In Vitro and In Vivo Assessment of Metabolic Drug Interaction Potential of Dutasteride with Ketoconazole

    December 2019 in “ Pharmaceutics
    Seong-Wook Seo, Jin Woo Park, Dong-Gyun Han, Jimin Kim, Sang-Hyun Kim, Taeuk Park, Kyung‐Hwa Kang, Min Yang, In‐Soo Yoon
    From the encyclopedia
    Dutasteride →

    Heavy duty finasteride that comes with higher risks

    Ketoconazole →

    antifungal with some anti-androgenic benefits, often used as a shampoo

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    Studysummary This study found that co-administration of ketoconazole significantly altered the pharmacokinetics of dutasteride in rats, suggesting an interaction potential between dutasteride and azole antifungal drugs. Our plain-language summary of this paper — not a Tressless recommendation.
    In 2019, a study was conducted to investigate the potential interaction between Dutasteride, a drug used for treating hair loss, and Ketoconazole, an antifungal medication. The research was conducted both in vitro and in vivo. The results showed that co-administration of Dutasteride and Ketoconazole led to a significant increase in the systemic exposure of Dutasteride, suggesting that Ketoconazole inhibits the metabolism of Dutasteride, which could potentially lead to increased side effects. The study also developed a high-performance liquid chromatography with fluorescence detection (HPLC-FL) method for simultaneous determination of Dutasteride and its major active metabolite, 6β-hydroxydutasteride (H-DUT). The pharmacokinetics of Dutasteride and H-DUT were significantly altered by the co-administration of Ketoconazole. This was the first study to show the drug interaction potential of Dutasteride with azole antifungal drugs including Ketoconazole.
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