Drugplain

Dexamethasone .5 mg/5mL

Dexamethasone · ELIXIR · Rising Pharma Holdings, Inc.

10 Recalls on RecordCurrently in Shortage
Plain English

Dexamethasone is a elixir containing dexamethasone at .5 mg/5mL, taken oral. Manufactured by Rising Pharma Holdings, Inc..

Key Facts

Brand Name
Dexamethasone
Generic Name
Dexamethasone
NDC Code (Product)
64980-509
Manufacturer
Rising Pharma Holdings, Inc.
Strength
.5 mg/5mL
Dosage Form
ELIXIR
Route
ORAL
Marketing Status
Application #
ANDA090891
Drug Class
Corticosteroid [EPC]
Marketing Start
08/01/2011

Recall History

10 Recalls on Record
Class II05/28/2013

Main Street Family Pharmacy, LLC

The firm received seven reports of adverse reactions in the form of skin abscesses potentially linked to compounded preservative-free methylprednisolone 80mg/ml 10 ml vials.

TerminatedVoluntary: Firm initiated
Class II05/28/2013

Main Street Family Pharmacy, LLC

The firm received seven reports of adverse reactions in the form of skin abscesses potentially linked to compounded preservative-free methylprednisolone 80mg/ml 10 ml vials.

TerminatedVoluntary: Firm initiated
Class II04/10/2013

FVS Holdings, Inc. dba. Green Valley Drugs

Lack of Assurance of Sterility: all sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

TerminatedVoluntary: Firm initiated
Class III11/06/2017

West-Ward Pharmaceuticals Corp.

Failed Impurities/Degradation Specifications: high out of specification results for Dexamethasone adduct (related compound).

TerminatedVoluntary: Firm initiated
Class III10/17/2019

Sandoz Inc

Labeling: Incorrect or missing package insert.

TerminatedVoluntary: Firm initiated
Class II05/23/2024

Eugia US LLC

Failed Impurities/Degradation Specifications: impurity sulfonic acid adduct of dexamethasone phosphate results were above spec.

OngoingVoluntary: Firm initiated
Class II09/12/2015

US Compounding Inc

Lack of Assurance of Sterility; The firm is recalling all sterile preparations that are within expiry due to deficient practices which may have an impact on sterility assurance.

TerminatedVoluntary: Firm initiated
Class II04/10/2013

FVS Holdings, Inc. dba. Green Valley Drugs

Lack of Assurance of Sterility: all sterile products compounded, repackaged, and distributed by this compounding pharmacy due to lack of sterility assurance and concerns associated with the quality control processes.

TerminatedVoluntary: Firm initiated
Class II12/06/2021

Edge Pharma, LLC

Lack of Assurance of Sterility

TerminatedVoluntary: Firm initiated
Class II05/28/2013

Main Street Family Pharmacy, LLC

The firm received seven reports of adverse reactions in the form of skin abscesses potentially linked to compounded preservative-free methylprednisolone 80mg/ml 10 ml vials.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

off label use22,619 reports
fatigue17,242 reports
diarrhoea17,161 reports
nausea14,219 reports
plasma cell myeloma14,094 reports
pneumonia13,822 reports
death13,347 reports
drug ineffective13,076 reports
neutropenia11,688 reports
pyrexia11,301 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE A l l ergic States: Control of severe or incapacitating a llergic conditions intractable to adequate trials of conventional treatment in asthma, atopic dermatitis, contact dermatitis, drug hypersensitivity reactions, perennial or seasonal allergic rhinitis, and serum sickness. Dermatologic Diseases: Bul l ous dermatitis herpetiformis, exfoliative erythroderma, mycosis fungoides, pemphigus, and severe erythema multiforme (Stevens-Johnson syndrome). Endocrine Disorders: Primary or secondary adrenocortical insufficiency (hydrocortisone or cortisone is the drug of choice; may be used in conjunction with synthetic mineralocorticoid analogs where applicable; in infancy mineralocorticoid supplementation is of particular importance), congenital adrenal hyperplasia, hypercalcemia associated with cancer, and nonsuppurative thyroiditis. Gastrointestinal Diseases: To tide the patient over a critical period of the disease in regional enteritis and ulcerative colitis. Hematologic Disorders: Acquired (autoimmune) hemolytic anemia, congenital (erythroid) hypoplastic anemia (Diamond-Blackfan anemia), idiopathic thrombocytopenic purpura in adults, pure red cell aplasia, and sel

