TLDR 5-Alpha-Reductase inhibitors shorten COVID-19 recovery time in men.
Three years ago, a double-blinded, randomized, prospective study was conducted on 130 SARS-CoV-2 positive men to determine the effect of 5-alpha-reductase inhibitors (5ARis) on COVID-19 remission times. The study found that men treated with dutasteride, a type of 5ARi, had significantly reduced total remission times compared to those in the placebo group (9.0 days versus 15.6 days, p < 0.001). Specifically, the average remission times for fatigue and loss of taste or smell were statistically different between the groups (5.8 versus 10.1 days for fatigue and 7.3 versus 13.4 days for loss of taste or smell, in dutasteride and placebo groups, respectively). Excluding loss of taste and smell, the average total remission time was 7.3 days in the dutasteride group versus 11.7 in the placebo arm (p < 0.001). Thus, the use of 5ARis significantly reduced the total remission time for men with COVID-19.
49 citations,
January 2021 in “Journal of The European Academy of Dermatology and Venereology” Anti-androgens, like finasteride, dutasteride, and spironolactone, may lessen the severity of COVID-19 in men, leading to fewer ICU admissions.
36 citations,
November 2020 in “Journal of The European Academy of Dermatology and Venereology” 5-alpha-reductase inhibitors may reduce COVID-19 symptoms in bald males.
32 citations,
July 2020 in “Journal of The American Academy of Dermatology” AGA linked to worse COVID-19 outcomes in men.
119 citations,
May 2020 in “Journal of The American Academy of Dermatology” Most COVID-19 patients in hospitals have androgenetic alopecia, more in men, suggesting a link between androgen sensitivity and severe COVID-19 symptoms.
71 citations,
April 2020 in “Journal of Cosmetic Dermatology” Genetic differences may affect COVID-19 deaths; anti-androgens could be potential treatment.
134 citations,
April 2020 in “Journal of Cosmetic Dermatology” Male pattern hair loss could hint at androgens affecting COVID-19 severity.
1 citations,
November 2015 in “Cochrane library” 5-alpha-reductase inhibitors help treat urinary symptoms from an enlarged prostate.
1 citations,
June 2021 in “Singapore Medical Journal” Dutasteride and finasteride can help increase hair growth gene expression but need further improvement.
32 citations,
May 2013 in “The Journal of Urology” Using finasteride or dutasteride does not increase the risk of male breast cancer.
71 citations,
November 2012 in “Expert Opinion on Drug Safety” 5-alpha reductase inhibitors can cause sexual side effects like erectile dysfunction and reduced sexual desire, sometimes lasting after stopping the drug.
35 citations,
April 2013 in “Sexual medicine reviews” 5-alpha reductase inhibitors slightly increase the risk of sexual and mood side effects, and breast growth in men.
July 2018 in “Reactions Weekly” Lower finasteride doses had more side effects; dutasteride caused back pain; more research needed on post-finasteride syndrome.