Dutasteride: A Review of its Use in the Management of Prostate Disorders
Author(s) -
Garrett Pohlman,
Emily A. Pohlman,
E. David Crawford
Publication year - 2011
Publication title -
clinical medicine insights therapeutics
Language(s) - English
Resource type - Journals
ISSN - 1179-559X
DOI - 10.4137/cmt.s1956
Subject(s) - dutasteride , tamsulosin , medicine , urology , finasteride , prostate cancer , hyperplasia , placebo , lower urinary tract symptoms , prostate , 5 alpha reductase inhibitor , urinary retention , cancer , alternative medicine , pathology
Dutasteride, a synthetic 4-azasteroid, is a selective and competitive inhibitor of both type 1 and type 2 5-alpha-reductase isoenzymes approved for the treatment of men with symptomatic benign prostatic hyperplasia (BPH) who have an enlarged prostate. It has been demonstrated to be effective as monotherapy, or in combination with the alpha-adrenergic antagonist (a-blocker), tamsulosin, in several randomized, double-blind, placebo controlled trials and their open-label extensions. Treatment with dutasteride is generally safe and well tolerated. Dutasteride has become established in the management of men with lower urinary tract symptoms (LUTS) and reduces the risk of acute urinary retention and surgery related to BPH. Dutasteride may also have a role as a chemopreventive agent in the future as emerging evidence demonstrates a reduced risk of prostate cancer with this agent.
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