Anyone got evidence that nizoral has an anti androgen ability?

gonna_win

Experienced Member
Reaction score
2
Grettings Comrades,

Alot of people on this forum claim that Ketoconazole (the important ingredient in Nizoral) has an anti androgen effect. Could someone please point me to a medical study or a or some information created by an expert in this field that actually says Ketoconazole has this ability.

thanx
 

The Gardener

Senior Member
Reaction score
25
Sure, here are a few...

The FIRST:

Ketocazole as an adjunct to finasteride in the treatment of androgenetic alopecia in men.

Hugo Perez BS.

California College of Podiatric Medicine, 371 Columbus Avenue, San Francisco, CA 94133, USA. Hugo2002@yahoo.com

Dihydrotestosterone (DHT) binding to androgen receptors (AR) in hair follicles is commonly accepted as the first step leading to the miniaturizing of follicles associated with androgenetic alopecia (Androgenetic Alopecia). Testosterone is converted to DHT by the enzyme 5alpha-reductase. Finasateride a 5alpha-reducase inhibitor blocks the production of DHT and is currently used to treat Androgenetic Alopecia. The inhibition is not complete but a reduction of DHT systemically and in the scalp is accomplished. Ketoconazole has been clinically shown to be effective in the treatment of Androgenetic Alopecia. In this paper, evidence is presented to support the hypothesis that ketoconazole 2% shampoo has a local disruption of the DHT pathway. It is proposed that using ketoconazole 2% shampoo as an adjunct to finasteride treatment could lead to a more complete inhibition of DHT and thus better treat Androgenetic Alopecia.

PMID: 14729013 [PubMed - indexed for MEDLINE]

Another one:

March 04, 2001 - American Academy of Dermatology Meeting - Washington DC - Scientists working for McNeil, makers of Nizoral anti-dandruff shampoo, presented the findings of a study done on 1% Nizoral shampoo which has good news for hair loss sufferers. It has long been known that 2% prescription Nizoral has beneficial effects on Androgenic Alopecia (male pattern baldness). It however has been unclear whether the same benefits can be obtained by using the non-prescription 1% version.
In the study presented (see below), one hundred male volunteers with mild to moderate dandruff and somewhat oily scalp, were using, in a double-blind fashion, either a 1% Nizoral shampoo or a 1% zinc pyrithione shampoo, 2-3 times a week for 6 months.
Analysis of the different parameters set up in the study shows that the hair diameter gradually increased with Nizoral use (+8.46%) over a 6 month period, whereas the diameter showed a trend to decrease with zinc pyrithione use over the same period (-2.28%). The sebum excretion rate was reduced with Nizoral (-6.54%) while it increased with zinc pyrithione (+8.2%) over the same period of time. The number of hair shed over a 24-hour period was reduced by 16.46% with Nizoral and 6.02% with zinc pyrithione after 6 months. Finally, the percentage hairs in anagen phase increased by 6.4% and 8.4% respectively during the study time.

The results are similar to a previous study done on 2% prescription strength Nizoral where it was shown that use of 2% Nizoral yielded a 7% average increase in hair shaft diameter similar to what was achieved by the control group using 2% Minoxidil and a non-medicated shampoo.

So for any hair loss sufferer, this research clearly indicates that using 1% or 2% Nizoral 2-3 times per week, will have positive effects on hair growth as well as controlling dandruff. It is still unclear at this time whether it's the anti-fungal properties or the anti-androgenic properties of Ketokonazole (active ingredient in Nizoral) thats responsible for the hair thickening effects, however because of the decrease in sebum rates as well, it is the authors opinion that the results are due to the anti-androgenic properties of Ketokonazole.

A third:

Quote from Dr Lee website: Ketoconazole has been proven to decrease the quantities of DHT in the scalp by helping to inhibit its synthesis from sterols. Salicylic acid has a keratolytic and a slight antiseptic action when applied topically to the skin. By removing some of the dead epidermal layers of the stratum corneum, there is an enhanced action by the ketoconazole in suppressing the production of DHT in the scalp.

Thanks to Tynan for the info gathering on this synopsis. If you require further info, I suggest you get onto PubMed and seek for yourself, and share your findings with us here.
 

pilogenic101

Member
Reaction score
0
The author wrote in the abstract of the scientific study cited above:
"It is still unclear ... whether it is the anti-fungal or the anti-androgenic properties of ... (nizoral) that are primarily responsible for the... (positive) effects. "

I believe that anti-fungal properties of therapeutic agents like Nizoral are an important factor in hairloss therapy. Fungus may exacerbate scalp oiliness in the presence of sterols. But if it works, why try to analyze it to death :)
 

Bryan

Senior Member
Staff member
Reaction score
42
I'm surprised you guys have overlooked what is probably the very FIRST study to confirm the mild antiandrogenic properties of ketoconazole:

-----------------------------------------------
Horm Metab Res. 1992 Aug;24( 8 ) :367-70.
"Ketoconazole binds to the human androgen receptor"

Eil C.

Department of Internal Medicine, Naval Hospital, Bethesda, Maryland.

Ketoconazole, an imidazole anti-fungal agent, has often produced features of androgen deficiency including decreased libido, gynecomastia, impotence, oligospermia, and decreased testosterone levels, in men being treated for chronic mycotic infections. Based on these potent effects on gonadal function in vivo as well as previous work in vitro demonstrating affinity of ketoconazole for receptor proteins for glucocorticoids and 1,25(OH)2 vitamin D3 and for sex steroid binding globulin (SSBG), the binding of ketoconazole to human androgen receptors (AR) in vitro was also examined. Ketoconazole competition with [3H]methyltrienolone (R1881) for androgen binding sites in dispersed, intact cultured human skin fibroblasts was determined at 22 degrees C. Fifty percent displacement of [3H]R1881 binding to AR was achieved by 6.4 +/- 1.8 (SE) x 10(-5) M ketoconazole. Additional binding studies performed with ketoconazole in the presence of increasing amounts of [3H]R1881 showed that the interaction of ketoconazole with AR was competitive when the data were analyzed by the Scatchard method. It should be noted, however, that the dose of ketoconazole required for 50% occupancy of the androgen receptor is not likely to be achieved in vivo, at least in plasma. Finally, androgen binding studies performed with other imidazoles, such as clotrimazole, miconazole, and fluconozole, revealed that in this class of compounds only ketoconazole appears to interact with the androgen receptor. Ketoconazole appears to be the first example of a non-steroidal compound which binds competitively to both SSBG and multiple steroid hormone receptors, suggesting that the ligand binding sites of these proteins share some features in common.
 

gonna_win

Experienced Member
Reaction score
2
The Gardener said:
If you require further info, I suggest you get onto PubMed and seek for yourself, and share your findings with us here.

What is PubMed and how can i access it.


edit: Thanx to everyone that made the efford to reply to my thread, as you would expect it's greatly appreciated :D
 
Top