Finasteride 5mg: Hair Growth Benefits and Skin Reactions Explained

Regarding the use of Finasteride 5mg and skin issues?

1.
I have been taking Finasteride 5mg (not sure if the Chinese name is correct) at a dosage of 1/4 tablet daily for nearly a year, and I have noticed improvement in my male pattern baldness and hair density.
My hair has increased in volume; can I stop the medication now, or should I continue taking it? What potential side effects might arise? I have been off the medication for about a month.
2.
Recently, my skin has started to itch, with the affected areas being my arms, legs, and abdomen.
After scratching, I develop swollen scratch marks, but they fade away in about 20 minutes, and the itchy areas appear normal as if nothing happened.
Could this be related to my nasal allergies and the use of Hiros S.R.M.
Capsule? Thank you.

J, 20~29 year old female. Ask Date: 2020/10/06

Dr. Wu Yuxin reply Dermatology

1.
It is recommended to continue taking the medication; otherwise, hair loss will persist.
2.
No lesions were observed, so it is not possible to determine the issue.
If it is very bothersome, please seek medical attention promptly.

Reply Date: 2020/10/06

More Info

Finasteride, commonly known by its brand name Propecia, is a medication primarily used to treat male pattern baldness (androgenetic alopecia) by inhibiting the conversion of testosterone to dihydrotestosterone (DHT). DHT is a hormone that contributes to hair loss in genetically predisposed individuals. Your inquiry about the benefits of Finasteride for hair growth and the potential skin reactions is quite pertinent, especially considering your experience with the medication and the recent skin issues you’ve encountered.

Hair Growth Benefits of Finasteride
1. Mechanism of Action: Finasteride works by blocking the enzyme 5-alpha reductase, which converts testosterone into DHT. By reducing DHT levels, Finasteride can help prevent further hair loss and promote regrowth in some individuals. Many users report noticeable improvements in hair density and thickness after consistent use.

2. Duration of Treatment: It is essential to understand that the benefits of Finasteride are typically maintained only as long as the medication is taken. If you discontinue the medication, any hair regrowth achieved may be lost within several months, as the hair follicles can revert to their previous state influenced by DHT.

3. Dosage: You mentioned taking 1/4 of a 5mg tablet daily, which amounts to approximately 1.25mg. While this is lower than the standard 1mg daily dose recommended for hair loss, some individuals may still experience benefits. However, it is advisable to consult with your healthcare provider to determine the most effective dosage for your specific situation.

Side Effects of Finasteride
1. Common Side Effects: While many individuals tolerate Finasteride well, some may experience side effects, including decreased libido, erectile dysfunction, and gynecomastia (breast tissue enlargement). These side effects are generally reversible upon discontinuation of the medication.

2. Long-term Use: Concerns about long-term use of Finasteride and its potential side effects have been raised, particularly regarding sexual health. It is crucial to have open discussions with your healthcare provider about any side effects you experience and whether continuing the medication is appropriate for you.

Skin Reactions and Allergies
Regarding your skin issues, the itching and transient welts you describe could be related to several factors:
1. Allergic Reactions: It is possible that the skin reactions you are experiencing are due to an allergic response to the Hiros S.R.M. Capsule or another substance you may have come into contact with. Allergic reactions can manifest as hives, itching, and localized swelling.

2. Medication Interactions: While Finasteride is not commonly associated with skin reactions, the combination of medications can sometimes lead to unexpected side effects. If you suspect that your skin issues are related to the Hiros S.R.M. Capsule, it would be prudent to discuss this with your healthcare provider.

3. Consultation: Given that your skin symptoms are bothersome, it is advisable to seek medical attention. A healthcare professional can conduct a thorough evaluation to determine the cause of your symptoms and recommend appropriate treatment.

Conclusion
In summary, while Finasteride can be effective for hair regrowth, it is essential to continue monitoring your response to the medication and discuss any side effects with your healthcare provider. Stopping the medication may lead to a reversal of the benefits gained. Additionally, your recent skin reactions warrant further investigation to rule out any allergic responses or interactions with other medications. Always prioritize open communication with your healthcare provider to ensure the best outcomes for both your hair health and overall well-being.

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