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Deetor is dutasteride 0.5 mg, a dual type-1 and type-2 5-alpha-reductase inhibitor. FDA-approved for BPH; widely used off-label for male-pattern hair loss where it suppresses scalp DHT by ~90% (vs ~70% for finasteride) — giving stronger hair regrowth results in trials but with somewhat higher sexual side-effect risk and a very long half-life (~5 weeks).
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What Is Deetor?
Deetor is a branded generic of dutasteride 0.5 mg, een dual inhibitor of both type-1 and type-2 5-alpha-reductase enzymes. This is more comprehensive than finasteride (which only blocks type-2), producing ~90% reduction in circulating DHT vs finasteride’s ~70%.
Dutasteride is FDA-approved for benign prostatic hyperplasia (BPH). For male-pattern hair loss it is used off-label in most countries (it is formally approved for AGA in South Korea and Japan). In head-to-head trials vs finasteride for AGA, dutasteride produces somewhat greater hair-count improvements — at the cost of slightly higher side-effect incidence. Manufactured by Intas Pharma.
Genitale herpes (eerste episode):
- Male-pattern baldness (off-label): 0.5 mg daily. Considered when finasteride response is inadequate after 12 months.
- Goedaardige prostaatvergroting (BPH): 0.5 mg daily. Reduces prostate volume, improves urinary symptoms, lowers acute-urinary-retention risk, and reduces need for BPH-related surgery.
- Female-pattern hair loss: emerging off-label use in selected cases; contraindicated in pregnancy.
Hoe in te nemen
- Swallow the capsule whole with water. Do not chew, crush, or open — skin contact with the liquid contents should be avoided (risk to pregnant women especially).
- Take at roughly the same time each day. With or without food.
- Expect a slower onset than finasteride — 6+ months before meaningful response. Peak effect at 12–18 months.
- Dutasteride has a very long half-life (~5 weeks). Missing a single dose is not a clinical problem, but do not skip days regularly.
- Continuous daily use is required — discontinuation reverses hair gains over 6–12 months. Stopping dutasteride takes longer for the drug to clear (months) than stopping finasteride (days).
Finasteride vs Dutasteride — Decision Framework
| Dimension | Finasteride 1 mg | Dutasteride 0.5 mg |
|---|---|---|
| DHT suppression | ~70% | ~90% |
| Hair regrowth (trials) | Strong, well-validated | ~25% greater hair count vs finasteride |
| Sexual side effects | 1–2% | ~2–4% |
| Halfwaardetijd | ~6 hours | ~5 weeks |
| FDA approval for AGA | Yes | No (off-label) |
| Kosten | Lower (generic widely available) | Matig |
See our full guide: Finasteride vs Dutasteride.
Bijwerkingen
Common (2–4%): decreased libido, erectile dysfunction, reduced ejaculate volume, gynecomastia.
Minder vaak: breast tenderness, depression, anxiety.
Persistent sexual effects after discontinuation have been reported and are discussed in the same framework as post-finasteride syndrome. Slightly more concerning with dutasteride given the very long half-life (~5 weeks), meaning effects persist longer after stopping.
Who Should Not Take Deetor
- Women of reproductive age — teratogenic. Do not handle leaking capsules. Pregnancy is an absolute contraindication.
- Known hypersensitivity to dutasteride or finasteride
- Severe hepatic impairment — use with caution
- Note: dutasteride halves PSA readings (same as finasteride). Always disclose before PSA testing.
Geneesmiddelinteracties
- Sterke CYP3A4-remmers (ketoconazole, ritonavir): raise dutasteride levels — caution.
- PSA testing: halves measured PSA — convention is to double for interpretation.
- No significant interactions with minoxidil — combining dutasteride + topical minoxidil is a common and effective regimen for poor finasteride responders.
Opslag
Store at room temperature (15–30 °C / 59–86 °F), away from moisture, heat, and direct light. Do not refrigerate. Keep capsules in original blister. Keep away from women of reproductive age — teratogenic via skin contact with leaking capsules.
Veelgestelde vragen
When should I choose dutasteride over finasteride?
Most men should start with finasteride (1 mg) — FDA-approved, lower cost, extensively validated. Consider switching or adding dutasteride if finasteride response is inadequate after 12 months of continuous use, or if you specifically want maximum DHT suppression and accept the slightly elevated side-effect risk.
How long until Deetor works?
Slower than finasteride. Expect ~6 months for initial effect, 12–18 months for peak response. Dutasteride’s long half-life means slower titration into the body — and slower clearance if you stop.
Can I combine Deetor with minoxidil?
Yes — combining topical minoxidil with dutasteride is a common regimen and studies support additive benefit. This is the typical approach for men with aggressive or poorly-finasteride-responsive AGA.
Is dutasteride really worth it over finasteride?
Head-to-head trials show ~25% greater hair count improvement at 6–12 months with dutasteride vs finasteride. For men plateau-ing on finasteride, this may be a meaningful gain. The trade-off is slightly higher sexual side-effect risk and slower clearance.
What about PSA?
Dutasteride halves PSA — same effect as finasteride. Always disclose your use before any PSA test so the value can be interpreted correctly (typical convention: double the measured value).
Does Deetor cause permanent side effects?
Very low incidence, but persistent sexual side effects after stopping have been reported. The 5-week half-life means effects clear slowly after discontinuation. If sexual side effects occur, discuss stopping sooner rather than waiting and hoping.
Can I stop Deetor abruptly?
Yes — no withdrawal syndrome. But because the drug has a ~5-week half-life, pharmacological effects persist for 2–3 months after your last dose. Hair gains reverse over 6–12 months.
Should women take Deetor?
Dutasteride is used off-label in some cases of female-pattern hair loss — but is absolutely contraindicated in pregnancy or women who might become pregnant. Most female-pattern hair loss is treated with 2% minoxidil (topical), spironolactone (oral), or combinations thereof.
Gerelateerde producten & gidsen
- Finasteride vs Dutasteride Guide
- Minoxidil 5% vs 10% Guide
- Everything About Hair Loss
- How to Stop Hair Loss
- Can You Prevent Hair Loss?
- Tugain Foam (Minoxidil 5%)
- Tugain Solution (Minoxidil 10%)
⚕️ Medische disclaimer: Information on this page is for educational purposes and does not replace medical advice. Always consult a qualified clinician before starting, stopping, or changing any medication. Prescription products should be used only under medical supervision.
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