may produce posterior subcapsular cataracts and secondary ocular infections. Contraindicated in active or suspected ocular infections, glaucoma with cup-to-disc ratios exceeding 0.8, torn posterior lens capsule, and known hypersensitivity.

Pregnancy

No adequate controlled studies in pregnant women. Animal studies showed cleft palate and embryofetal death in mice; intestinal and kidney malformations in rabbits.

Storage

Store at 15 to 30 degrees C (59 to 86 degrees F).

Frequently Asked Questions

What is Dexamethasone used for?

OZURDEX treats: macular edema following branch or central retinal vein occlusion; non-infectious posterior segment uveitis; and diabetic macular edema.

What are the side effects of Dexamethasone?

Common reactions (20-70% of patients): cataracts, increased intraocular pressure, conjunctival hemorrhage. In diabetic macular edema trials, 68% of phakic patients developed cataracts; 61% required surgery.

Can I take Dexamethasone during pregnancy?

No adequate controlled studies in pregnant women. Animal studies showed cleft palate and embryofetal death in mice; intestinal and kidney malformations in rabbits.

What are the important warnings for Dexamethasone?

Intravitreal injections carry risks of endophthalmitis, eye inflammation, increased intraocular pressure, and retinal detachments. Corticosteroid use may produce posterior subcapsular cataracts and secondary ocular infections. Contraindicated in active or suspected ocular infections, glaucoma with cup-to-disc ratios exceeding 0.8, torn posterior lens capsule, and known hypersensitivity.

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Medical Disclaimer

This drug information is for educational purposes only and should not replace professional medical advice. Drug information is sourced from the FDA National Drug Code Directory and Structured Product Labeling. Always consult with a healthcare provider before starting, stopping, or changing any medication.