Physicians sometimes prescribe finasteride for the treatment of benign prostatic hyperplasia (BPH), informally known as an enlarged prostate. Finasteride may improve the symptoms associated with BPH such as difficulty urinating, getting up during the night to urinate, hesitation at the start and end of urination, and decreased urinary flow. It provides less symptomatic relief than alpha-1 blockers such as tamsulosin and symptomatic relief is slower in onset (six months or more of treatment with finasteride may be required to determine the therapeutic results of treatment). Symptomatic benefits are mainly seen in those with prostate volume . In long-term studies finasteride but not alpha-1 inhibitors reduce the risk of acute urinary retention (−57% at 4 years) and the need for surgery (−54% at 4 years). If the drug is discontinued, any therapeutic benefits are reversed within about 6–8 months. A followup study of the Medicare claims of participants in a 10-year Prostate Cancer Prevention Trial suggests a significant reduction in prostate cancer risk is maintained even after discontinuation of treatment. IF YOU'RE A BIG TEN SPORTS FAN, you've probably seen Charles K. moving up and down the Big House field during Michigan home games. The now 31-year-old didn't play football—he played sax in the Wolverine marching band. Early on, Charles was a "shy band nerd," but over the course of his college career he morphed into another kind of player. "By my senior year," he concedes, "I'd earned something of a reputation among my friends for dating multiple girls at once." After graduating and moving to Chicago, Charles planned on playing the field for at least a few more years. But then something happened that he hadn't counted on: His hair started falling out. "Here I was, a single guy just starting life in the big city, and I was going bald. I kept thinking, " Charles decided to start taking Propecia, the only FDA-approved oral medication for male-pattern baldness.
Each tablet of 'Propecia' contains 1 mg of finasteride as the active ingredient. Excipients with known effect: Each tablet contains 110.4 mg of lactose monohydrate. This medicinal product contains less than 1 mmol of sodium per tablet. 'Propecia' is indicated for the treatment of men with male pattern hair loss (androgenetic alopecia) to increase hair growth and prevent further hair loss. 'Propecia' is not indicated for use in women or children and adolescents. Posology The recommended dosage is one 1 mg tablet daily. There is no evidence that an increase in dosage will result in increased efficacy. Efficacy and duration of treatment should continuously be assessed by the treating physician. Generally, three to six months of once daily treatment are required before evidence of stabilisation of hair loss can be expected. If treatment is stopped, the beneficial effects begin to reverse by six months and return to baseline by 9 to 12 months. You start to notice your friends’ eyes darting up to your hairline. You feel marked out, as if the gene gods have tagged you as defective and old before your time. I was 17 when I noticed the hair on my temples was receding. It was disconcerting but felt okay—until it didn’t feel okay. There came a point when there was just too much of my head showing, when my faithful hairstyle became tenuous. I felt that everyone, much to my unending embarrassment, must have noticed. An American friend told me that my once full and floppy fringe had started looking wispy at 22. A girl who liked me was teased by a friend on Facebook because of my receding hairline and either didn’t know or didn’t care that I would read it. Six months later, it looked worse, and six months after that, worse still.
For example, 1.3% of men that were on Propecia stopped it. The side effects will come later in life or after you get off the medication. Propecia prevents the conversion of testosterone to dihydrotestosterone DHT in the body. Propecia is used for the treatment of male pattern hair loss on the vertex and the anterior mid-scalp area.