Concerns About Using Proscar for Hair Loss: A Urology Perspective

Q: Concerns About Using Proscar for Hair Loss: A Urology Perspective

Hello, Xiao B： I wonder how effective you find the use of Tadalafil. <br>If it is effective, you can certainly consider substituting it with Bosentan to save costs. <br>However, it is recommended to take 4 to 5 doses per week, with one dose each day to maintain effectiveness, as

Issues related to Proscar (finasteride)?

Hello Dr.
Lin,
I am 29 years old and have been experiencing hair loss for the past three years.
I was initially taking Finasteride (Rogaine), but due to the high cost, I switched to Proscar, which contains the same active ingredient.
However, Finasteride is 1mg while Proscar is 5mg.
I am taking Proscar 5mg every four days (without splitting the tablet).
I understand that Proscar is used to treat benign prostatic hyperplasia.

I have two questions:
1.
Will my method of taking Proscar 5mg every four days (without splitting) have any effects on my body, including sexual function, fertility issues (as I am not yet married), or any other concerns?
2.
Given my age, is it appropriate for me to take Proscar 5mg?
Thank you for your response.

Xiao B, 20~29 year old female. Ask Date: 2006/03/10

Dr. Lin Hexing reply Urology

Hello, Xiao B: I wonder how effective you find the use of Tadalafil.
If it is effective, you can certainly consider substituting it with Bosentan to save costs.
However, it is recommended to take 4 to 5 doses per week, with one dose each day to maintain effectiveness, as Bosentan is not a long-acting medication.
Taking it every four days will not achieve the necessary therapeutic drug concentration.
As for whether it will affect sexual function, you will know during your treatment.
If there is an effect, it will be noticeable, but it should improve after discontinuation.
If there is no impact on sexual function, then it is not a concern.
With a daily dose of 5 mg of Bosentan, the likelihood of affecting sexual function is about 15%, so it does not necessarily impact sexual function.

Reply Date: 2006/03/10

More Info

When it comes to hair loss treatments, particularly with medications like Proscar (finasteride), there are several important considerations to keep in mind, especially from a urology perspective.
1. Dosage and Administration: You mentioned that you are taking Proscar (5mg) every four days instead of the standard daily dosage of 1mg typically prescribed for hair loss. While Proscar and Propecia (the 1mg formulation) contain the same active ingredient, finasteride, the dosing frequency and amount can significantly impact the effectiveness and side effects. Taking a higher dose less frequently may not provide the same benefits as taking a lower dose daily. The half-life of finasteride is about 6-8 hours, meaning that the drug's effectiveness diminishes over time. Therefore, taking it every four days may lead to suboptimal levels of the medication in your system, potentially reducing its effectiveness in preventing hair loss.

2. Potential Side Effects: Finasteride is known to have side effects, particularly concerning sexual function. These can include decreased libido, erectile dysfunction, and ejaculation disorders. While these side effects are relatively uncommon, they can occur. Since you are concerned about future fertility and sexual health, it is crucial to discuss these potential risks with your healthcare provider. They can provide personalized advice based on your medical history and current health status.

3. Age Considerations: At 29 years old, you are within the age range where androgenetic alopecia (male pattern baldness) can begin to manifest. Finasteride is generally considered safe for use in younger adults, but it is essential to weigh the benefits against the risks. If you have concerns about the long-term effects of taking a medication like Proscar, especially regarding sexual function and fertility, it would be wise to consult with a urologist or a dermatologist specializing in hair loss. They can help you understand the implications of long-term use and explore alternative treatments if necessary.

4. Monitoring and Follow-Up: Regular follow-up appointments with your healthcare provider are essential while on finasteride. They can monitor for any side effects and assess the effectiveness of the treatment. If you experience any adverse effects, it is crucial to report them immediately. Additionally, if you are considering starting a family in the future, discussing your plans with your doctor can help you make informed decisions about your treatment options.

5. Alternative Treatments: If the cost of Propecia is a concern, there may be other treatment options available, including topical treatments like minoxidil, which can be used in conjunction with oral medications. Lifestyle changes, such as a balanced diet, stress management, and proper hair care, can also play a role in managing hair loss.

In conclusion, while Proscar can be an effective treatment for hair loss, it is essential to use it correctly and be aware of potential side effects. Given your concerns about sexual function and fertility, I strongly recommend discussing your treatment plan with a healthcare professional who can provide tailored advice and support.

Similar Q&A

Concerns About Proscar and Hair Loss Treatments: What You Need to Know

Hello, Doctor. I am currently taking Proscar (finasteride) and applying a hair growth solution to treat male pattern baldness. However, I am cutting the 5mg Proscar into quarters or thirds to take (since the lower dose is 1mg). I would like to ask you a few questions: 1. Does lo...

Dr. Cai Zhuorong reply Urology
1. Does long-term use of Proscar lead to prostate cancer? A: There is no direct correlation from a theoretical standpoint, but PSA monitoring should be conducted. 2. The instructions indicate that taking Proscar may cause infertility and reduced semen volume. If I stop taking th...

Medication Concerns in Urology: Effects of Finasteride and Dosage Adjustments

Hello, Doctor: I have a problem with male pattern baldness. Due to the high cost of hair loss medication, I have been taking a quarter dose of finasteride for benign prostatic hyperplasia for four months, and I have noticed an improvement in hair density. I have now switched to Y...

Dr. Du Shixi reply Urology
Hello: 1) I have asked this question before, and it does have an impact, but there are still people who use it this way. 2) Not really, because the dosage is low, and it has a minimal effect on the urinary system.

Why Hair Loss Treatments Fail: Understanding Androgenetic Alopecia

Hello Dr. Wu, I am 30 years old this year. My family has a history of androgenetic alopecia. Eight years ago, I was diagnosed by a physician with signs of male pattern baldness and started taking Finasteride (柔沛) for over three years. I then switched to Dutasteride (波斯卡) for more...

Dr. Wu Yuxin reply Dermatology
The current medications approved by our health authorities for the treatment of male pattern baldness are Finasteride 1mg and topical Minoxidil. Rogaine, Proscar, and Folligen are all medications that contain either 1mg or 5mg of Finasteride, and their effects are quite similar. ...

Essential Health Checks While Taking Boska: What to Focus On?

I have been taking Bicalutamide for a year, following the doctor's recommended dosage: one pill cut into four pieces, taking one piece daily. I have not experienced any physical discomfort, and I have been regularly visiting a dermatologist. However, I still have concerns an...

Dr. Xiao Yongxun reply Family Medicine
Dear Mr. K: 1. PROSCAR® (finasteride) is a specific inhibitor of Type II 5α-reductase. Type II 5α-reductase is an intracellular enzyme that metabolizes testosterone into a more potent androgen: dihydrotestosterone (DHT). The phenomenon of benign prostatic hyperplasia (BPH) is in...