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Finasteride dosage, side effects

Finasteride dosage, side effects:

Finasteride is a medication primarily used to treat male pattern hair loss (androgenetic alopecia) and benign prostatic hyperplasia (BPH). It works by inhibiting the 5α-reductase enzyme, which converts testosterone into dihydrotestosterone (DHT), a hormone responsible for hair loss and prostate enlargement.


Brand Names of Finasteride

Finasteride is sold under various brand names worldwide, including:

1. For Hair Loss (1 mg dose)

  • Propecia (original brand by Merck)
  • Finpecia (India, Cipla)
  • Fincar (India, Dr. Reddy’s)
  • Finax (India, Dr. Reddy’s)
  • Proscar 1 mg (some countries)
  • Finasteride Generics (various manufacturers)

2. For BPH (5 mg dose)

  • Proscar (original brand by Merck)
  • Finast (various countries)
  • Fincar 5 mg (India)
  • Finasteride-5 (generic versions)

Key Facts About Finasteride

Mechanism of Action

  • Blocks Type II 5α-reductase, reducing DHT levels by ~70%.
  • Helps shrink the prostate (BPH) and slows hair loss.

Uses

  1. Male Pattern Baldness (MPB) – 1 mg/day
  2. Benign Prostatic Hyperplasia (BPH) – 5 mg/day

Side Effects

  • Common: Decreased libido, erectile dysfunction, reduced semen volume.
  • Rare: Gynecomastia (breast enlargement), depression.
  • Post-Finasteride Syndrome (PFS): Controversial long-term sexual dysfunction (rare).

Contraindications

  • Not for women (especially pregnant women – risk of birth defects).
  • Not recommended for children.

Effectiveness

  • Hair Loss: Slows balding in ~90% of men, regrows hair in ~65%.
  • BPH: Reduces prostate size, improves urine flow.

Generic Availability

  • Widely available as a low-cost generic drug.

Conclusion

Finasteride is a well-studied drug for hair loss and BPH, sold under brands like Propecia, Proscar, Finpecia, and Finast. While effective, it may cause sexual side effects in some men. Always consult a doctor before use.

Dr. R. Sheydaei is a medical doctor with extensive experience in clinical practice and medical writing. With a passion for education and patient care, Dr. Sheydaei founded www.imydoctor.com to bridge the gap between complex medical knowledge and everyday health decisions.