PEBC: What You Need to Know: 5-Alpha Reductase Inhibitors
Examples:
Finasteride, Dutasteride
Indication:
Benign Prostatic Hypertrophy (BPH), Male Alopecia
Mechanism of Action:
Inhibits 5-Alpha reductase enzyme, thereby reducing conversion of testosterone into dihydrotestosterone (DHT potent agent)
DHT is responsible for increased prostate size and hair loss.
*Takes months for full effect*
Dosing:
Finasteride: 1 mg once daily (alopecia) or 5 mg once daily (BPH)
Dutasteride: 0.5 mg once daily
Adverse Effects:
-Breast tenderness
-Hair growth
-Sexual dysfunction (loss of libido, erectile dysfunction)
-Pregnant women should not touch tablets