Document Detail


Comparison of flutamide and cyproterone acetate in the treatment of hirsutism: a randomized controlled trial.
MedLine Citation:
PMID:  8701785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to compare the efficacy of flutamide and cyproterone acetate in the treatment of hirsutism. Twenty-two women with idiopathic hirsutism were randomized to receive either flutamide or cyproterone acetate. Each patient underwent a complete gynecological examination as well as an endocrinological profile and hematological, hepatic and renal function analyses. Hirsutism scores were determined using a modified Ferriman-Gallwey scoring system. These tests were then repeated at 3 and 9 months of therapy. Eleven patients received 250 mg of flutamide twice daily and 11 patients received 100 mg of cyproterone acetate on days 5-14 of the menstrual cycle. Ferriman-Gallwey scores were decreased significantly in both groups at the end of 9 months. There was a trend towards a better response with flutamide, that did not achieve significance. Another significant difference was the increased sex hormone-binding globulin in both groups. A statistically significant decrease was also observed for the levels of testosterone on both drugs. No subject withdrew from the study due to a side-effect. The data suggest that both flutamide and cyproterone acetate were similarly effective in treatment of hirsutism, and that the pure antiandrogen flutamide is a safe, well-tolerated and effective alternative in treatment.
Authors:
O Grigoriou; C Papadias; S Konidaris; G Antoniou; P Karakitsos; L Giannikos
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology     Volume:  10     ISSN:  0951-3590     ISO Abbreviation:  Gynecol. Endocrinol.     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-09-05     Completed Date:  1996-09-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8807913     Medline TA:  Gynecol Endocrinol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  119-23     Citation Subset:  IM    
Affiliation:
Second Department of Obstetrics and Gynecology, University of Athens, Areteion Hospital, Greece.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Androgen Antagonists / therapeutic use*
Cyproterone / therapeutic use*
Female
Flutamide / therapeutic use*
Hirsutism / drug therapy*
Hormones / blood
Humans
Prospective Studies
Chemical
Reg. No./Substance:
0/Androgen Antagonists; 0/Hormones; 13311-84-7/Flutamide; 2098-66-0/Cyproterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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