Can I Use Finasteride for Hair Loss? A Urology Perspective

Q: Can I Use Finasteride for Hair Loss? A Urology Perspective

A-Ding： Hello, of course you can, but you will have to pay out of pocket as the National Health Insurance Administration will not cover this expense. <br>Note： According to the reimbursement standards of the National Health Insurance Administration, the use of finasteride for pat

Taking Boscalid medication?

Hello, Director Hsu! I have a small question.
I am troubled by hair loss.
I previously visited a dermatologist and took Finasteride, but that medication is really expensive and is a significant burden for someone like me in the long term.
I was wondering if I could visit your clinic and use health insurance to get Minoxidil, so that I wouldn't have too much of a financial burden.
Is that possible? Please! Please! Please! I would be very grateful! Thank you!

A-Ding, 20~29 year old female. Ask Date: 2007/10/19

Dr. Xu Weikai reply Urology

A-Ding: Hello, of course you can, but you will have to pay out of pocket as the National Health Insurance Administration will not cover this expense.
Note: According to the reimbursement standards of the National Health Insurance Administration, the use of finasteride for patients with benign prostatic hyperplasia is restricted to those over 65 years old and with a prostate weight exceeding XX grams, among other limitations.
Given your age, it is generally not prescribable.
However, if you want to save money, you can purchase some for home use, and you might even consider using domestically produced finasteride, which would be cheaper.
After bringing home finasteride (5mg), you will need to carefully repackage it into 1mg doses.
In other words, one pill can be divided into a five-day supply.
When using it, be cautious: pregnant women must absolutely avoid contact with or inhalation of the powder, as it could lead to teratogenic effects or miscarriage.
Of course, this method of use is relatively cheaper, and theoretically, the effectiveness should be similar, but it does require some effort; additionally, repackaged powdered medication is less convenient to store, and it can be challenging to measure out exactly 1mg per dose.
Therefore, there may be slight differences in treatment; taking too much could lead to increased side effects, while taking too little might result in reduced efficacy.
Furthermore, it is important to note that this type of medication is only effective for androgenetic alopecia and is ineffective for other causes of hair loss, and it is certainly ineffective for women.
There are some side effects to consider, such as potential impacts on sexual function.
If there are any unclear points, feel free to ask again, and we can discuss and research further.

Director of Urology, Taitung Hospital, Department of Health, Executive Yuan, Hsu Wei-Kai.

Reply Date: 2007/10/19

More Info

Finasteride, commonly known by its brand name Propecia, is a 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). DHT is a key factor in hair loss for men with a genetic predisposition to androgenetic alopecia. By reducing DHT levels, finasteride can help slow hair loss and, in some cases, promote regrowth.

From a urology perspective, finasteride is generally considered safe for use in men experiencing hair loss. However, it is essential to understand both the benefits and potential side effects associated with the medication. While many users report positive outcomes, such as increased hair density and reduced shedding, some may experience side effects. Common side effects include decreased libido, erectile dysfunction, and gynecomastia (breast tissue enlargement). These side effects occur due to the alteration of hormone levels, particularly the reduction of DHT, which plays a role in various bodily functions beyond hair growth.

Regarding your concern about the cost of finasteride, it is worth noting that generic versions of the drug are available, which can significantly reduce the financial burden. If you are considering switching from a more expensive brand to a generic version, it is advisable to consult with your healthcare provider. They can guide you on the appropriate dosage and ensure that the generic formulation will be effective for your condition.

In terms of using finasteride under the supervision of a urologist, it is indeed a viable option. Urologists are well-versed in the hormonal aspects of medications like finasteride and can provide a comprehensive evaluation of your health, including any underlying conditions that may affect your treatment. They can also monitor for side effects and adjust your treatment plan as necessary.

If you have previously experienced side effects such as breast tenderness or gynecomastia while taking finasteride, it is crucial to discuss these issues with your urologist. They may recommend alternative treatments or adjust your dosage to minimize side effects while still addressing your hair loss concerns. Additionally, if you have a history of anxiety or depression, as mentioned in your previous inquiries, it is essential to communicate this to your healthcare provider, as some medications can exacerbate these conditions.

In conclusion, finasteride can be an effective treatment for hair loss in men, and using it under the guidance of a urologist can help ensure that you receive appropriate care tailored to your needs. If cost is a concern, exploring generic options and discussing your situation with your healthcare provider can lead to a more manageable treatment plan. Always prioritize open communication with your healthcare team to address any side effects or concerns that may arise during your treatment journey.

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