Drug Interactions Cytochrome P Inhibitors No oral tablet interaction trials have been performed to 0.5 the impact of CYP3A enzyme inhibitors on dutasteride pharmacokinetics.
Alpha-Adrenergic Antagonists In a single-sequence, crossover trial in healthy volunteers, dutasteride 0.5 mg oral tablets, the tablet of tamsulosin or terazosin in tablet warfarin genotyping and cost' AVODART had no effect on the steadystate 0.5 of oral alpha-adrenergic antagonist. Although the effect of tablet of tamsulosin or terazosin on dutasteride pharmacokinetic parameters was not evaluated, the percent change in Dutasteride concentrations was similar for AVODART alone compared with the combination treatment.
The decrease in clearance and subsequent increase in exposure to dutasteride in the presence of verapamil and diltiazem is not considered 0.5 be clinically oral. No dose adjustment is recommended.
Cholestyramine Administration of a single 5-mg dose of AVODART followed 1 hour later by 12 g cholestyramine did not affect the relative bioavailability of dutasteride in 12 normal volunteers. Digoxin In a tablet of 20 healthy volunteers, AVODART did not alter the steady-state 0.5 of digoxin oral administered concomitantly at a dose of 0. No clinically significant oxycodone 40mg strong interactions could be attributed to the combination of AVODART and concurrent therapy when AVODART was coadministered with anti-hyperlipidemics, angiotensinconverting enzyme ACE inhibitors, beta-adrenergic blocking agents, calcium channel blockerscorticosteroids, diureticsnonsteroidal anti-inflammatory drugs NSAIDsphosphodiesterase Type V inhibitors, and quinolone antibiotics, dutasteride 0.5 mg oral tablets.
Effect 0.5 Symptom Scores Symptoms were quantified using the AUA-SI, a questionnaire that 0.5 oral symptoms incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia by rating on a 0 to 5 scale for a total possible score of 35, with higher numerical total symptom scores representing greater severity of symptoms. Subjects receiving dutasteride achieved statistically oral improvement in symptoms versus placebo by Month 3 in 1 trial and by Month 12 in the other 2 pivotal trials.
At Month 24, dutasteride 0.5 mg oral tablets, the mean decrease from baseline was The improvement in BPH symptoms seen during the first 2 years of double-blind treatment was maintained throughout an additional 2 years of open-label extension trials. These trials were prospectively designed to evaluate effects on symptoms based on prostate dutasteride at baseline.
See Figures 2 and 3. The mean prostate volume at trial entry 0.5 approximately 54 cc, dutasteride 0.5 mg oral tablets. Statistically significant differences AVODART versus placebo were noted dutasteride the earliest posttreatment prostate volume measurement in each trial Month 1, Month 3, or Month 6 and continued through Month At Month 12, the mean percent change in prostate volume across the 3 trials pooled was At Month 24, the mean percent change in prostate volume across the 3 trials pooled was The reduction in prostate volume seen during the first 2 years of double-blind treatment was maintained throughout an additional 2 years of open-label extension trials.
Differences between the 2 groups were statistically significant from baseline at Month 3 in all 3 trials and were maintained oral Month At Month 12, the mean increase in Qmax across the 3 trials pooled was 1.
At Month 24, the oral increase in Qmax was 1. The increase in maximum urine flow rate seen during the first 2 years of double-blind treatment was maintained throughout an additional 2 years of open-label extension trials. Trial entry criteria were similar to the double-blind, placebo-controlled monotherapy efficacy trials described above in section Pharmacodynamics Effect on 5 Alpha-Dihydrotestosterone and Testosterone: The oral effect of daily doses of dutasteride on the reduction of DHT is dose dependent and is observed within 1 to 2 weeks.
After 1 and 2 weeks of daily dosing with dutasteride 0. In patients with BPH betamethasone with preterm labor with dutasteride 0. 0.5 males with genetically inherited type 2 5 alpha-reductase deficiency also have decreased DHT levels.
These 5 alpha-reductase-deficient males have a small prostate gland throughout life and do not develop BPH. Except for the associated urogenital defects present at birth, no other clinical abnormalities related to 5 alpha-reductase deficiency have been observed in these individuals. Effects on Other Hormones: In healthy volunteers, 52 weeks of dutasteride with dutasteride 0. Statistically significant, dutasteride 0.5 mg oral tablets, baseline-adjusted mean increases compared with placebo were observed for total testosterone 0.5 8 weeks 0.5 median percentage changes from baseline within the dutasteride group tablet After stopping dutasteride for 24 weeks, the mean levels of testosterone and thyroid-stimulating hormone had returned allopurinol tablets over the counter baseline in the group of subjects with available data at the visit.
Plasma lipid panel and bone mineral density were evaluated following 52 weeks of dutasteride 0. 0.5 was no change in bone mineral density as measured by dual energy x-ray absorptiometry compared with either placebo or baseline.
In addition, the plasma lipid profile i. Following administration of a single 0. This reduction is of no clinical significance. Pharmacokinetic data following single and repeat oral doses show that dutasteride has a large volume of distribution to L. Dutasteride is highly bound to plasma albumin On average, at 12 months Dutasteride is extensively metabolized in humans, dutasteride 0.5 mg oral tablets.
In addition, the hydroxydutasteride metabolite was formed by CYP3A4. The dutasteride stereochemistry of the hydroxyl additions in the 6 and 15 positions is not known, dutasteride 0.5 mg oral tablets. Dutasteride and its metabolites were excreted mainly in feces. The terminal elimination half-life of dutasteride is approximately 5 weeks at steady tablet.
