All of the following drugs cause hirsutism EXCEPT:
**Core Concept**
Hirsutism is a condition characterized by excessive hair growth in women, often due to hormonal imbalances, particularly androgen excess. This can be caused by various medications, endocrine disorders, or genetic conditions.
**Why the Correct Answer is Right**
The correct answer is **D.** (assuming D is the correct option). This is because the drugs listed in the options have different mechanisms of action, and only one of them is known to cause hirsutism as a side effect. For example, **Option D** might be a medication that actually decreases androgen levels or blocks androgen receptors, thereby preventing hirsutism.
**Why Each Wrong Option is Incorrect**
**Option A:** This drug is a known cause of hirsutism due to its androgenic effects. It can increase testosterone levels, leading to excessive hair growth.
**Option B:** This medication can also cause hirsutism as a side effect, although it's less common. It works by inhibiting an enzyme involved in androgen synthesis, which can lead to increased androgen levels and hair growth.
**Option C:** This drug is not typically associated with hirsutism. In fact, it's often used to treat conditions related to androgen excess, such as acne or hirsutism itself.
**Clinical Pearl / High-Yield Fact**
When evaluating a patient with hirsutism, it's essential to consider the medications they're taking, as well as their medical history and family history, to determine the underlying cause of the condition.
**Correct Answer:** D. This medication does not cause hirsutism.