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Finasteride
Generic Propecia
115 reviews
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US-licensed healthcare providers
Finasteride is for male pattern hair loss in men only, and is not for women or children. Pregnant women should not handle crushed or broken tablets due to fetal risk. For more information, see Important Safety Information.
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Finasteride facts
Finasteride is used in the 1 mg dose to treat male pattern baldness and the 5 mg dose to treat symptoms of benign prostatic hyperplasia (BPH). When it comes to hair loss, it works better if started sooner rather than later in the process because, at a certain point, permanent changes in the scalp take place and prevent any hair regrowth (the specific point in time varies per person). But, even if that point has been reached, finasteride can still help prevent further hair loss. Research has shown that finasteride prevented further hair loss in 83% of men who took it for 2 years and 66% of men had some hair regrowth.
Finasteride is part of a family of drugs called 5-alpha reductase inhibitors. These drugs work by blocking the activity of 5-alpha reductase, which is an enzyme that converts testosterone to dihydrotestosterone (DHT). DHT is a potent androgen (male sex hormone). It causes male pattern baldness (aka androgenetic alopecia) in men who are genetically predisposed to it, growth of the prostate leading to benign prostatic hyperplasia (BPH), and lower urinary tract symptoms (LUTS). Using 5-alpha reductase inhibitors to block this enzyme can slow or reverse hair loss and shrink the prostate over time.
Propecia is the original brand name for 1 mg finasteride tablets for the treatment of male pattern hair loss. Most people who say they use Propecia today are actually taking generic finasteride 1 mg tablets, which have the same active ingredient as Propecia. The FDA requires that generic drugs demonstrate bioequivalence to the brand-name drug, which means they act the same way in the body and are expected to produce the same effects as the original brand-name drug.
Common side effects include a decrease in sex drive, trouble getting or keeping an erection, and a decrease in the amount of semen.
There may also be an increased risk of high-grade prostate cancer. For full safety information, see ro.co/safety-info/finasteride. Your Ro-affiliated provider can also guide you onside effects
How effective is finasteride?
of men balding at the crown of the head saw no further hair loss with finasteride.*
The clinical results are in: Finasteride has been shown to be effective at preventing hair loss and even regrowing hair in some men.
*In clinical studies in men with hair loss at the crown of the head, 83% of men who used finasteride had no further hair loss after 2 years (vs. 28% in the placebo group).
Finasteride is for male pattern hair loss in men only, and is not for women or children. Pregnant women should not handle crushed or broken tablets due to fetal risk. For more information, see Important Safety Information.
Patient Reviews
4.67
115 reviews
5/17/2023
David
Rating: 5 out of 5 starsMedication experience
No issues. Treatment going well.
5/11/2023
Brenan
Rating: 5 out of 5 starsWorks for me
I was able to stop losing hair and gain back hair that I had lost. I’ve been using it for four years now.
5/8/2023
Bryan
Rating: 5 out of 5 starsFinasteride
Not loosing hair but no regrow that.
5/5/2023
Michael
Rating: 5 out of 5 starsGoing on 16 months and here’s the honest truth
Started taking Finasteride and nothing else in October of 2021. Right around the 6-7 month mark I started noticing a halt to my receding hairline which was only starting on my left crown area. My hair does grow long if I let it except in that spot it seems to grow at-a much slower pace, so my hair in the front/bangs is always shorter on the left side which is a pain in the arse. Anyhow, I was able to halt the receding progress which was starting to accelerate before starting Finasteride. After the 12th month mark I noticed very little hair growth within the receding area. Not much, But enough for me to notice. Now at 16 months I am glad I started taking Finasteride when I did because I have had 0 acceleration of receding hair loss. My hair is thin as always has been, but I’m able to still sport a full head of hair and to me that is priceless! I actually got my son on it and he is at the 12 months mark now and he feels it has thickened his hair somewhat. Unlike me, he started with some balding on the crown which has not improved As it was already bald well before he started the Finasteride. He is staying on it because he sees a difference in thickness and he has his fathers thin hair.
5/5/2023
Charlie
Rating: 5 out of 5 starsI got hair now.
I had problems believing this would work for me . I have hair now where there was none. If you read this review and thinking about how and what will help your hair grow back. Roman's are the people to speak with. This isn't not an over night job.It take time to get it in your system just stay with them. And you will see hair coming in the hairless places. I use tell my wife my hair is coming back. Of course she didn't see or believe me. Now she says you wasn't lying. I told her this before I started using Roman's it works!
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Common questions
How should I take finasteride?
Take finasteride exactly as your healthcare provider tells you to take it.
You may take finasteride with or without food.
If you forget to take finasteride, do not take an extra tablet. Just take the next tablet as usual.
Finasteride will not work faster or better if you take it more than once a day.
Can finasteride help with hair regrowth?
Short answer is yes. The same study from above that summarized the findings of 3 studies that evaluated the effects of finasteride showed that some men in the finasteride group has hair regrowth. The authors noted, “Based on standardized clinical photography, the chances of mild to moderate visible regrowth are 61% on the vertex (with an additional 5% achieving great visible regrowth) after 2 years and 37% on the frontal area after 1 year.” In the 2 studies done on hair loss at the crown of the head, 72% of men had further hair loss after 2 years. For clarity, vertex is the crown of the head and frontal area is the frontal or receding hairline.
What are the common side effects of finasteride?
The most common side effects of finasteride include:
decrease in sex drive
trouble getting or keeping an erection
a decrease in the amount of semen
What important safety information should I know before taking finasteride?
Please click here to see the full Important Safety Information.
Can you get finasteride without a prescription?
In the United States, finasteride, whether oral or topical, is not available without a prescription from a healthcare provider. Oral finasteride in the 1 mg and 5 mg doses are FDA-approved medications to treat male pattern hair loss and the symptoms of BPH, respectively. Topical finasteride is not FDA-approved and can be made by compounding pharmacies but still requires a prescription. There may be sellers who advertise finasteride online without a prescription, but these are not recommended as they may not be regulated for purity of ingredients, efficacy, or safety.
Important safety information
What you should know before taking finasteride.
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