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Propecia: the other uses for hair growth (anti-baldness) medication

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Male pattern baldness is a common condition in which men experience decreased hair volume, often resulting in baldness on top of the head. This condition is considered to be caused by a combination of heredity and a particular hormone, DHT. DHT contributes to a shorter hair growth phase and decreased hair volume (see chart). This process leads to male pattern baldness. Typically, the changes begin to occur in some men at 20 years of age and become more common with age. If hair loss has occurred a long time, this loss can be definitive.


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Propecia was approved by FDA in 1997, for baldness treatment.

Like any medicine, Propecia may have unexpected or undesirable effects, called adverse effects. These effects are uncommon and do not affect most men.
Only a small number of men (between 1% and 10% of patients using this medicine) may feel less desire to have sex and / or difficulty in getting an erection. An even smaller number (between 0.1% and 1% of patients using this drug) may have a reduction in the amount of semen released during intercourse (this does not appear to interfere with normal sexual function). In clinical studies, these adverse effects disappeared in men who stopped taking Propecia and in many men who continued the treatment.
In despite of, many men take Propecia pills in order to stimulate their sexual organ.

Finasteride is their active principle.

Finasteride contains lactose monohydrate, microcrystalline cellulose, pregelatinized starch, sodium starch glycolate, sodium docusate, magnesium stearate, hypromellose, hypnosis, titanium dioxide, talc, yellow iron oxide and red iron oxide.
There are some reactions using Finasteride: Allergic reactions, including rash, itching, hives, and swelling of the lips, tongue, throat and face; ejaculation problems that continued after discontinuation of treatment; sensitivity and breast enlargement; depression; decreased sexual desire that continued after discontinuation of treatment; testicular pain, difficulty having erection that continued after discontinuation of treatment; male infertility and / or low semen quality, which improves after discontinuation of treatment; in rare cases male breast cancer. Depression can be also be related to the usage of Finasteride/ Propecia.
Propecia can be found in Australia in packages with 10, 20, 30, 60, 90 or 120 pills.

The average price per pill is AUS 0.55 in the 120 pills package. This medication can be used via oral.

The medication must be prescribed by a doctor.

There are medical reports that finasteride when used with sibutramine triggered a psychotic outbreak in a 30-year-old man who was successfully treating obesity.

Propecia can not be used by women and children.

Some studies indicate that the drug does not affect male spermatogenesis. However, there are few drug studies in the teratology study when used by pregnant or breastfeeding women. It is known that the drug inhibits the conversion of testosterone to dihydrotestosterone being useful for the treatment of prostate cancer and male pattern baldness.

Finasteride is forbidden in sports, can be detected in anti doping exams.

Fun fact: US President Donald Trump claimed that he uses Propecia.

The facts about Proscar, Propecia and other hair loss treatments

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The accidental wonder drug

Propecia is a repackaged prostate cancer drug that has been hailed a miracle cure for male pattern baldness. It started life as a drug branded ‘Proscar.’ Both contain the same active ingredient: Finasteride, which reduces the conversion of testosterone to dihydrotestosterone. In plain talk, in the case of the original drug, Proscar, Finasteride shrinks enlarged prostates. A curious side effect was that men stopped losing their hair and in 65 per cent of cases, hair thickened and grew back. A pharmaceutical giant, Merck, smelt a money-making opportunity, and re-marketed the drug at a much higher price.


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Save money and save your hair

The difference between Proscar and Propecia is the amount of active ingredient, Finasteride, they contain: Propecia has five times less. This means there’s a cheaper way to take the drug: buy Proscar (or cheaper still, generic Finasteride) and use a pill cutter to chop each pill into five. I introduced my own doctor to this trick in 2011 and persuaded her to prescribe me one fifth of a tablet daily. For the three previous years, I’d paid ,200 annually for Propecia. With my new prescription for one fifth of Proscar, the cost went down to a year.

Libido

But for every reasonable price, there’s a cost. Here, it could be your sex drive. Cutting the small pill into five is fiddly and you risk overdosing and tampering with your testosterone to the point of killing your libido. Even taking a regular dose of Propecia could result in this: between 3.4 percent and 15.8 percent of men using the product report sexual dysfunction, such as erectile dysfunction and decreased libido, or even a decrease in the volume of ejaculate. Not something you really like to think about when it comes to Donald Trump.

That said, some men actually claim Propecia increased their libido, as journalist Patrick Strudwick reported when footballer Wayne Rooney hit the headlines for taking it and appearing, well, hairier.

I approached a spokesperson for Merck Sharp & Dohme Australia, who manufacture Propecia and gave them the opportunity to refute or dilute widespread reports that the drug kills men’s sex drive. Their response: “Propecia and the generic forms of the medicine (finasteride) are prescription only medicines. Patients should discuss use of this medication with their relevant healthcare professional.”

Stigma

Two men I approached for this piece told me Propecia had killed their sex life altogether, but didn’t want to go on the record. Even taking other hair loss treatments caused embarrassment: all interviewees requested either anonymity or first name only, and no facial pictures. Like Trump, it seems men will go to any lengths to convince the outside world it’s all real and all natural.

Other side effects

Propecia can have other worrying effects, too. Since 2011, at least 1,245 lawsuits have been filed against Propecia’s manufacturer, Merck, alleging that the company didn’t sufficiently warn users of sexual and cognitive side effects (some patients have linked it to depression). It’s led some to headlines questioning whether the leader of the free world should be taking it. And he should certainly keep it away from Melania and Ivanka: health officials warn that if women even touch finasteride, it can lead to genital malformations in unborn boys.

Other hair loss treatments

With that in mind, you may like to try other cures. Dr Eleni Yiasemides, consultant dermatologist speCialist, walked me through them:

  • Nutrition: very little research behind nutritious eating, vitamins or supplements and hair loss.
  • Laser: No scientific evidence of its effectiveness.
  • Topical Minoxidil: Available over the counter, products which contain 5% Minoxidil are considered to be the most effective in regrowing hair. Minoxidil works by helping the blood flow to the hair follicles and increasing follicular size and hair shaft diameter, stimulating and prolonging hair growth. But can take up to 6 months to work.
  • Hair transplant