Finasteride studies

Prop

Established Member
Reaction score
1
As once cassin suggested, is good to collect here all possible study on finasteride. it's a hard task but it's worth trying

I start with copy/paste from PH then i will integrate with new ones

i encourage also another one that will provide positive studies possibly all in one post. we can integrate it everytimes we found new ones


it's only a raw random start.



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Effect of finasteride on human testicular steroidogenesis
http://www.andrologyjournal.org/cgi/con ... t/17/5/516


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Finasteride-induced myalgia and HyperCKemia. http://www.ncbi.nlm.nih.gov/pubmed/19169095

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Finasteride and acquired androgen insensitivity

Acquired androgen insensitivity may occur without AR mutations by mechanisms such as drugs including non-steroidal (flutamide, bicalutamide, nilutamide) and steroidal (cyproterone acetate), drugs that block part of testosterone activation such as 5? reductase inhibitors (finasteride, dutasteride) or estrogen antagonists or aromatase inhibitors.

In addition, drugs may have physiological effects or pharmacological actions that oppose various steps in androgen action such as LH and FSH suppression by estrogens or progestins or that cause an increase in circulating SHBG which may influence testosterone transfer from blood into tissues to produce a functional phenocopy of androgen insensitivity.

http://www.endotext.org/male/male2/male2.htm
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Finasteride-induced Acute Hepatitis (Kunizawa A)

Conclusion: To our best knowledge, this is the first report of the Androgenetic Alopecia case associated with finasteride-induced acute hepatitis. We deduce that finasteride may cause the hepatic cell damage by an allergic reaction mechanism.
http://www.asiatox.org/6th%20APAMT%20pd ... atitis.pdf
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TRANSGENDERCARE MEDICAL FEMINIZING PROGRAM
(FINA included)
http://www.transgendercare.com/medical/ ... gimens.asp
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FINASTERIDE PANCREATITIS

Finasteride: First report of acute pancreatitis: case report
http://www.ingentaconnect.com/content/a ... 9/art00027

Acute pancreatitis possibly related to finasteride.
http://www.ncbi.nlm.nih.gov/sites/entre ... xed=google

Drug-induced pancreatitis
http://www.pharmacists.ca/content/cpjpd ... tookhy.pdf
-- See page 2, lower right of table under "miscellaneous" category... Finasteride is listed.

Here is another article detailing increased risk of pancreatitis in Proscar users:
http://journals.lww.com/jcge/Abstract/2 ... of.15.aspx

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Castration-like effects on the human prostate of a 5-reductase inhibitor, finasteride

If the acute effects of finasteride on tissue T and DHT persist during chronic therapy, prostatic hormone concentrations could be said to closely resemble those found following surgical castration; such changes might prevent the occurrence of prostate cancer, similar to the effects noted after surgical castration in younger males.
http://onlinelibrary.wiley.com/doi/10.1 ... 5/abstract
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Incidence and severity of sexual adverse experiences in finasteride and placebo-treated men with benign prostatic hyperplasia.
CONCLUSIONS:
Compared with placebo, men treated with finasteride experienced new drug-related sexual AEs with an increased incidence only during the first year of therapy.

http://www.ncbi.nlm.nih.gov/entrez/quer ... med_DocSum
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Evidence for atrophy and apoptosis in the ventral prostate of rats
given the 5 alpha-reductase inhibitor finasteride.

FULL TEXT:
http://endo.endojournals.org/cgi/reprint/136/2/741.pdf


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Erectile dysfunction following treatments of benign prostatic hyperplasia: a prospective study.

http://www.ncbi.nlm.nih.gov/entrez/quer ... med_docsum

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Effect of selective 5alpha-reductase inhibitor or/and testosterone undecanoate on the reproductive function of male rats
CONCLUSION:
High dosages of 5alpha-reductase inhibitor, Finasteride, can suppress male reproductive function, but the inhibiting effect could be counteracted by administration of 5alpha-reductase inhibitor along with TU.

http://www.ncbi.nlm.nih.gov/entrez/quer ... med_DocSum

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Actions of 5alpha-reductase inhibitors on the epididymis.

Two isozymes of 5alpha-reductase, types 1 and 2, are abundantly expressed in the epididymis. DHT is the androgen found in the nuclei of epididymal cells and is essential for the maturation of spermatozoa. Thus, one approach to block androgen action in the epididymis is to inhibit DHT formation.

Several compounds have been reported to inhibit either one or both forms of 5alpha-reductase in many tissues. The first commercially available inhibitor of 5alpha-reductase, finasteride, has a predominant effect on the type 2 isozyme, while more recently developed agents, such as dutasteride, PNU157706 and FK143, act as dual inhibitors.

We found that the treatment of adult rats with such agents results in pronounced effects on the expression of genes essential to the formation of the optimal luminal microenvironment that is required for proper sperm maturation.

Furthermore, drug treatment caused a significant decrease in the percentage of progressively motile and morphologically normal spermatozoa in the cauda epididymides.

