Evidence map›Paper›PMID 40082195›Full record

ArticleJournal of cosmetic dermatology2025

Finasteride Use: Evaluation of Depression and Suicide Risk.

Aditya K Gupta, Mary A Bamimore, Greg Williams, Mesbah Talukder

Abstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Aditya K GuptaMediprobe Research Inc., London, Ontario, Canada.ORCID https://orcid.org/0000-0002-8664-7723
Mary A BamimoreMediprobe Research Inc., London, Ontario, Canada.ORCID https://orcid.org/0000-0002-5610-375X
Greg WilliamsFarjo Hair Institute, London, UK.
Mesbah TalukderSchool of Pharmacy, BRAC University, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0003-0691-640X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral finasteride 1 mg/day is indicated for androgenetic alopecia (AGA), while 5 mg/day is for benign prostatic hyperplasia (BPH). Oral finasteride has been linked with depression and suicide; however, a causal association is uncertain. The so-called post-finasteride syndrome (PFS) refers to a "cluster" of side effects experienced by some men (i.e., cis men) after taking oral finasteride.

aimsThe objective of the current study was to evaluate the association of depression and suicide with oral finasteride in males, using data from the United States Food and Drug Administration Adverse Event Reporting System (FAERS). As a secondary objective, we conducted disproportionality analyses of FAERS data to assess whether oral dutasteride use was linked to psychological symptoms related to depression and suicidality.

methodsWe conducted disproportionality analyses for 5 AEs using MedDRA terms. Associations were metricized with the reporting odds ratio (ROR) across 3 time periods, namely, 2006-2011, 2013-2018, and 2019-2023.

resultsNo significant AEs/signals were detected with oral finasteride from 2006 to 2011 for any of the 5 AEs (completed suicide, depression suicidal, suicidal behavior, suicidal ideation, attempted suicide). Signals were detected for some AEs during 2013-2018 and 2019-2023. For example, there was a greater likelihood of reporting suicidal ideations in individuals taking oral finasteride during 2013-2018 (ROR = 2.8, p < 0.05) and 2019-2023 (ROR = 5.0, p < 0.05). In contrast, no signals were detected with oral dutasteride during 2006-2011, 2013-2018, and 2019-2023.

conclusionThe study found no significant correlation between oral finasteride and depression/suicide reports from 2006 to 2011 but noted a significant number of such reports in 2013-2018 and 2019-2023. This increase may be linked to heightened awareness of AEs following the recognition of so-called PFS in 2012.

Indexed as

5-alpha Reductase InhibitorsDepressionFinasterideSuicideAdministration, OralAdultAdverse Drug Reaction Reporting SystemsAgedAlopeciaDutasterideHumansMaleMiddle AgedProstatic HyperplasiaSuicidal IdeationUnited States5-alpha Reductase InhibitorsDutasterideFinasterideandrogenetic alopeciadepressionfinasteride usesuicide risk

Identifiers

PMID40082195
PMCPMC11906302

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.