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Systemic flutamide for female
Systemic flutamide is an antiandrogen treatment for female pattern baldness
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Flutamide is a non-steroidal antiandrogen that is devoid of other hormonal activity. It most likely acts after converting to 2-hydroxyflutamide, which is a potent competitive inhibitor of dihydrotestosterone (DHT) binding to the androgen receptor. Flutamide is currently approved for the treatment of prostate cancer in combination with luteinizing hormone-releasing hormone (LHRH), wherein Flutamide is thought to inhibit the action of testosterone on cancer cells by blocking the receptor sites that testosterone uses in the cells.
Side Effects of flutamide
Side effects of oral Flutamide are primarily
gastrointestinal, mainly diarrhea. A high
incidence of dry skin (58 percent) has also been
reported. An important side effect to be
cautious about in oral administration is
hepatotoxicity, including progressive liver
failure, which limits the usefulness of the drug
in androgenetic alopecia. Evidence of hepatic
injury includes elevated serum transaminase
(liver enzyme) levels, jaundice, hepatic
encephalopathy, and death related to acute
hepatic failure. Serum transaminase levels
should be measured prior to starting treatment
with Flutamide. Liver function tests also should
be obtained at the first signs and symptoms
suggestive of liver dysfunction, like nausea,
vomiting, abdominal pain, fatigue, anorexia,
"flu-like" symptoms or jaundice.
Flutamide should not be given to pregnant women or women desiring to become pregnant. If the drug crosses the placenta, it would be expected to produce male pseudohermaphroditism, similar to cyproterone acetate. Therefore Flutamide should be combined with an oral contraceptive pill in women of child-bearing potential to avoid the risk of pregnancy.

Systemic cyproterone acetate for female
Systemic cyproterone acetate is a popular treatment for female pattern baldness in Europe
Cyproterone acetate belongs to the class of
hormone inhibitors and has been prescribed to
treat severe hirsutism in woman of childbearing
age and also androgenetic alopecia in women.
Every woman normally produces a certain amount
of androgen, which is necessary for axillary and
pubic hair formation and maintenance.
Cyproterone acetate is an anti-androgen and
blocks the normal activity of androgen by
suppressing the actions of testosterone (and its
metabolite dihydrotestosterone) on tissues. The
term antiandrogen, as defined by Dorfman,
implies prevention of expression of androgen
activity at target sites and does not include
other mechanisms of decreasing androgen action,
such as a decrease in production of androgens,
interference with androgen metabolism, or change
in androgen plasma protein binding. However,
Cyproterone acetate exerts its effects by
blocking the binding of dihydrotestosterone (DHT)
to its receptors.
Cyproterone acetate is available in Europe, Asia
and Canada, but not in the US. Oral cyproterone
acetate is poorly absorbed (5 to 30 percent),
with maximum plasma levels achieved in a few
hours. 58 percent of the drug is excreted via
bile and 30 percent via urine.
Side effects of cyclical antiandrogen therapy
Cyproterone acetate is potentially damaging to
the liver (hepatotoxic) and liver function tests
should be performed periodically. Women of
childbearing potential must never get pregnant
while taking Cyproterone. Fetal malformations
(damage) can occur in patients on cyproterone;
therefore the drug must be prescribed in
conjunction with the contraceptive pill.
Potential side effects of CAT are somewhat
similar to those seen with intake of oral
contraceptive pills and include:
Nausea
Headache
Asthenia (lack of bodily strength
Increased weight
Decreased libido
Breast discomfort and depression have been
reported in more than 5 percent of cases treated
with CAT
Previous Page for 12 Common medicines treatment hair loss in women
1. Minoxidil for female ;
2. Finasteride for female ;
3. Antiandrogens for female ;
4. Ketoconazole shampoo ;
5. Tretinoin for female ;
6. Diazoxide for female
7. Estrogen for female ;
8. Progesterone for female ;
9. Oral contraceptive pills for female ;
10. Systemic spironolactone
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