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And now, more and more telehealth brands, like Hims, Keeps, and Roman, are selling topical Finasteride products. Finasteride, also known by brand names Proscar and Propecia, is used to treat benign enlarged prostate and male pattern baldness, but is only available on the NHS for the former. Hair loss is fairly common and may result from hormones, medical conditions, extreme stress, treatments such as chemotherapy, and more. Hair loss can range from thinning to total loss of hair, can be temporary or permanent, and can affect all ages and genders. There are some things you can do that may reduce or prevent hair loss. These include avoiding certain medicines, reducing stress, getting adequate protein and iron in your diet, and using hairstyles that don't damage your hair.
Are there side effects of medications that can prevent baldness?
Your doctor will also ask you some questions about your hair loss, like how much hair you're losing, when it started, and whether your parents have hair loss. DermNet does not provide an online consultation service. If you have any concerns with your skin or its treatment, see a dermatologist for advice. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice.
Emerging Benefits of Finasteride: Beyond Hair Loss and Prostate Health to Cardiovascular Disease Prevention - Medriva
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Is Alopecia (Hair Loss) a Serious Autoimmune Disease and Is It Permanent?
For men with hair loss, finasteride will increase the number of scalp hairs but will not increase the amount of body hair. Finasteride is an FDA-approved pharmacologic agent for treating benign prostate hyperplasia and androgenic alopecia (male pattern hair loss) in men. Finasteride has also been used to treat signs of hyperandrogenism, such as hirsutism, and may be used in transgender women in combination with estrogen for its anti-androgen properties.
Getting the most from your treatment
This medication is used to treat male pattern baldness (androgenetic alopecia) at the crown and in the middle of the scalp. It should be used by adult men only.This medication works by decreasing the amount of a natural body hormone (DHT). Decreasing the amount of DHT leads to increased hair regrowth and slower hair loss.
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While collagen is needed for healthy hair, there is a lack of non-industry-funded human research supporting the use of collagen supplementation to improve hair growth, thickness, volume, or shine. Some small, limited studies have found that certain supplements and shampoos could be helpful, dermatologists say. However, your best bet if you’re suffering from hair loss is to see a board-certified dermatologist who can determine what’s causing your alopecia and then recommend a treatment plan. Dozens of over-the-counter supplements and products purport to reverse hair loss, making it tough for patients to know which ones work and which don’t.
On-going studies have demonstrated that finasteride halts hair loss or regrows hair in 9 out of 10 men taking it longterm every day. The AUA supports the use of finasteride as a treatment option for men with benign prostate hyperplasia and shared decision-making. The American Society of Clinical Oncology (ASCO) and American Urological Association (AUA) released a joint statement in 2008. They developed a clinical practice guideline to assist physicians and patients with making informed decisions after reviewing the risks and benefits of the medication. If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist for further advice. If your hair loss is due to a medical condition, the cost of a wig might be covered by insurance.
Does finasteride cause any interactions with other drugs?
If you are scheduled to have a lab test for prostate cancer, tell your care team that you are taking this medication. “While topical Finasteride does not reduce blood DHT levels as much as the oral form, the benefits to the hair seem to be equal, but with a reduced chance of side effects,” she says. If you’ve experienced hair loss for some time, you’ve likely heard of a treatment called Finasteride. The International Society of Hair Restoration Surgery (ISHRS) is a global non-profit medical association and the leading authority on hair loss treatment and restoration. There is no statistical evidence that finasteride has an effect on sperm count or morphology in a male with a normal sperm count. Some studies suggest a male with pre-existing hypospermia might have a decreased fertility while on finasteride.

What should I tell my care team before I take this medication?
Finasteride (Propecia® and others) is a specific type II 5-alpha reductase inhibitor. That is, it inhibits the enzyme responsible for regulating the conversion of testosterone to dihydrotestosterone (DHT). By reducing DHT levels in the scalp, the drug decreases DHT's effects on the hair follicles, reversing the process of hair loss. If you’re taking this drug for BPH, you may notice a decreased urge to urinate and improved urine flow. You should also have a decrease in the feeling that your bladder isn’t completely emptied after you urinate.
Conditions
Finasteride was evaluated in 3,200 men and it was very well tolerated, including patients on therapy for up to two years. Long-term suppression of DHT does not appear to be harmful. This is based on extensive research, dating back to 1974, of men born with a deficiency of 5-alpha reductase.
This medicine is available only with your doctor's prescription. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. “The topical solution is a relatively novel application, and hence we do not have data as strong as the kind we have for the tablet, which has been available for decades,” he notes.
These treatments that emit red- or near-infrared light are believed to stimulate hair follicles to help hair grow, with a lower risk of side effects compared to topical creams and oral medications. The most common cause of alopecia is an inherited condition called male- or female-pattern hair loss. Inherited hair loss (androgenetic alopecia, also known as male- or female-pattern hair loss) is the most common cause of hair loss. It is inherited from either or both the mother and the father. Daily use for three months or more may be necessary before a patient will notice the prevention of further hair loss or increased hair growth.
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