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What Is Finasteride (Generic Propecia)?

Finasteride, commonly known under the brand name Propecia in its 1 mg dosage, is a medication used primarily for treating male pattern baldness (androgenic alopecia): It helps slow hair loss and may stimulate hair regrowth in men with this condition.

Treating benign prostatic hyperplasia (BPH): In its 5mg dosage, marketed as Proscar, finasteride helps reduce prostate enlargement and relieve related symptoms.

How Tablets Work

Finasteride inhibits the enzyme 5-alpha reductase, which is responsible for converting testosterone to dihydrotestosterone (DHT). Here’s how it affects its primary uses:

For male pattern baldness: DHT contributes to hair loss in genetically susceptible men. By lowering DHT levels, finasteride may reduce hair follicle shrinkage and possibly reverse baldness in some men.

For BPH: The prostate is also sensitive to DHT. Elevated levels of DHT can cause enlargement of the prostate, leading to urinary symptoms. Reducing DHT with finasteride can reduce prostate size and relieve BPH symptoms.

Finasteride manages male pattern baldness and BPH by treating the hormonal causes, but it doesn’t cure these conditions. Stopping the medication will reverse any benefits gained.

How to Take Finasteride

Always follow your doctor’s instructions when taking finasteride. It’s usually prescribed as either a 1 mg tablet for male pattern hair loss or a 5 mg tablet for BPH.

Take finasteride at the same time each day, with or without food. Swallow the tablet whole without breaking, crushing, or chewing it.

If you miss a dose, take it as soon as you remember, unless it’s almost time for your next dose. Do not double the dose.

It may take several months before you get the full benefit of finasteride. Continue to take your medicine even if you don’t start to feel an improvement right away.

Possible Side Effects

Like any drug, Finasteride has some side effects:

• sexual side effects: decreased libido (sex drive), erectile dysfunction, and premature ejaculation;
• mood changes including depressive symptoms;
• allergic reactions (skin rash, itching, swelling (especially of the face, tongue, or throat), severe dizziness, or difficulty breathing);
• testicular pain;
• risk of high grade prostate cancer;
• other possible side effects may include headache, runny nose, and dizziness.

If you experience any side effects or have any concerns about taking finasteride, it’s important to talk to your doctor. They will be able to give you personalized advice and monitor any possible side effects.

About Interactions

Tell your doctor about all the medications and supplements you take because finasteride has limited known drug interactions. No documented interaction with alcohol, but moderation is advised. Finasteride does not have any specific food interactions.

Consumer Experience

Consumer experience with finasteride varies. Some notice improvements in a few months, while others see changes after a year or not at all. A minority report persistent side effects after stopping finasteride, known as “post-finasteride syndrome,” including sexual side effects, cognitive problems, and mood disturbances.

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