Dutasteride
Inhibits both Type I and Type II 5-alpha reductase, reducing DHT by approximately 90%. More complete DHT suppression than finasteride but with a longer half-life and potentially more persistent side effects. FDA-approved for BPH, off-label for hair loss.
Evidence
No score yet
Safety
Unknown safety profile
Clinical Status
Approved
Last Sync
Not synced yet
Last Reviewed
Not reviewed yet
Physician Notes
Reserve for patients who do not respond adequately to finasteride. The very long half-life (5 weeks) means side effects persist long after discontinuation. 3x/week dosing may reduce systemic exposure while maintaining efficacy.
Monitoring
- DHT levels
- PSA (dutasteride reduces PSA, adjust screening accordingly)
- Sexual function assessment
Contraindications
- Women who are or may become pregnant
- Liver disease
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Pharmacology
Evidence Score
Plain-English Snapshot
Dutasteride is currently categorized as a hormonal compound.
Evidence scoring has not been fully computed yet, so interpret this profile as preliminary.
Safety scoring is incomplete. Start conservatively and monitor carefully.
Core mechanism
Dual Type I/II 5-alpha reductase inhibitor; reduces DHT by ~90%
Practical Context
Strongest current signals
No indexed study summaries yet.
Elevated caution signals
1 severe/high side effect flag