Dosage & Administration

DOSAGE AND ADMINISTRATION For Oral Administration The initial dosage varies from 0.75 to 9 mg a day depending on the disease being treated. It Should Be Emphasized That Dosage Requirements Are Variable And Must Be Individualized On The Basis Of The Disease Under Treatment And The Response Of The Patient. After a favorable response is noted, the proper maintenance dosage should be determined by decreasing the initial drug dosage in small decrements at appropriate time intervals until the lowest dosage that maintains an adequate clinical response is reached. Situations which may make dosage adjustments necessary are changes in clinical status secondary to remissions or exacerbations in the disease process, the patient's individual drug responsiveness, and the effect of patient exposure to stressful situations not directly related to the disease entity under treatment. In this latter situation it may be necessary to increase the dosage of the corticosteroid for a period of time consistent with the patient's condition. If after long-term therapy the drug is to be stopped, it is recommended that it be withdrawn gradually rather than abruptly. In the treatment of acute exacerbations of m

Warnings

WARNINGS General Rare instances of anaphylactoid reactions have occurred in patients receiving corticosteroid therapy (see ADVERSE REACTIONS ). Increased dosage of rapidly acting corticosteroids is indicated in patients on corticosteroid therapy subjected to any unusual stress before, during, and after the stressful situation. Cardio-Renal Average and large doses of corticosteroids can cause elevation of blood pressure, sodium and water retention, and increased excretion of potassium. These effects are less likely to occur with the synthetic derivatives except when used in large doses. Dietary salt restriction and potassium supplementation may be necessary. All corticosteroids increase calcium excretion. Literature reports suggest an apparent association between use of corticosteroids and left ventricular free wall rupture after a recent myocardial infarction; therefore, therapy with corticosteroids should be used with great caution in these patients. Endocrine Corticosteroids can produce reversible hypothalamic-pituitary adrenal (HPA) axis suppression with the potential for corticosteroid insufficiency after withdrawal of treatment. Adrenocortical insufficiency may result from too

Contraindications

CONTRAINDICATIONS Contraindicated in systemic fungal infections (see WARNINGS : Infections: Fungal Infections ) and patients with known hypersensitivity to the product and its consituents.

Drug Interactions

Drug Interactio ns Aminoglutethimide: Aminoglutethimide may diminish adrenal suppression by corticosteroids. Amphotericin B injection and potassium-depleting agents: When corticosteroids are administered concomitantly with potassium-depleting agents (e.g., amphotericin B, diuretics), patients should be observed closely for development of hypokalemia. In addition, there have been cases reported in which concomitant use of amphotericin B and hydrocortisone was followed by cardiac enlargement and congestive heart failure. Antibiotics: Macrolide antibiotics have been reported to cause a significant decrease in corticosteroid clearance (see Drug Interactions: Hepatic Enzyme Inducers, Inhibitors and Substrates ). Anticholinesterases: Concomitant use of anticholinesterase agents and corticosteroids may produce severe weakness in patients with myasthenia gravis. If possible, anticholinesterase agents should be withdrawn at least 24 hours before initiating corticosteroid therapy. Anticoagulants, Oral: Co-administration of corticosteroids and warfarin usually results in inhibition of response to warfarin, although there have been some conflicting reports. Therefore, coagulation indices shoul

Adverse Reactions

ADVERSE REACTIONS (listed alphabetica ll y, under each subsection) The following adverse reactions have been reported with dexamethasone or other corticosteroids: A ll ergic Reactions: Anaphylactoid reaction, anaphylaxis, angioedema. Cardiovascular: Bradycardia, cardiac arrest, cardiac arrhythmias, cardiac enlargement, circulatory co l apse, congestive heart failure, fat embolism, hypertension, hypertrophic cardiomyopathy in premature infants, myocardial rupture following recent myocardial infarction (see WARNINGS: Cardio-Renal ), edema, pulmonary edema, syncope, tachycardia, thromboembolism, thrombophlebitis, vasculitis. Dermatologic: Acne, allergic dermatitis, dry scaly skin, ecchymoses and petechiae, erythema, impaired wound healing, increased sweating, rash, striae, suppression of reactions to skin tests, thin fragile skin, thinning scalp hair, urticaria. Endocrine: Decreased carbohydrate and glucose tolerance, development of cushingoid state, hyperglycemia, glycosuria, hirsutism, hypertrichosis, increased requirements for insulin or oral hypoglycemic agents in diabetes, manifestations of latent diabetes mellitus, menstrual irregularities, secondary adrenocortical and pituitary

Frequently Asked Questions

What is Dexamethasone used for?

Dexamethasone contains Dexamethasone. It is a elixir taken oral. Consult your doctor for specific uses.

Is Dexamethasone a controlled substance?

Dexamethasone is not classified as a controlled substance by the DEA.

What is the generic name for Dexamethasone?

The generic name for Dexamethasone is Dexamethasone. There are 8 other brand versions of Dexamethasone.

What is the NDC code for Dexamethasone .5 mg/5mL?

The NDC (National Drug Code) for Dexamethasone .5 mg/5mL is 64980-509, listed by Rising Pharma Holdings, Inc..