Gut Inflammation Induced by Finasteride Withdrawal: Therapeutic Effect of Allopregnanolone in Adult Male Rats
Diviccaro S, Giatti S, Cioffi L, Falvo E, Herian M, Caruso D, Melcangi RC
Biomolecules2022
Summary (paraphrased)
Rat study of 20-day finasteride treatment followed by one-month withdrawal, measuring steroids, neurotransmitters, cytokines, and gut-permeability markers in the colon. Both treatment and withdrawal lowered allopregnanolone, and post-withdrawal this coincided with rises in IL-1β, TNF-α and serotonin and a drop in dopamine — changes that allopregnanolone treatment partly reversed. The authors point to allopregnanolone's links with GABA-A receptors and its precursor pregnenolone as key to its action.
Why it’s in the corpus
Ties neurosteroid depletion to gut inflammation and neurotransmitter shifts in a PFS model, and directly tests allopregnanolone as a candidate therapy — a central thread for post-drug neurosteroid hypotheses.
Related records
- Video
PSSD and PFS: The Overlooked Syndromes No One Warns You About
Dr. Sanil Rege (consultant psychiatrist) · Dr. Rege · 23:37 (1417s)
PFS/PSSD shared mechanisms; clinical overview; treatment avenues
YT-CZATt5AoQjw2024-07-03PFSPSSDCore corpus - Peer-reviewed paperPSSD Discord pick
Exploration of the Possible Relationships Between Gut and Hypothalamic Inflammation and Allopregnanolone: Preclinical Findings in a Post-Finasteride Rat Model
Diviccaro S, Oleari R, Amoruso F, Fontana F, Cioffi L, Chrostek G, Abenante V, Troisi J, Cariboni A, Giatti S, Melcangi RC · Biomolecules
2025 follow-up preclinical study in rats treated with finasteride for 20 days then withdrawn for a month, with allopregnanolone given to a subgroup during withdrawal. Withdrawal produced colonic inflammation (elevated M1 macrophages, reduced butyrate)…
DISC-0102025PFSPSSD Discord picks - Peer-reviewed paper
Post-finasteride syndrome and post-SSRI sexual dysfunction: two sides of the same coin?
Giatti, Silvia; Diviccaro, Silvia; Panzica, Giancarlo; Melcangi, Roberto Cosimo · Endocrine · 61(2):180-193
A review by the Milan group of post-SSRI sexual dysfunction and post-finasteride syndrome, which share symptoms that persist after the drug is stopped: a felt disconnection between brain and penis, loss of libido and sex drive, difficulty with erection and…
PFS-0062018PFSPSSDCore corpus
