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Two to four compounds, field by field: identity, United States regulatory status, and what kinds of documents are on file. The table records differences. It does not rank them.

No winner, no score, no recommendation. Counts describe how many documents of each kind Therapept has indexed — not how well a compound works, and not how much has been published overall.

Link to this comparison: /compare?peptides=dutasteride,finasteride,minoxidil

Side-by-side comparison of Dutasteride, Finasteride, Minoxidil
DutasterideFinasterideMinoxidil
Identity
ClassSmall-molecule inhibitor of both type I and type II 5-alpha-reductase, supplied as oral capsulesSmall-molecule 5-alpha-reductase type II inhibitor, supplied as oral tabletsSmall-molecule vasodilator and ATP-sensitive potassium-channel opener, supplied as a topical solution or foam and as oral tablets
Also listed asAvodart, GI-198745, GG-745Propecia, Proscar, MK-906Rogaine, Loniten, U-10858
Molecular formulaC27H30F6N2O2C23H36N2O2C9H15N5O
Molecular weight528.53 g/mol372.55 g/mol209.25 g/mol
CAS164656-23-998319-26-738304-91-5
PubChem CID6918296573634201
Sequence lengthNot recordedNot recordedNot recorded
Data caveatNone recordedNone recordedNone recorded
United States regulatory status
StatusFDA-approved drug substanceFDA-approved drug substanceFDA-approved drug substance
FDA applicationNone recordedNDA 020788 (PROPECIA) — approved 19 December 1997None recorded
CompoundingNo FDA compounding entry recordedNo FDA compounding entry recordedNo FDA compounding entry recorded
WADANot named in this recordNot named in this recordNot named in this record
Research profile
Research purposeDual 5-alpha-reductase inhibitionApproved oral androgen-pathway treatmentApproved topical hair-regrowth treatment
Proposed mechanismInhibits type I and type II 5-alpha-reductase, reducing DHT. The longer half-life means effects and adverse events persist longer after stopping than with finasteride.Inhibits type II 5-alpha-reductase, reducing conversion of testosterone to dihydrotestosterone. Lower scalp DHT slows follicular miniaturisation in responders.Opens ATP-sensitive potassium channels and dilates blood vessels; it also prolongs the growth phase of the hair cycle. The precise reason it grows hair is still debated.
Human evidenceTrials and reviews support off-label use in male androgenetic alopecia; Japan and South Korea have approved it for that indication. It is not FDA-approved for hair loss.Randomised trials in men with mild-to-moderate androgenetic alopecia support the approved indication. It is not approved for women.Randomised trials and decades of clinical use support topical minoxidil for androgenetic alopecia in men and women. Oral low-dose use for hair loss is off-label.
Evidence tierApproved drug product in the United StatesApproved drug product in the United StatesApproved drug product in the United States
Known safety concerns
  • The approved label carries warnings and precautions, including sexual adverse experiences and prostate-cancer considerations.
  • The long half-life means adverse effects may persist after discontinuation.
  • Off-label status means the hair-loss risk-benefit discussion is not covered by an approved label.
  • The label carries warnings and precautions, including sexual adverse experiences and effects on prostate-specific antigen.
  • Finasteride is not indicated for women; the label addresses pregnancy risk.
  • This record is not a complete safety profile or a prescribing guide.
  • Topical products can cause scalp irritation and unwanted facial hair growth.
  • Oral minoxidil is a vasodilator with cardiovascular effects and is not a casual supplement.
  • The approved label lists warnings and side effects; this is not a complete safety profile.
Evidence gaps
  • Long-term hair outcomes in a United States regulatory context.
  • The clinical significance of the greater DHT suppression.
  • Persistent adverse effects after discontinuation.
  • Reliable prediction of who will respond.
  • The natural history of reported persistent sexual adverse effects after stopping.
  • Long-term outcomes beyond the trial periods.
  • Why some people respond and others do not.
  • Long-term maintenance after stopping.
  • Whether low-dose oral minoxidil has an acceptable long-term risk profile for cosmetic use.
Head-to-head evidenceComparative trials and reviews exist, but they do not establish that dutasteride's greater DHT suppression produces a proportionally greater clinical benefit.Dutasteride and finasteride have been compared in trials and reviews, but dutasteride is not FDA-approved for hair loss in the United States.Oral minoxidil 5 mg was compared with topical 5% in a 2024 randomised trial and was not superior over 24 weeks.
Named pathways5-alpha-reductase type I · 5-alpha-reductase type II · DHT synthesis5-alpha-reductase type II · DHT synthesis · Androgen receptor signallingPotassium channels · Vasodilation · Anagen prolongation
Evidence on file
Records
Human-interventional records000
Human-observational records000
Animal records000
In-vitro records000
Reviews100
Regulatory documents011
Earliest indexed202220222006
Latest indexed202220222006

Every identity and regulatory value above is taken from the compound’s record, where its sources are listed. Evidence counts are derived from the published evidence file at build time. A missing class means no document of that kind is indexed — not that none exists.

Overlapping pathways

Named in the mechanism discussion for at least two of these compounds: 5-alpha-reductase type II · DHT synthesis.

Shared biology is not shared evidence. No claim of synergy is made here, and overlapping pathways do not mean the compounds have been studied together.