Skip to main content

Advertisement

Log in

Sindrome post-finasteride: tra mito e realtà

  • Rassegna
  • Published:
L'Endocrinologo Aims and scope

Sommario

Numerosi studi hanno dimostrato l’associazione tra l’uso di finasteride e la comparsa di disfunzioni sessuali e sindrome depressiva, che possono persistere dopo la sospensione del farmaco (Sindrome post-finasteride). I ridotti livelli di DHT e dei metaboliti della 5AR ad azione neuroattiva, in aree del SNC fondamentali per l’attività sessuale e il tono dell’umore, sembrerebbero essere i responsabili della sindrome. In questo lavoro viene caratterizzata la sindrome, al fine di migliorarne la gestione.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Bibliografia

  1. Traish AM, Hassani J, Guay AT et al. (2011) Adverse side effects of 5α-reductase inhibitors therapy: persistent diminished libido and erectile dysfunction and depression in a subset of patients. J Sex Med 8:872–884

    Article  CAS  PubMed  Google Scholar 

  2. Mella JM, Perret MC, Manzotti M et al. (2010) Efficacy and safety of finasteride therapy for androgenetic alopecia: a systematic review. Arch Dermatol 146:1141–1150

    Article  PubMed  Google Scholar 

  3. Gur S, Kadowitz PJ, Hellstrom WJ (2013) Effects of 5-alpha reductase inhibitors on erectile function, sexual desire and ejaculation. Expert Opin Drug Saf 12:81–90

    Article  CAS  PubMed  Google Scholar 

  4. Erdemir F, Harbin A, Hellstrom WJ (2008) 5-alpha reductase inhibitors and erectile dysfunction: the connection. J Sex Med 5:2917–2924

    Article  PubMed  Google Scholar 

  5. Wessells H, Roy J, Bannow J et al. (2003) Incidence and severity of sexual adverse experiences in finasteride and placebo-treated men with benign prostatic hyperplasia. Urology 61:579–584

    Article  PubMed  Google Scholar 

  6. Irwig MS, Kolukula S (2011) Persistent sexual side effects of finasteride for male pattern hair loss. J Sex Med 8:1747–1753

    Article  PubMed  Google Scholar 

  7. Irwig MS (2012) Persistent sexual side effects of finasteride: could they be permanent? J Sex Med 9:2927–2932

    Article  PubMed  Google Scholar 

  8. Pinsky MR, Gur S, Tracey AJ et al. (2011) The effects of chronic 5-alpha-reductase inhibitor (dutasteride) treatment on rat erectile function. J Sex Med 8:3066–3074

    Article  CAS  PubMed  Google Scholar 

  9. Charalampopoulos I, Remboutsika E, Margioris AN, Gravanis A (2008) Neurosteroids as modulators of neurogenesis and neuronal survival. Trends Endocrinol Metab 19:300–307

    Article  CAS  PubMed  Google Scholar 

  10. Irwig MS (2012) Depressive symptoms and suicidal thoughts among former users of finasteride with persistent sexual side effects. J Clin Psychiatry 73:1220–1223

    Article  CAS  PubMed  Google Scholar 

  11. Mondaini N, Gontero P, Giubilei G et al. (2007) Finasteride 5 mg and sexual side effects: how many of these are related to a nocebo phenomenon? J Sex Med 4:1708–1712

    Article  PubMed  Google Scholar 

  12. Rosen RC, Wei JT, Althof SE et al. BPH Registry and Patient Survey Steering Committee (2009) Association of sexual dysfunction with lower urinary tract symptoms of BPH and BPH medical therapies: results from the BPH Registry. Urology 73:562–566

    Article  PubMed  Google Scholar 

Download references

Conflitto di interesse

Gli autori Alessandro Pizzocaro, Giovanna Motta, Luciano Negri e Pierpaolo Graziotti dichiarano di non avere conflitti di interessi.

Consenso informato

Lo studio presentato in questo articolo non ha richiesto sperimentazione umana.

Studi sugli animali

Gli autori di questo articolo non hanno eseguito studi sugli animali.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alessandro Pizzocaro.

Additional information

Proposta da Fabio Lanfranco.

Materiale elettronico supplementare

I link al materiale elettronico supplementare sono elencati qui sotto.

(DOC 27 kB)

(DOC 25 kB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pizzocaro, A., Motta, G., Negri, L. et al. Sindrome post-finasteride: tra mito e realtà. L'Endocrinologo 15, 112–117 (2014). https://doi.org/10.1007/s40619-014-0044-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40619-014-0044-7

Parole chiave

Navigation