Dexamethasone

Another steroid has been found to prevent serious COVID, but this one is different. Unlike dexamethasone, which is a systemic steroid, budesonide, a drug commonly used for asthma, is dosed directly to the lungs, which makes it much safer. And it seems to work rather well.
Medicine is conservative. We need good, thoughtful reasons to change our approaches to care – a philosophy that we believe has served our patients well. But COVID-19 put that idea on the back burner, especially in the early days of 2020. That was when we had no idea what was wrong and what to do -- and when we threw everything into the effort. How quickly was medicine able to grasp a different approach?
It's looking like winter will arrive with rising numbers of cases in the U.S. and Europe. Hospitals are again beginning to fill up. But there's some evidence that the hard-won lessons in treating COVID-19 are beginning to improve outcomes.
We have made amazing progress in the treatment of COVID-19. Two therapies – steroids and remdesivir – have already been shown to help. Those who benefit from these treatments owe thanks to patients who volunteered to participate in controlled clinical trials, and the physicians and pharmaceutical companies that lead them.
The BBC reports that the first life-saving drug for COVID-19 has been identified. While that is strictly true, without more context and numbers the impact of dexamethasone is obscured. Is this drug just click-bait material or actually a "major breakthrough"?