gonelifting said:
I`m planning on using Spiro and finasteride for a long time and my wife will get prego eventually. Will washing hands be enough? This is scaring me. I`d rather be bald!!!
I would definitely not use any finasteride, if you're planning a pregnancy! as systemic concentrations, through oral use has been shown to cause birth abnormalities in the male fetus.
As far as handling crushed tablets, then making contact with a female(handshake), there is little need for concern. Also spiro is not a risk factor.
This is from the Journal of American Obstetrics and Gynecology:
We read the letter by Groves and Corenblum (Groves TD, Corenblum B. Spironolactone therapy during human pregnancy. AM J OBSTET GYNECOL 1995;172:1655-6) with great interest.
They successfully applied a high dose of spironolactone (200 to 400 mg/day) during pregnancy in a patient with Bartter's syndrome. Because this treatment failed to produce any antiandrogen effect in male infants and later puberty, the authors suggest that the fear of undervirilization of a male fetus may be unfounded. However, the strong natriuretic effect of spironolactone may result in a decrease of plasma volume, leading to the risk of intrauterine growth retardation. Therefore the application of high doses of spironolactone still requires caution.
The proper medication for maternal Bartter's syndrome has not yet been determined because the side effects of applied medication on the fetus are less known and maintenance of a stable, normal potassium level is difficult. Amiloride therapy was applied by Almeida and Spinnato,1 and the potassium requirements and dose of amiloride progressively increased during the second trimester.
We reported the treatment of a woman with Bartter's syndrome who had two uneventful pregnancies and was delivered of healthy male and female infants.2 In our case a combined medication of spironolactone (25 mg/day) and captopril (25 mg/day) and potassium supplementation (12 gm/day in the first pregnancy and 8 gm/day in the second pregnancy) was able to stabilize the serum potassium level throughout the pregnancies.
We observed no signs of undervirilization in our male infant. Fetal diuresis and the volume of amniotic fluid, which was monitored by ultrasonographic examination, showed no pathologic alterations through the two pregnancies.
Our observation suggests that a low dose of spironolactone, combined with a low dose of captopril and potassium, may prove to be an effective and probably safe therapy in maternal Bartter's syndrome.
Keep in mind that this woman delivered a healthy male fetus,without complications, on an oral dose of 25mgs/day of spironolactone. I dont think that a male using a 2% or 5% topical solution or creme would pose any problems via transmission through body fluids(semen) or skin on skin contact.
Here's my previous post regarding crushed finasteride tabs:
http://www.elitefitness.com/forum/showthread.php?t=258799
B32
