Drugs frequently causing gynecomastia1
Antiandrogens Bicalutamide, flutamide, finasteride, dutasteride
Antihypertensive Spironolactone
Antiretroviral Protease inhibitors (saquinavir, indinavir, nelfinavir, ritonavir, lopinavir), reverse transcriptase inhibitors (stavudine, zidovudine, lamivudine)
Environmental exposure Phenothrin (antiparasitical)
Exogenous hormones Oestrogens, prednisone (male teenagers)
Gastrointestinal drugs H2 histamine receptor blockers (cimetidine)
Drugs possibly causing gynecomastia1
Antifungal Ketoconazole (prolonged oral use)
Antihypertensive Calcium channel blockers (amlodipine, diltiazem, felodipine, nifedipine, verapamil)
Antipsychotic (first generation) Haloperidol, olanzapine, paliperidone (high doses), risperidone (high doses), ziprasidone
Antiretroviral Efavirenz
Chemotherapy drugs Methotrexate, cyclophosphamide, carmustine, etoposide, cytarabine, melphalan, bleomycin, cisplatin, vincristine, procarbazine
Exogenous hormones Androgens (athletes abuse)
Gastrointestinal drugs Proton pump inhibitors (omeprazole)
Cardiovascular drugs Phytoestrogens (soya-based products, high quantity)
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