Propecia: Frequently Asked Questions

Be Taught the Dangers and Benefits of Propecia and Hair Loss

Realizing the ins and outs of Propecia will help you decide if this hair loss treatment is for you.

Propecia (generic identify: finasteride) has been in use as a means to stem hair loss since 1994, per approval of the Food and Drug Administration (FDA). It’s taken internally and has the next success fee than minoxidil (Rogaine), which is applied topically. It is efficient in a majority of males, in varying degrees, however comes with at the least one vital side impact that warrants concern.

Q. Does Propecia work?

A. Efficacy studies by the manufacturer (Merck & Co., Inc.) reveals that Propecia halts hair loss in eighty percent (86%) of men taking it. Additionally, forty-eight % (48 %) regained some hair misplaced already.

Q. What’s Propecia made of?

A. Finasteride (17beta-(N-tert-butylcarbamoyl)-4-aza-5 alpha-androst-1-en-three-one) is an orally energetic testosterone Kind II 5-alpha reductase inhibitor. In a 1-mg dose it is Propecia, prescribed for hair loss. In 5-mg doses it’s Proscar, a drugs that offers a small discount within the chance of creating an aggressive type of prostate cancer and is also prescribed for BPH (benign prostatic hyperplasia), noncancerous prostate enlargement that comes with age).

Q. How does Propecia work?

A. Finasteride/Propecia prevents the formation of DHT (dihydrotestosterone), which is in extra supply in men who are dropping their hair, by blocking the enzyme that metabolizes DHT. Most patients report a slowing of hair loss in three months and regrowth of hair (if in any respect) by the six-month point.

Q. Does Propecia have unwanted side effects?

A. Males must be concerned with a small likelihood (about 3.8 p.c in one study) of experiencing a number of adversarial effects: erectile dysfunction decreased libido and decreased quantity of ejaculate. Moreover, some sufferers skilled pruritus (strong itch), urticarial (hives), testicular ache and swelling of the lips and face.

Of arguably larger concern is how finasteride/Propecia can have critical results on unborn fetuses. When a pregnant girl has mere skin contact with the drug — for instance, when touching a damaged pill — it can result in vital genital abnormalities in male offspring.

Men who’ve had the following conditions ought to communicate with their doctor about using Propecia out of caution: liver disease, irregular liver enzyme take a look at results, bladder muscle disorders, and prostate most cancers, difficulty urinating and identified strictures of the urethra.

Q. Will Propecia continue to work as a person ages?

A. Individuals using Propecia should continue utilizing it to maintain their hair, and it seems to stay efficacious with constant lengthy-time period use.

The drug has been available on the market for greater than 16 years, and there are no reported adverse results in the long term outdoors of the recognized threat of uncomfortable side effects from quick-term use. Exams on the incidence of male breast most cancers amongst long-term users have been inconclusive and don’t suggest a high risk. There could also be a profit among long-term customers with a family historical past of prostate most cancers in stopping its incidence.

Q. Will the feel of the hair be the same?

A. A sequence of small studies on hair texture signifies no change from taking Propecia. A review of blogs suggests that no prescriptive copycat supplements claiming to ship similar outcomes may very well cause abnormal texture and other aspect effects. But of course these observations aren’t substantiated by research as a result of dietary supplements aren’t held to the same standards as prescriptive medicine.

Q. Can or not girls who are postmenopausal use Propecia?

A. Merck (Propecia’s producer) studied the drug on ladies who have been now not in danger of becoming pregnant (postmenopausal), but after one year the research was discontinued because there was no measurable hair growth. That is believed to be because hair loss in women is due to the enzyme aromatase — over which finasteride has no effect — versus DHT, the reason for male pattern baldness.

Q. Can Propecia be used together with Rogaine?

A. There seems to be no clinical draw back to using the two medications in combination, and proponents suggest that collectively there’s a synergistic effect. The FDA doesn’t track or comment on the safety or efficacy of this two-hit approach.

Q. Is finasteride accessible solely underneath the brand identifying Propecia?

A. As a 1-mg remedy (for hair loss, versus the 5 mg of Proscar for treating prostate issues), it is presently obtainable as Propecia or the generic finasteride.

Q. Does an individual must have a prescription?

A. Yes, Propecia requires a physician’s prescription. Some on-line retailers present their very own medical doctors who provide the prescription. The reader is advised to train all needed warning with regard to pre-existing circumstances and the looks of uncomfortable side effects after beginning a regimen of treatment.

Q. How was Propecia discovered?

A. Like minoxidil, finasteride was discovered by accident. The Proscar model of finasteride, at 5 mg per dose, was discovered to regrow hair in males in early studies. Appropriate testing was conducted to get FDA approval for this secondary use at a lower dosage.

Q. Is Propecia expensive?

A. On-line sources present a variety in value from $28 to $71 (U.S.) per month. Dosage is 1 mg per day.

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