Reference
Compare peptides
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=finasteride,dutasteride,minoxidil
| Finasteride | Dutasteride | Minoxidil | |
|---|---|---|---|
| Identity | |||
| Class | Small-molecule 5-alpha-reductase type II inhibitor, supplied as oral tablets | Small-molecule inhibitor of both type I and type II 5-alpha-reductase, supplied as oral capsules | Small-molecule vasodilator and ATP-sensitive potassium-channel opener, supplied as a topical solution or foam and as oral tablets |
| Also listed as | Propecia, Proscar, MK-906 | Avodart, GI-198745, GG-745 | Rogaine, Loniten, U-10858 |
| Molecular formula | C23H36N2O2 | C27H30F6N2O2 | C9H15N5O |
| Molecular weight | 372.55 g/mol | 528.53 g/mol | 209.25 g/mol |
| CAS | 98319-26-7 | 164656-23-9 | 38304-91-5 |
| PubChem CID | 57363 | 6918296 | 4201 |
| Sequence length | Not recorded | Not recorded | Not recorded |
| Data caveat | None recorded | None recorded | None recorded |
| United States regulatory status | |||
| Status | FDA-approved drug substance | FDA-approved drug substance | FDA-approved drug substance |
| FDA application | NDA 020788 (PROPECIA) — approved 19 December 1997 | None recorded | None recorded |
| Compounding | No FDA compounding entry recorded | No FDA compounding entry recorded | No FDA compounding entry recorded |
| WADA | Not named in this record | Not named in this record | Not named in this record |
| Research profile | |||
| Research purpose | Approved oral androgen-pathway treatment | Dual 5-alpha-reductase inhibition | Approved topical hair-regrowth treatment |
| Proposed mechanism | Inhibits type II 5-alpha-reductase, reducing conversion of testosterone to dihydrotestosterone. Lower scalp DHT slows follicular miniaturisation in responders. | Inhibits 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. | 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 evidence | Randomised trials in men with mild-to-moderate androgenetic alopecia support the approved indication. It is not approved for women. | Trials 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 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 tier | Approved drug product in the United States | Approved drug product in the United States | Approved drug product in the United States |
| Known safety concerns |
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| Head-to-head evidence | Dutasteride and finasteride have been compared in trials and reviews, but dutasteride is not FDA-approved for hair loss in the United States. | Comparative trials and reviews exist, but they do not establish that dutasteride's greater DHT suppression produces a proportionally greater clinical benefit. | Oral minoxidil 5 mg was compared with topical 5% in a 2024 randomised trial and was not superior over 24 weeks. |
| Named pathways | 5-alpha-reductase type II · DHT synthesis · Androgen receptor signalling | 5-alpha-reductase type I · 5-alpha-reductase type II · DHT synthesis | Potassium channels · Vasodilation · Anagen prolongation |
| Evidence on file | |||
| Records | |||
| Human-interventional records | 0 | 0 | 0 |
| Human-observational records | 0 | 0 | 0 |
| Animal records | 0 | 0 | 0 |
| In-vitro records | 0 | 0 | 0 |
| Reviews | 0 | 1 | 0 |
| Regulatory documents | 1 | 0 | 1 |
| Earliest indexed | 2022 | 2022 | 2006 |
| Latest indexed | 2022 | 2022 | 2006 |
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.
