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Finasteride for male pattern baldness

Propecia

Finasteride is for adult men only - it must ليست be taken by anyone aged under 18 years, or by women.

The dose is one (1 mg) tablet a day.

Side-effects are uncommon, but may include a loss of sex drive and a reduced ability to get an erection.

تابع القراءة أدناه

About finasteride for male pattern baldness

نوع الدواء

5-alpha reductase inhibitor

يستخدم لـ

Male pattern hair loss

يُعرف أيضًا باسم

Propecia®

متوفر كـ

أقراص

الصلع الذكوري is the common type of hair loss that develops in many men at some stage. The condition is sometimes called androgenetic alopecia. It is caused by a combination of hereditary (genetic) and hormonal factors.

Hair is made in hair follicles. A hair normally grows from each hair follicle for about three years. It is then shed and a new hair grows from the follicle. As balding develops, affected hair follicles gradually become smaller than normal. Each new hair that grows is thinner and shed more quickly than before. This eventually leads to a much smaller hair follicle and a thin hair that does not grow out to the skin surface.

Male hormones are involved in causing these changes. Hair follicles convert testosterone (the main male hormone) into another hormone called dihydrotestosterone. Affected hair follicles become more sensitive to dihydrotestosterone and this causes the hair follicles to shrink.

For some men, this normal ageing process can be distressing, particularly if it is excessive or occurs early in life. Treatment with finasteride can help prevent further hair loss. It works by stopping the conversion of testosterone to dihydrotestosterone.

Finasteride is only available on a prescription from a doctor, but it is not available on the NHS. This means you will be asked to pay the full price of the tablets when you receive your supply.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking finasteride it is important that your doctor knows:

  • إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.

  • إذا كنت تتناول أي أدوية أخرى. يشمل ذلك أي أدوية يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.

تابع القراءة أدناه

  • Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about finasteride and will provide you with a full list of the side-effects which you may experience from taking it.

  • Take one (1 mg) tablet each day, exactly as your doctor tells you to. Try to take your doses at the same time of day, as this will help you to remember to take finasteride regularly.

  • Swallow the tablet whole (without breaking or crushing it) with a drink of water. You can take the tablet either with or without food.

  • If you forget to take a dose on time, take it when you remember. If you do not remember until the following day, leave out the missed dose. Do not take two doses together to make up for a forgotten dose.

  • Each time you collect a new supply of tablets from your pharmacy, make sure they look to be the same as you have had before. This is because there is a high-dose brand of finasteride tablet available for the treatment of a different condition. If you are unsure that you have the correct tablets, ask your pharmacist to check for you.

  • Your hair growth may start to improve within a few months, although it can take up to a year or so for you to notice the full benefit. You will need to continue treatment to maintain this effect, as the balding process returns when you stop.

  • Finasteride may cause harm to an unborn baby. Because of this, women who are pregnant should not handle the tablets. Also, very small amounts of finasteride will be in your semen while you are taking this medicine. If you need further advice about this, speak with your pharmacist or doctor.

  • If you are having an operation or any medical treatment, tell the person carrying out the treatment that you are taking finasteride. This is because finasteride can interfere with a blood test used to detect prostate cancer, so you must tell your doctor about taking finasteride if you need this test.

تابع القراءة أدناه

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with finasteride. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.

Finasteride side-effects (these affect fewer than 1 in 10 men)

ماذا يمكنني أن أفعل إذا واجهت هذا؟

Reduced desire to have sex, inability to get an erection, breast tenderness, depressed mood, allergic-type reactions

إذا أصبحت أي من هذه الأمور مزعجة، تحدث مع طبيبك

مهم: if you develop any pain or lumps in your breast area, or any discharge from your nipples, you should tell your doctor. This is because there have been a few rare reports of breast cancer in men taking 5-alpha reductase inhibitors like finasteride and dutasteride.

مهم: there have been reports of depression in men taking finasteride, and in rare cases, thoughts of self-harming. Patient alert cards are now included with your medicine alerting you to this fact. You should share this information with your family or friends so that they can be alert for any changes in your mood. If you develop any signs of depression whilst being treated with finasteride, or you have any concerns about your mood, make an appointment to see your doctor.

If you are taking finasteride for prostate problems, you should continue to take your medication until you have spoken with your doctor and agreed a plan.

If you are taking finasteride (Propecia) for male pattern baldness, you should stop taking this medication and make an appointment to see your doctor.

In addition, taking finasteride has caused problems with sexual function in some men, including loss of libido and problems maintaining an erection. This has sometimes continued after stopping treatment. Speak with your doctor if you are concerned about this.

إذا شعرت بأي أعراض أخرى تعتقد أنها قد تكون بسبب الأقراص، تحدث مع طبيبك أو الصيدلي للحصول على مزيد من النصائح.

  • احفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.

  • احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.

معلومات هامة عن جميع الأدوية

إذا اشتريت أي أدوية، تحقق مع الصيدلي من أنها آمنة لتناولها مع الأدوية الأخرى التي تتناولها.

لا تأخذ أبدًا أكثر من الجرعة الموصوفة. إذا كنت تشك في أنك أو شخص آخر قد تناول جرعة زائدة من هذا الدواء، توجه فورًا إلى قسم الحوادث والطوارئ في مستشفى منطقتك. خذ العبوة معك، حتى لو كانت فارغة.

هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.

لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.

إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.

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غير متأكد من خلط الأدوية؟

تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.

قراءة إضافية ومراجع

تابع القراءة أدناه

About the authorView full bio

Author image

مايكل ستيوارت، MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewer

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سيد داجاني

Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.

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