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Finasteride
Finasteride is a type of medication that inhibits the conversion of testosterone to dihydrotestosterone (DHT). It is used to treat conditions such as male pattern baldness (at the crown and the middle of the scalp) and an enlarged prostate, also known as benign prostatic hyperplasia (BPH). Common side effects may include decreased sex drive, trouble getting or keeping an erection, ejaculation disorder, increase in breast size and tenderness, and rash.
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Frequently Asked Questions
Does finasteride decrease sex drive?
It's possible. Some men experience a decrease in sex drive or even difficulty getting an erection. If these side effects are bothersome, be sure to talk with your doctor.
Can women use finasteride for hair loss?
No, it isn't safe or effective for women.
I ve been taking Finasteride for three months and didn t see any improvement in my hair loss. Should I stop taking it?
Hair growth takes time. It may take up to three months or longer to see improvement. However, always consult with your doctor before stopping any medication.
Does finasteride cause cancer?
It doesn t cause cancer, but there's some evidence that it might increase the risk of developing a high-grade form of prostate cancer. Regular check-ups and monitoring are important.
Can I take Finasteride if I'm planning to become a father?
There's no evidence that finasteride affects fertility in men. But if you ARE having difficulty conceiving, you should let your doctor know.
Comprehensive Drug Guide
How Does Finasteride Work?
Finasteride is a type II 5 -reductase inhibitor, which means it prevents the conversion of the male hormone testosterone into DHT. This can lead to shrinkage of the enlarged prostate gland in BPH, slows hair loss, and even increases hair growth at the crown of the head in male pattern baldness.
What is Finasteride Used For?
FDA indications: Finasteride is used to treat male pattern hair loss and BPH.
Off-label uses: It has been used off-label for the treatment of hirsutism in women (excess body or facial hair).
Common Dosages
Tablets: 1mg (for hair loss), 5mg (for BPH)
Typical Dosing
FDA Approved Indications
- For male pattern hair loss: 1mg once per day
- For BPH: 5mg once per day
Who Shouldn't Take Finasteride?
- Women or children should never take finasteride.
- Men who have liver disease or prostate cancer.
- Anyone who has had an allergic reaction to finasteride or a similar drug in the past.
Advice From The Pharmacist
- You need to take finasteride consistently for at least three months to see any benefit for hair loss. Don?t stop taking it without talking to your doc, as you could lose the hair you did gain.
- If you're taking this for BPH, it could take up to six months to notice any improvement in symptoms.
- Keep in mind that finasteride is for men only, and it should never be handled by women who are pregnant or trying to become pregnant.
- The effects of finasteride will reverse after you stop taking the medicine. You?ll likely lose any hair that grew back within 12 months.
Side Effects of Finasteride
Common Side Effects
- Decreased libido
- Erectile dysfunction
- Ejaculation disorder
Uncommon/Severe Side Effects
- Rare side effects:
- Depression
- Testicular pain
- Infertility
- Allergic reactions with symptoms including swelling of the lips, tongue, throat, or face
Risks and Warnings of Finasteride
- Men taking finasteride may have an increased risk of developing a high-grade form of prostate cancer.
- Women who are pregnant or may become pregnant should not handle this medication, as it could harm the unborn baby.
- Finasteride can affect the results of a PSA (prostate-specific antigen) test, which can detect prostate cancer.
Interactions with Finasteride
Common Drug Interactions
- No clinically significant interactions have been reported.
Alternatives to Finasteride
- Minoxidil (topical)
- Spironolactone
- Tretinoin (topical)
- Dutasteride
