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Most men who take finasteride won’t experience any side effects, though. Clinical trials found that 1.8 percent of men who took finasteride experienced decreased drive compared to 1.3 percent of ...
Finasteride (Propecia®) is FDA-approved for male pattern baldness, but it’s often prescribed off-label for female pattern hair loss. It targets the follicle-shrinking DHT hormone, and may take ...
Finasteride can bring some side effects, but that’s true with any medication, Dr. Bhanusali says. While the risk of side effects is low and most men don’t experience any, doctors educate ...
A 2010 Cochrane review found that men taking finasteride for BPH (with a mean age of 62.4) are at increased risk for impotence, erectile dysfunction (ED), decreased libido, and ejaculation disorder for the first year of treatment. The rates became indistinguishable from placebo after 2–4 years and these side effects usually got better over time.
Finasteride and minoxidil are usually first line therapy for its treatment. Other options include topical or systemic spironolactone or flutamide, although they have a high incidence of feminising side effects and are better tolerated in female androgenic hair loss.
For example, data from clinical trials shows that ED — the most publicized side effect of finasteride — only occurred in 1.3 percent of men who used it at the standard 1mg dose.
A 2017 population-based, matched-cohort study of 93,197 men aged 66 years and older with BPH found that finasteride and dutasteride were associated with a significantly increased risk of depression (HR Tooltip Hazard ratio, 1.94; 95% CI Tooltip Confidence interval, 1.73–2.16) and self-harm (HR, 1.88; 95% CI, 1.34–2.64) during the first 18 ...
But oral finasteride has known side effects like decreased arousal and ED from the oral tablet, so using a topical finasteride treatment could be a preferable alternative for some people.