Propecia (Finasteride)

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Propecia (Finasteride) 

What is Propecia? 

Propecia is a prescription tablet taken once daily by mouth to treat male pattern hair loss (androgenetic alopecia). It contains 1mg of finasteride, which works by blocking the production of dihydrotestosterone (DHT). DHT is the hormone that causes hair follicles to shrink on the scalp, leading to male balding. By reducing DHT, Propecia allows hair follicles to regain their normal size and stimulate hair growth. 

What is Androgenetic Alopecia? 

Androgenetic alopecia is a common form of hair loss caused by genetics and hormones. In males, it often leads to a receding hairline and baldness on top of the head. In females, it causes thinning hair on the top and sides. It happens when hair follicles are sensitive to a hormone called DHT, which causes the follicles to shrink and stop producing hair. Though not life-threatening, it can have psychological effects. Treatments aim to slow hair loss or regrow hair. 

How to use Propecia? 

Take one Propecia tablet (1mg finasteride) orally once per day. Propecia may be taken with or without food.  

For the best results, take this medication at the same time each day. It can take 3 months or longer to see improvement in hair growth. Continue taking Propecia daily to maintain hair growth.  

If you stop treatment, any regrown hair is likely to fall out within 12 months. Do not increase or decrease dosage without consulting your doctor. 

Propecia is for use by men only. Women who are pregnant or may become pregnant must avoid handling broken or crushed tablets of Propecia. The active ingredient can be absorbed through the skin and may cause birth defects in a male fetus. 

Ingredients  

Active Ingredient: finasteride 1mg  

Inactive Ingredients: hydroxypropyl cellulose, microcrystalline cellulose, pregelatinized starch, sodium starch glycolate, hydroxypropyl methylcellulose, magnesium stearate, opadry brown (hypromellose, iron oxide red, iron oxide yellow, titanium dioxide) 

Warnings and Cautions 

Do not use Propecia if you have a known allergy to any of the ingredients. Tell your doctor about any medical conditions you have before starting Propecia, especially liver disease, prostate cancer, urinary problems, or abnormal test results. 

A small number of people have reported suicidal thoughts or depression while taking Propecia. Contact your doctor immediately if you experience any mental health changes. Rarely, male breast cancer has occurred in patients taking finasteride. Seek medical attention for any breast lumps or discomfort. 

This medication may cause dizziness, headache, or rash. Stop taking it and contact your doctor if these effects persist or are severe. 

Possible Interactions  

Inform your doctor about any medications, vitamins or supplements you are taking. Propecia may interact with: 

• Anticoagulants and NSAIDs (increased risk of bleeding) 
• Antifungals and HIV medications (concentrations may increase) 
• Antibiotics like erythromycin (altered plasma concentrations) 
• High blood pressure medications (may enhance hypotensive effects) 
• MAO inhibitors (hypertensive crisis risk) 

What are the Side Effects of Propecia? 

The most common side effects are decreased libido, erectile dysfunction, ejaculation disorder, and reduced ejaculate volume. These typically resolve after discontinuation. Less common side effects may include: 

• Breast changes: enlargement, lumps, pain or nipple discharge. Seek medical attention. 
• Allergic reactions: rash, itching, hives, swelling of lips/face/tongue 
• Testicular pain and male infertility 
• Trouble urinating 
• Swelling in hands/feet 
• Dizziness 
• Weakness 
• Headache 
• Depression 

Stop taking Propecia and call your doctor if you experience nipple discharge, breast lumps, testicular pain, or depressive thoughts. Rarely, side effects may persist even after stopping the medication. Report any lasting sexual side effects to your doctor. 

Frequently Asked Questions (FAQ)

How soon will I see the results from Propecia? 

It can take 3 months or longer to notice increased hair growth or slowing of hair loss. For best effects, use Propecia consistently every day for 3-6 months. 

Can women or children safely use Propecia? 

No. Propecia is only approved for use in men ages 18-41 with male pattern baldness. Women who are or may become pregnant must not handle broken or crushed Propecia tablets. 

What should I do if I forget to take a dose? 

If you miss a dose, just take your regular dose the next day. Do not take extra tablets to make up the missed dose. 

What happens if I suddenly stop taking Propecia? 

If you abruptly stop taking Propecia, you will likely lose any new hair growth within 12 months. Inform your doctor before stopping this medication. 

Does Propecia cause permanent sexual side effects?

In rare cases, erectile dysfunction or decreased libido may persist even after stopping the medication. This risk increases with age and length of use. Discuss any lasting side effects with your physician.