Mating females to treated males resulted in fewer successful pregnancies and a higher rate of pre-implantation loss. Thus, there may be a role for dual 5alpha-reductase inhibitors as potential components of a male contraceptive.




http://www.ncbi.nlm.nih.gov/entrez/quer ... med_DocSum
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androgen insensitivity


Acquired androgen insensitivity may occur without AR mutations by mechanisms such as drugs including non-steroidal (flutamide, bicalutamide, nilutamide) and steroidal (cyproterone acetate), drugs that block part of testosterone activation such as 5? reductase inhibitors (finasteride, dutasteride) or estrogen antagonists or aromatase inhibitors.

In addition, drugs may have physiological effects or pharmacological actions that oppose various steps in androgen action such as LH and FSH suppression by estrogens or progestins or that cause an increase in circulating SHBG which may influence testosterone transfer from blood into tissues to produce a functional phenocopy of androgen insensitivity.


http://www.endotext.org/male/male2/male2.htm
 

antman

Established Member
Reaction score
21
thanks for the info.
a few of those links didn't work for me.

Effect of Oral Finasteride on Serum Androgen Levels and Androgenetic Alopecia in Adult Men

is one i didn't notice

http://panarabderm.org/en/components/co ... _37-47.pdf

however they did it on 5 mg of finasteride per day. for all we now 1 mg could do next to nothing, but it does indicate that free T can be affected with 1mg per day

serum total T 445.67 to 502.66
serum free T 25.33 to 18.4
 

Wuffer

Experienced Member
Reaction score
46
Propeciahelp is a poor resource for finasteride studies. Members have done an extremely good job combing through any study with the word finasteride in it, and posting it on the website if any part of the study can be construed as negative. To top it off, usually only certain sections are pulled out (in bold and highlighted in scary red colors), and often completely out of context. This is easily verifiable by going to the website and looking at them.

I believe Cassin brought this up because he wanted to compile a list of some of the stronger studies to analyze side effect incidence rates and other possible outcomes of finasteride use. At the very least, studies should be placebo controlled and should actually have an intent of analyzing side effects to ensure it was designed to remove biases. The purpose of this was to be a guide for some newer forum members so that they could take a look at the data themselves and make a educated decision on whether or not to start the treatment.


The studies you posted Propecia are very weak. Here are some examples why:

1. You posted a case report of a single individual suffering from acute hepatitis, which was thought to be related to an allergic reaction to finasteride. Allergic reactions are known to result from medications in extremely rare cases. How does knowing this single case report benefit anyone? Should people be realistically afraid that they will get hepatitis when they take finasteride?

2. I have no idea why you posted the feminizing thing. Again, how does this benefit the average individual looking to start on the drug? This isn’t even a study and it doesn’t tell us anything useful.

3. Your two links about pancreatitis don’t work, but same as the hepatitis case report: case reports of extremely rare reactions shouldn’t even be mentioned. Nobody knows for certain finasteride even caused these reactions. Correlation does not equate to causation, especially when you are looking at only 2 case reports. Show us a placebo controlled study that shows statistically significant increased incidence rates of pancreatitis resulting from finasteride use and then it can most definitely be included. Oh wait! I just saw your next link.. There is a study on this!

4. For your final post about pancreatitis, I’m just wondering, did you read it closely? (http://journals.lww.com/jcge/Abstract/2 ... of.15.aspx). I’ll just post this quote from it: “Conclusion: We did not find any increased risk of acute pancreatitis in users of finasteride.â€

5. Again, I’m a bit baffled at why you posted some of these.. I don’t know why you posted the castration one other than the fact that the word “castration†sounds scary. The study indicates that finasteride lowers DHT levels similarly to surgical castration, while T levels (unlike surgical castration) actually increase. Did you have a purpose with posting this?

6. Rat studies. I don’t think anyone will argue that these don’t belong. Animal studies are useful for raising hypothesis about effects on humans and may lead to further studies, but until this has happened and similar effects can be demonstrated on humans, they shouldn’t be mentioned.


The rest of your studies don’t seem to work, could you please double-check your links and edit your post?

Anyway, I’m honestly not trying to tell you these studies should not be included because they are anti-finasteride and I’m a pro-finasteride shill and blah blah blah... For this to be a useful resource, you need to have certain standards for the quality of studies. At the very least if Casin is still interested in this project (I am willing to help out too) we should just start compiling some of the larger placebo controlled studies so that we can put together actual incidence rates of side effects. After that is complete, we can look into compiling case reports and finding some meaning from these other studies.
 

Prop

Established Member
Reaction score
1
wuffer i clearly said

I start with copy/paste from PH then i will integrate with new ones

so i haven't time to look deep in each study, i wanted only to kickstart this interesting project.

but seeing ur reaction maybe i start to understand why mew didn't want to post the PH studies here.


i could agree in some part of ur analytical destruction, but with ur criterion i don't think that much studies could be posted
 
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