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Practitioner 2011 (1743):12-13

Comparing 5-ARIs in benign prostatic hyperplasia

20 Sep 2011Pais-up subscribers

Finasteride and dutasteride appear to have similar efficacy in benign prostatic hyperplasia (BPH) over 12 months, a head-to-head study has shown.  Dr Rees, in this review of the study, comments: 'Finasteride is now off patent and the generic version is therefore considerably cheaper to prescribe than dutasteride. Studies such as COMBAT have shown the prolonged benefit of 5-ARIs at least up to five years, and thus the major limitation of this study is its relatively short duration of 12 months. 5-ARIs should be considered to be long-term therapy, and thus longer follow-up of these two arms would be of even greater interest. Long-term studies of combination therapy with finasteride and tamsulosin versus dutasteride and tamsulosin would also be of great clinical interest.'

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