Can I Self-Purchase Finasteride for Hair Loss Treatment?

Q: Can I Self-Purchase Finasteride for Hair Loss Treatment?

Hello： In response to your question, the key to effective treatment lies in an accurate diagnosis. <br>Therefore, it is not advisable for you to purchase medication on your own, especially for expensive over-the-counter drugs like Rogaine. <br>Please ensure that a dermatologist p

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Hello Doctor, I have noticed significant hair loss over the past six months.
I previously consulted a dermatologist at the hospital, and after a blood test, the doctor suggested that my hair loss might be due to stress and prescribed Minoxidil for me.
However, after using it for over a month, it seems to have had little effect.
I am considering purchasing Finasteride on my own since I am experiencing crown thinning, and the doctor indicated that it does not appear to be androgenetic alopecia.
Would taking Finasteride be effective in my case? Is it necessary to visit the clinic again to get a prescription for Finasteride? Are there any restrictions on its use? The issue of hair loss is really concerning me, and I hope you can take the time to answer my questions.
Thank you.

Grant, 20~29 year old female. Ask Date: 2003/12/28

Dr. Chen Yiying reply Dermatology

Hello: In response to your question, the key to effective treatment lies in an accurate diagnosis.
Therefore, it is not advisable for you to purchase medication on your own, especially for expensive over-the-counter drugs like Rogaine.
Please ensure that a dermatologist provides you with a correct diagnosis before using any medication, as this will also help avoid the risk of obtaining counterfeit drugs.
Psychological stress can negatively impact hair loss, so please refrain from unnecessary worry and allow your physician to provide the most appropriate treatment for your situation.

Reply Date: 2003/12/28

More Info

When considering the use of Finasteride for hair loss treatment, it is essential to understand both the medication's efficacy and the potential implications of self-prescribing. Finasteride is a well-known medication primarily used to treat male pattern baldness (androgenetic alopecia) and benign prostatic hyperplasia (BPH). It works by inhibiting the enzyme 5-alpha-reductase, which converts testosterone into dihydrotestosterone (DHT), a hormone linked to hair loss.

From your description, it seems that you have already consulted a dermatologist who attributed your hair loss to stress and prescribed Minoxidil (often referred to by its brand name, Rogaine). While Minoxidil is effective for many individuals, it may take several months to see noticeable results, and not everyone responds to it. If you have been using Minoxidil for over a month without significant improvement, it is understandable to seek additional treatment options.

However, before self-purchasing Finasteride, it is crucial to consider a few factors:
1. Diagnosis: You mentioned that your doctor did not diagnose you with androgenetic alopecia. Finasteride is specifically indicated for this condition. If your hair loss is due to other factors, such as stress, nutritional deficiencies, or other medical conditions, Finasteride may not be effective. It is advisable to have a clear diagnosis before starting any medication.

2. Consultation with a Healthcare Provider: While Finasteride is available for purchase, it is always recommended to consult with a healthcare provider before starting any new medication. A doctor can assess your specific situation, evaluate potential underlying causes of hair loss, and determine whether Finasteride is appropriate for you. They can also monitor for side effects and adjust treatment as necessary.

3. Potential Side Effects: Finasteride can have side effects, including sexual dysfunction, mood changes, and other hormonal effects. Some individuals may experience persistent side effects even after discontinuing the medication. Understanding these risks is essential before starting treatment.

4. Dosage and Administration: The standard dosage for Finasteride in treating hair loss is typically 1 mg daily. If you decide to proceed with Finasteride, it is crucial to adhere to the recommended dosage and not exceed it without medical guidance.

5. Monitoring Progress: If you do start Finasteride, it is important to monitor your progress and any side effects. Hair growth can take several months to become noticeable, and regular follow-ups with a healthcare provider can help assess the effectiveness of the treatment.

In summary, while Finasteride can be an effective treatment for androgenetic alopecia, it is essential to have a proper diagnosis and consult with a healthcare provider before starting the medication. Self-prescribing can lead to unnecessary risks and may not address the underlying cause of your hair loss. If you are concerned about your hair loss, consider scheduling another appointment with a dermatologist or a trichologist who specializes in hair and scalp disorders. They can provide a comprehensive evaluation and recommend the most appropriate treatment plan tailored to your needs.

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