Benign Prostatic Hyperplasia – Prostate Cancer – Prostatitis

Dutasteride

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Drug Approvals

(British Approved Name, US Adopted Name, rINN)

Synonyms: Dutasterida; GG-745; GI-198745; GI-198745X
INN: Dutasteride [rINN (en)]
INN: Dutasterida [rINN (es)]
INN: Dutastéride [rINN (fr)]
INN: Dutasteridum [rINN (la)]
INN: Дутастерид [rINN (ru)]
Chemical name: α,α,α,α´,α´,α´-Hexafluoro-3-oxo-4-aza-5α-androst-1-ene-17β-carboxy-2´,5´-xylidide; 3-Oxo-2´,5´-bis(trifluoromethyl)-4-aza-5α-androst-1-ene-17β-carboxanilide
Molecular formula: C27H30F6N2O2 =528.5
CAS: 164656-23-9
ATC code: G04CB02

Adverse Effects and Precautions

As for Finasteride.

Pharmacokinetics

Dutasteride is absorbed from the gastrointestinal tract, reaching a peak serum concentration in 1 to 3 hours, with a bioavailability of about 60%. It is highly bound to plasma proteins. Dutasteride is metabolised by the cytochrome P450 isoenzymes CYP3A4 and CYP3A5, and most of a dose is excreted as metabolites in the faeces. At steady state the elimination half-life is about 3 to 5 weeks.

Uses and Administration

Dutasteride, like finasteride, is an inhibitor of 5α-reductase. Unlike finasteride, it is claimed to inhibit both the type-1 and type-2 isoforms of the enzyme. Dutasteride is used in the treatment of benign prostatic hyperplasia it may reduce the incidence of acute urinary retention and the need for surgery. Dutasteride is given in doses of 500 micrograms daily by mouth. Response may be delayed and treatment for 6 months may be required to assess whether benefit has been achieved. Dutasteride is under investigation for the prevention of prostate cancer, and has been investigated in the treatment of alopecia.

Proprietary Preparations

Argentina: Avodart

Austria: Avodart Avolve Zyfetor

Belgium: Avodart

Canada: Avodart

Chile: Avodart

Czech Republic: Avodart

Denmark: Avodart

Finland: Avodart

France: Avodart

Germany: Avodart

Greece: Avodart Duagen

India: Duprost

Indonesia: Avodart

Ireland: Avodart

Israel: Avodart

Italy: Avodart

Malaysia: Avodart

Mexico: Avodart

The Netherlands: Avodart Duagen

Norway: Avodart

Philippines: Avodart

Poland: Avodart

Portugal: Avodart Avolve Duagen

Russia: Avodart

South Africa: Avodart

Singapure: Avodart

Spain: Avidart Duagen

Sweden: Avodart

Switzerland: Avodart

Turkey: Avodart

UK: Avodart

USA: Avodart

 
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Posted in: Drugs

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