- Cyproterone acetate is a
hormone drug used to treat acne, early puberty, and heavy periods. - A study of 253,777 females in France found a link between the hormone and benign brain tumors.
- The hormone is used in
birth control , but experts say the dosage is so low there's no need to worry.
A new study suggests a certain hormone drug could increase the risk of developing a noncancerous
The drug, cyproterone acetate, is prescribed to treat acne, early puberty, heavy periods, excessive hair growth, and inoperable prostate cancer.
It is also used in small doses (around 2 mg) in some forms of birth control, such as Diane-35, a contraceptive which was temporarily banned in France in 2013 over claims that it increased the risk of life-threatening blood clots.
In the new study, French researchers analyzed data on 253,777 females aged seven to 70 years old who used the drug over a long period of time - anywhere between five and 30 years.
The study found that women who had a higher dosage of cyproterone acetate (more than 3 g) had a seven-fold increased risk of developing noncancerous brain tumors, compared to those with a lower dosage.
Dr. Alexander Khalessi, chair of neurological surgery at UC San Diego
But he said this link isn't something to panic about because the chances of developing a brain tumor are still very low.
"The last thing I want are women across the country suddenly stopping their birth control out of fear of a brain tumor," he said.
Those who take drugs containing cyproterone acetate for more than 3 years should be informed of the risks, experts say
The researchers found that the group of 139,222 people who had a higher dosage of the drug had 69 cases of noncancerous brain tumors, compared to 20 cases in the group of 114,555 people with a lower dosage.
Notably, the risk of developing a noncancerous brain tumor decreased as the hormone treatment stopped.
One limitation of the study is that it was observational, as opposed a randomized clinical trial, which is the "gold standard" of studies - meaning the researchers observed outcomes rather than controlled the experiment.
The researchers say doctors whose patients are taking a high dose of cyproterone acetate over three to five years should have a frank conversation with their patients about the potential link to benign brain tumors, however remote the risk.
That's especially key if a patient has a history or risk of brain tumors, Khalessi said.