TLDR Finasteride temporarily suppresses brain activity, but some effects last even after stopping.
This study on male Wistar rats examined the effects of finasteride on brain tissue, focusing on 5-alpha reductase (5AR) and c-Fos protein expression. Twenty-four rats were divided into control, finasteride-treated, and finasteride-withdrawn groups. Finasteride administration significantly reduced 5AR type 2 and c-Fos protein levels, indicating suppressed neural activity. After discontinuation, 5AR type 1 and c-Fos levels rebounded, suggesting temporary suppression of neural activity that could be relieved by restoring 5AR type 1 expression. However, 5AR type 2 levels remained low even after withdrawal, indicating a prolonged effect of finasteride on this enzyme. The study highlights the need for further research to understand the detailed mechanisms of 5AR in brain tissue.
7 citations
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January 2019 in “The Aging Male” Post-finasteride syndrome's existence is uncertain; more research needed.
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April 2017 in “The Journal of Steroid Biochemistry and Molecular Biology” Post-finasteride patients show changed neuroactive steroid levels, possibly causing erectile dysfunction and depression.
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March 2017 in “PeerJ” Using finasteride or dutasteride may cause long-lasting erectile dysfunction.
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March 2011 in “The Journal of Sexual Medicine” Finasteride for hair loss can cause long-lasting sexual side effects like low libido and erectile dysfunction.
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January 2010 in “Drug Metabolism and Pharmacokinetics” Finasteride's effect on hair loss and prostate enlargement depends on its binding to an enzyme, with maximum impact at 0.2 mg dose.
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May 2004 in “The Journal of clinical endocrinology and metabolism/Journal of clinical endocrinology & metabolism” Dutasteride more effectively lowers DHT levels in men with enlarged prostates than finasteride.
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January 1996 in “Clinical Pharmacokinectics” Finasteride helps regrow hair and shrink prostate by reducing DHT, with some sexual side effects.
38 citations
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June 2003 in “Journal of Investigative Dermatology Symposium Proceedings” Finasteride effectively improves hair growth and slows hair loss in men with male pattern baldness.