El Duterino I've been using RU for 2 years as well at much higher dose than you have and I also have had no obvious side effects on RU due to its very low serum half life. So I agree it has a very clean side effect profile from my experience.
As for skin vs serum half lives, they are two separate but related things. I would encourage you to review the posts I made
here and
here on the subject.
Yes, in an ideal world, the serum half life should be very low to minimize potential side effects. However, when you have something with a very low serum half life, it will likely have a proportionately low skin half life (eg. retinoic acid as listed in those threads). Since RU has a serum half life of only 1 hour, it likely has a skin half life somewhere on the order of 5 hours at most, though this is just speculation based on data we have for other agents, as we have no measured data precisely on RU.
You have suggested you have maintained hair for many years on a very low dose of RU. If so you are lucky. I lost hair on much higher doses of RU than you. Everyone will likely have differing drug metabolism rates and also different degrees of androgen sensitivity. I think the short half life of RU means for many of us, the effect will wear off in the scalp too rapidly as well as it degrades.
I would definitely think RU makes a safer and better agent to try first for hairloss than something as strong and long lasting as daro. However, daro is giving me steady regrowth back on track to NW1, while RU at least up to 5% 2 mL twice daily (200 mg a day) did not.
Keep in mind flutamide easily crosses the blood brain barrier like traditional antiandrogens and daro only cross the blood brain barrier by
1.9–3.9%, so with a sufficiently low dose, daro should be relatively low risk (though not zero risk) for central side effects like sexual dysfunction. I have been on it a month and unlike cyproterone which neutered me in 2 weeks, my erectile function continues to improve on the daro. It is something I am continuing to watch.
My primary side effects on darolutamide (which I have been using at much too high doses) have been:
- Dry skin/eyes - was brutal at 10 mg twice daily, acceptable now at 6 mg/day.
- Mild appetite suppression - listed as a 5% side effect in the prior safety study.
Nothing too bad and I still intend to drop the dose further gradually over time.
We will need to get DMSO out of our solutions to reduce the systemic penetration, as DMSO facilitates deep penetration, which is likely not necessary for hair treatment. I will work on solving this next.