FINASTERIDE — 1 mg / 5 mg tablets
📦 Product Snapshot
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🧠 Overview
Finasteride is a 5α-reductase inhibitor. It blocks the conversion of testosterone to dihydrotestosterone (DHT), the primary androgen responsible for prostate growth and androgen‑mediated hair loss. By lowering DHT levels in serum and tissue, it addresses the underlying hormonal driver in both conditions.
Dose‑dependent duality: At 1 mg daily, it is indicated for male androgenetic alopecia (gradual vertex hair loss). At 5 mg daily, it is indicated for benign prostatic hyperplasia (BPH) — it reduces prostate size, improves urinary flow, and lowers the risk of acute urinary retention. The two dosages are not interchangeable and require separate prescriptions.
Finasteride is contraindicated in women of childbearing potential due to risk of hypospadias in male fetuses. Men must avoid blood donation during and for at least one month after treatment to prevent exposure in pregnant recipients. Therapeutic effects on hair may take 3‑6 months to become noticeable, while BPH benefits appear within weeks.
🏷️ Strengths & Brand Examples
- 1 mg film‑coated tablet (hair loss)
- 5 mg film‑coated tablet (BPH)
- Finax® 1 mg / 5 mg (Dr. Reddy’s)
- Fincar® 5 mg (Intas)
- Finpecia® 1 mg (Cipla)
- Gainer® 1 mg (Sun Pharma)
⚠️ Safety, Side Effects & Monitoring
- Decreased libido, erectile dysfunction, ejaculation disorders
- Breast tenderness or enlargement (gynecomastia)
- Skin rash, depression (rare)
- Post‑finasteride syndrome (PFS): persistent sexual dysfunction after discontinuation
- PSA screening interference — finasteride halves serum PSA values
• Men must not donate blood during therapy + 1 month after last dose.
• Higher‑grade prostate cancer (Gleason 8‑10) reported more frequently in 5‑mg studies; clinical significance unknown.
• Evaluate for other urological conditions (obstruction, infection) before starting 5 mg for BPH.
• Use with caution in patients with liver dysfunction (metabolised hepatically).
• Mood alterations and suicidal ideation have been reported; monitor mental health.
• For hair loss (1 mg): photographic assessment and patient‑reported satisfaction around 6‑12 months.
• Sexual side effects may persist despite drug withdrawal — discuss risk before initiation.
❓ FAQ
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I don't know what all the fuss is about. I've been taking Finasteride for 2 years, and I have had zero side effects. Another friend of mine has been taking Proscar for 14 years straight, and he hasn't had any problems whatsoever.