DermRx.
← All drugs

dexamethasone

Modality
small molecule
Mechanism
The short term effects of corticosteroids are decreased vasodilation and permeability of capillaries, as well as decreased leukocyte migration to sites of inflammation.[A187463] Corticosteroids binding to the glucocorticoid receptor mediates changes in gene expression that lead to multiple downstream effects over hours to days.[A187463] Glucocorticoids inhibit neutrophil apoptosis and demargination; they inhibit phospholipase A2, which decreases the formation of arachidonic acid derivatives; they inhibit NF-Kappa B and other inflammatory transcription factors; they promote anti-inflammatory genes like interleukin-10.[A187463] Lower doses of corticosteroids provide an anti-inflammatory effect, while higher doses are immunosuppressive.[A187463] High doses of glucocorticoids for an extended period bind to the mineralocorticoid receptor, raising sodium levels and decreasing potassium levels.[A187463]
Targets
Glucocorticoid receptor, Nuclear receptor subfamily 0 group B member 1, Annexin A1, Nitric oxide synthase, inducible, Nuclear receptor subfamily 1 group I member 2
Storage
Approved
psoriasis — FDA · atopic dermatitis — FDA · acne vulgaris — FDA
In trial
vitiligo
Source
Last verified
2026-04-19
No curated MOA diagram yet. See lib/moa-data.ts for the shape; add an entry keyed by dexamethasone.