Drug Mnemonic

Finasteride

5-ALPHA-REDUCTASE INHIBITOR · ↓ DIHYDROTESTOSTERONE · BPH / BALDNESS
April 6, 2026
RxMnemonic Antiandrogenics
Finasteride
5-ALPHA-REDUCTASE INHIBITOR · ↓ DIHYDROTESTOSTERONE · BPH / BALDNESS
FINA = five-a + STERIDE = steroid
Separate finasteride into fina (sounds like five-a) and steride (sounds like steroid). Now imagine a girl on the worst date of her life holding up her five-finger hand to block the male steroids across the table. Her five fingers remind you of five-a (fina), which helps you remember 5-alpha, and her blocking gesture represents an inhibitor, making finasteride a 5-alpha-reductase inhibitor.
Finasteride
5-alpha reductase inhibitor FINA = five-a = 5-alpha
HOW STEP TESTS IT
1
Decreases DHT, not testosterone - competitively inhibits 5-alpha-reductase, blocking conversion of testosterone to dihydrotestosterone (DHT).
2
Treats benign prostate hyperplasia and baldness - DHT causes prostate enlargement and mediates androgenetic alopecia.
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Practice Question

A patient starts finasteride for benign prostatic hyperplasia. Which adverse effect is most likely?

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