ObjectiveTo explore the synthetic technology of dexamethasone hemisuccinate (DSH) by orthogonal test.MethodsDSH was synthesized with dexamethasone and succinic anhydride, using 4Dimethylaminopyridine (4DMAP) as catalyst. The synthetic technology was optimized by orthogonal test with two factors and three levels, with the yield of DSH being the criteria . The factors were the molar ratio between succinic anhydride and dexamethasone and the molar ratio between 4DMAP and dexamethasone.ResultsThe molar ratio between 4DMAP and dexamethasone was the main factor affecting the yield of DSH and the molar ratio between succinic anhydride and DSH was the minor one. The optimum molar ratio among dexamethasone, succinic anhydrate and 4DMAP was 1.0:2.0:0.5. The yield of DSH from optimum technology was 97.72%. HNMR and IR results showed that the obtained product was what we wanted and its purity was above 99.0%. ConclusionThe optimum technology for synthesizing DSH raised the yield of DSH in large scale and the technology was stable and easy to control