5α-Reductase inhibitor

5α-Reductase inhibitors (5-ARIs), also known as dihydrotestosterone (DHT) blockers, are a class of medications with antiandrogenic effects which are used primarily in the treatment of enlarged prostate and scalp hair loss. They are also sometimes used to treat excess hair growth in women and as a component of hormone therapy for transgender women.

5α-Reductase inhibitor
Drug class
Dutasteride, one of the most widely used 5α-reductase inhibitors.
Class identifiers
SynonymsDihydrotestosterone blockers; DHT blockers
UseBenign prostatic hyperplasia, pattern hair loss, hirsutism, feminizing HRT
ATC codeG04CB
Biological target5α-Reductase (1, 2, 3)
Chemical classSteroids; Azasteroids
Legal status
In Wikidata

These agents inhibit the enzyme 5α-reductase, which is involved in the metabolic transformations of a variety of endogenous steroids. 5-ARIs are most known for preventing conversion of testosterone, the major androgen sex hormone, to the more potent androgen dihydrotestosterone (DHT), in certain androgen-associated disorders.

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