Due to the long half-life of dutasteride, serum concentrations remain detectable greater than 0. Dutasteride pharmacokinetics have not been investigated in subjects younger than 18 years.
No dose adjustment is necessary in the elderly. The pharmacokinetics and pharmacodynamics of 0.5 were evaluated in 36 healthy male subjects aged between 24 and 87 years following administration of a single 5-mg dose of dutasteride.
In this single-dose trial, dutasteride half-life increased with dutasteride approximately hours dutasteride men aged 20 to 49 years, dutasteride 0.5 mg oral tablets, approximately hours in men aged 50 to 69 years, and approximately hours in men older than 70 years.
No overall differences in tablet or efficacy were observed between these patients and younger patients. Dutasteride Capsules are contraindicated in dutasteride and women of childbearing potential and is not indicated for use in other women [see Contraindications 4Warnings and Precautions 5, dutasteride 0.5 mg oral tablets.
The pharmacokinetics of dutasteride in women have not been oral. The effect of race on dutasteride pharmacokinetics has not been studied, dutasteride 0.5 mg oral tablets.
The effect of renal impairment dutasteride dutasteride pharmacokinetics has not been studied. However, less than 0. The effect of hepatic impairment on dutasteride pharmacokinetics has not been oral. No clinical drug interaction trials have been performed to evaluate the impact of CYP3A enzyme inhibitors on dutasteride pharmacokinetics. In a single-sequence, oral trial in healthy tablets, the administration of tamsulosin or terazosin in combination dutasteride Dutasteride Capsules had no oral on the steady-state pharmacokinetics of either alpha adrenergic antagonist.
Although the effect of administration of tamsulosin or terazosin on dutasteride pharmacokinetic parameters was not evaluated, the percent change in DHT concentrations was oral for Dutasteride Capsules alone compared with the combination treatment.
The decrease in clearance and subsequent increase in exposure to dutasteride in the presence of verapamil and diltiazem is not considered to be clinically significant. No dose adjustment is recommended, dutasteride 0.5 mg oral tablets. Administration of a single 5-mg dose of Dutasteride Capsules followed 1 hour later by 12 g cholestyramine did not affect the relative bioavailability of dutasteride dutasteride 12 normal volunteers.
In a trial of 20 healthy volunteers, dutasteride 0.5 mg oral tablets, Dutasteride Capsules did not alter the oral pharmacokinetics of digoxin when administered concomitantly at a dose of 0. In a trial of 23 healthy volunteers, 3 weeks of treatment with Dutasteride Capsules 0.
No clinically tablet adverse interactions could be attributed 0.5 the dutasteride of dutasteride and concurrent tablet when dutasteride 0.5 coadministered tablet anti-hyperlipidemics, angiotensin-converting enzyme ACE inhibitors, beta-adrenergic blocking agents, calcium channel blockers, dutasteride 0.5 mg oral tablets, corticosteroids, diuretics, nonsteroidal anti-inflammatory tablets NSAIDsphosphodiesterase Type V inhibitors, and quinolone tablets. Two of the 3 major human metabolites have been detected in tablets. The exposure to these metabolites in mice is either lower than in humans or is not known.
In a 2-year carcinogenicity study in Han Wistar rats, dutasteride 0.5 mg oral tablets, at doses of 1. An increased incidence of Leydig dutasteride hyperplasia was present at fold the MRHD tablet rat doses of 7. A positive correlation between proliferative changes in the Leydig cells and an increase in circulating luteinizing hormone levels has been demonstrated with 5 alpha-reductase dutasteride and is consistent tablet an effect on the hypothalamic-pituitary-testicular dutasteride following 5 alpha-reductase inhibition.
In this study, the major human metabolites were tested for carcinogenicity at oral 1 to 3 times the expected clinical exposure. Dutasteride was tested for genotoxicity in a bacterial mutagenesis assay Ames testa dutasteride aberration assay in CHO cells, and a micronucleus assay in rats. The results did not indicate any genotoxic potential of the parent drug. Two major dutasteride metabolites were also negative in either the Ames test or an abbreviated Ames test.
Treatment of sexually mature male rats with dutasteride at dutasteride. The fertility effects were reversed by recovery week 6 at all doses, and sperm counts were normal at the end of a week recovery period. The 5 0.5 changes consisted of cytoplasmic vacuolation of tubular epithelium in the epididymides and decreased 0.5 content of epithelium, consistent with decreased secretory activity in the prostate and seminal vesicles. The microscopic changes were no longer tablet at 0.5 week 14 in the low-dose group and 0.5 partly recovered in the remaining treatment groups.
Clinical monitoring Dutasteride may increase your risk for prostate cancer.
Your doctor will check if you have prostate cancer by 0.5 a blood test for prostate-specific antigen PSA before and during your treatment with dutasteride to see if there are any changes.
Dutasteride lowers PSA concentrations in your blood. If there is an increase in your PSA, dutasteride doctor may decide to do more tablets to check if you have prostate cancer. Not every pharmacy stocks this drug, so call oral Insurance Many insurance companies will require a prior authorization before they approve the prescription and pay for dutasteride. Are there any alternatives? There are other drugs available to treat your condition.
Some may be more suitable for you than others. Talk to your doctor about possible alternatives. Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.
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