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What are your thoughts on topical anti androgens - approved, upcoming or otherwise?


_lshy

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When looking at topical anti-androgens to either stack alongside a 5AR inhibitor or run by themselves, the "mide" family seems to be very interesting. Wondering what people's thoughts are on these compounds, experiences and so on.

  • RU-58841
    • Abandoned
    • Structurally related to the below compounds
  • Pyrilutamide
    • Unreleased
    • Currently in Phase 3 trials for AGA
  • Flutamide
    • Eulexin
    • Used for female hair loss
    • Off-label topical for AGA
  • Topilutamide
    • Fluridil
    • Eucapil
    • Used for female hair loss
    • Off-label topical for AGA
  • Clascoterone
    • Winlevi
    • Breezula

With Flutamide being the cheapest and most easily attainable (I could be wrong), has anyone tried home-brewed formulations of it as a topical? What have been the effects/side effects for you?

Edited by _lshy
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Watch this interview with Dr. Hasson on his new topical finasteride. Aside from finasteride, the most compelling future treatment is breezula.

https://www.instagram.com/tv/CXUa2QpAjkm/?utm_medium=copy_link


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

Check out my final hair transplant and topical dutasteride journey

View my thread

Topical dutasteride journey 

Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

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8 minutes ago, Melvin- Moderator said:

Watch this interview with Dr. Hasson on his new topical finasteride. Aside from finasteride, the most compelling future treatment is breezula.

https://www.instagram.com/tv/CXUa2QpAjkm/?utm_medium=copy_link

Thanks for this, will watch it.

I believe you can buy Clascoterone cream now to DIY Breezula though I think it's questionable in potency when compared to other anti-androgens (Topilutamide, etc).

Topical finasteride (and dutasteride when combined with microneedling) have been shown to be effective in studies - but they aren't technically anti-androgens and instead block 5AR reduction at the follicle (without significant systemic absorption) which is great for minimising systemic effects in those not interested in taking it orally.

For those who tolerate 5AR inhibitors well and are looking to stack a topical anti-androgen alongside their daily finasteride or dutasteride, either temporarily (PED users) or long term (people who want fin/dut to work for a longer time), such application is likely redundant and offers no additional benefits.

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13 hours ago, mmokin said:

why is RU not a good choice? doesnt it work the same as breezula?

Personally, it gave me side effects, and ive heard concerns about issues with the heart. 


I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

Check out my final hair transplant and topical dutasteride journey

View my thread

Topical dutasteride journey 

Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube.

 

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58 minutes ago, Melvin- Moderator said:

Personally, it gave me side effects, and ive heard concerns about issues with the heart. 

do you think it gives more sides since its stronger than breezula and that breezula at a higher dose would have the same sides or is it less selectively targeting androgen receptors which is why it is giving more sides?

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15 hours ago, _lshy said:

Pyrilutamide

  • Unreleased
  • Currently in Phase 3 trials for AGA

 

This has the most promise and potential in my mind. Hopefully we will have access to the phase 2 safety data v soon. 

I think when one understands the mechanisms of how topical AA's work - if proven to be safe, and efficacious, there wouldn't really be a market for 5AR inhibiters ever again. 

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