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Propecia is an effective new generation treatment for male pattern baldness. When taking this drug, the growth of new hair is stimulated, hair loss is reduced, overall, the quality of the hair improves. They become thicker, stronger, more attractive, brighter.

Drug release form

The drug is produced in the form of tablets. One tablet contains 1-5 mg of the active ingredient. Manufacturers produce Propecia pills of various shapes and colors.


Propecia neutralizes the action of the enzyme responsible for converting testosterone to its active form. Finasteride contributes to a decrease in the level of dihydrotestosterone in the blood and the preservation of a significant part of the hair.

A drug slows hair loss in 85% of patients taking pills. The use of the drug for at least a year leads to the formation of new hair in half of the patients suffering from baldness. When receiving medication for 2 years, this percentage increases to 55% of men suffering from alopecia.

A noticeable increase in the density of the hairline requires taking the drug for at least 3 months. The first hair that appears at the place of hair loss is observed 6 months after the start of therapy. The most active restoration of hair is observed in the crown and in the areas adjacent to it.

Mode of application

Take one tablet of Propecia once a day, regardless of food intake. If the patient has diseases of the stomach or intestines, it is better to use the drug with food. The course of treatment lasts one to two years. The tablet is not recommended to cut. If necessary, the medicine is washed down with a small amount of water.

  • It is recommended to take the drug at the same time. Dose adjustment for older men is not required.
  • If there are no visible improvements within 10-12 months, then continuing to take the drug is not advisable.
  • If the result was achieved, and the treatment is interrupted prematurely, this can lead to the loss of already restored hair.


Propecia is contraindicated in mothers during lactation. Pregnant women are advised to avoid contact with this medication. The drug can cause abnormalities in the development of the external genitalia of the male fetus.

During lactation, the drug is not prescribed, since today there is no information on whether the active substance penetrates into milk. It is not recommended to use tablets for men who have prostate diseases, urinary tract infections, impaired renal function, endocrine disease, and liver failure.

The drug is contraindicated in children under 12 years of age, young men under 18 years of age and the elderly. With individual intolerance to the active substance, Propecia is also prohibited.

Side effects

Propecia is generally well tolerated. Side effects, which are usually minor, generally did not require interruption of therapy. Finasteride for the purpose of treating male pattern baldness has been tested for safety during clinical trials in more than 3200 men. In three twelve-month-long, double-blind, randomized, placebo-controlled, multicenter comparative studies, the overall safety of Propecia and placebo were similar. Discontinuation of therapy due to any clinically significant adverse events was made in 1.7% of 945 men who took this medication and 2.1% of 934 men who took a placebo.

In <1% of men taking this male-pattern baldness drug, the following side effects were noted:

  • decreased libido in 1.8% (versus 1.3% in those who took a placebo);
  • erectile dysfunction was observed – 1.3% (versus 0.7% in the placebo group).

In addition, a decrease in ejaculate volume was reported in 0.8% of men taking Propecia versus 0.4% in men receiving a placebo.

These side effects disappeared in those who withdraw this drug, as well as in many who continued to take it. In another separate study regarding the effect of this drug on the volume of ejaculate, no difference was found between those who took the drug and those who received a placebo.

The frequency of each of the above side effects decreased to <0.3% by the 5th year of treatment.

The following side effects were reported in the period after the studies:

  • ejaculation disorders;
  • breast tenderness and its enlargement;
  • hypersensitivity to the ingredients of the drug – such as rashes, itching, urticaria (allergic rash), swelling of the lips and face;
  • pain in the testicles.

The interaction with alcohol

Alcohol intake is the main cause of hair loss. Alcohol is not excreted from the body for a long period of time, which means it contributes to a blockage of blood vessels. Consequently, the patient’s blood flow to the head worsens.


In order for the treatment of baldness to be successful and effective, it is recommended to completely abandon the use of alcoholic beverages. In the treatment of alopecia, it is advisable to adhere to proper nutrition. The diet includes more foods rich in calcium, iron, vitamins, and minerals. The menu should include green vegetables, fruits, seaweed, dairy and legumes, gelatin-containing foods, sea fish, poultry, and nuts. Refrain from eating fatty, spicy, salty, fried, or spicy foods. Refuse pastries.

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