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Finasteride

Common Brand Names: Proscar, Propecia

Drug Information

Medically reviewed by Jessica Swirble, PharmD
Last updated on March 26, 2025

Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

Quick facts

  • Brand Name: Proscar (for BPH), Propecia (for male pattern baldness)
  • Generic Name: Finasteride
  • Uses: Benign prostatic hyperplasia (BPH), male pattern baldness (androgenetic alopecia)
  • Drug Class: 5-alpha-reductase inhibitor
  • Availability: Prescription only
  • Generic Status: Yes
  • Controlled Substance: No

What is finasteride?

Finasteride is a medication classified as a 5-alpha-reductase inhibitor. It is primarily used to treat benign prostatic hyperplasia (BPH) and male pattern baldness (androgenetic alopecia).

What conditions does finasteride treat?

Finasteride is used to treat conditions such as:

  • Benign prostatic hyperplasia (BPH): A condition where the prostate gland enlarges and causes urinary problems in men
  • Male pattern baldness (androgenetic alopecia): A common form of hair loss in men

It may also be prescribed for other medical conditions as determined by your healthcare provider.

How does finasteride work?

Finasteride works by inhibiting the enzyme 5-alpha-reductase, which converts testosterone into dihydrotestosterone (DHT). DHT is involved in the development of BPH and male pattern baldness. By reducing DHT levels, finasteride helps shrink the prostate gland in BPH and promotes hair regrowth in male pattern baldness.

How do I take finasteride?

Finasteride is usually taken orally as a tablet, with or without food, as directed by your healthcare provider. The dosage and duration of treatment depend on the condition being treated and your response to the medication.

Follow the prescribed dosage and schedule strictly. Do not stop taking finasteride suddenly without consulting your healthcare provider, as it may affect the effectiveness of the treatment.

How long until I see results with finasteride?

The time it takes to see noticeable results with finasteride can vary. Some men may experience improvements in symptoms of BPH, such as reduced urinary urgency and frequency, within a few weeks to months of starting treatment. For male pattern baldness, visible hair regrowth may take several months to a year of consistent use.

Continue taking finasteride as prescribed even if you do not see immediate results. Talk to your healthcare provider if you have any concerns or questions about your treatment progress.

Are there any other uses for finasteride?

While finasteride is primarily used for BPH and male pattern baldness, healthcare providers may sometimes prescribe it off-label for other conditions.

Discuss any alternative uses of finasteride with your healthcare provider.

Dosage forms of finasteride

Finasteride is available in the following dosage forms:

  • Oral tablets: Available in various strengths (e.g., 1mg, 5mg)

Generic versions of finasteride are available under various brand names.

Finasteride is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.

Side Effects and Precautions for Finasteride


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What are the side effects of finasteride?

The use of finasteride can lead to various side effects in some individuals.

Common mild side effects of finasteride use include:

  • Erectile dysfunction
  • Decreased libido (sex drive)
  • Ejaculation disorders (such as decreased semen volume)

More severe side effects of finasteride use can include:

  • Allergic reactions (rash, itching, swelling of the face or lips, difficulty breathing)
  • Breast tenderness or enlargement
  • Depression or mood changes
  • Testicular pain or swelling
  • Breast lumps or nipple discharge
  • Painful erections or other sexual dysfunction

Finasteride may increase your risk of developing prostate cancer or breast cancer. Discuss these risks with your healthcare provider before starting treatment with finasteride.

If you experience any severe side effects while taking finasteride, contact your healthcare provider immediately.

What should I tell my healthcare provider before using finasteride?

Inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with finasteride. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with finasteride.

Tell your provider if you are taking these medications or supplements:

  • Alpha-blockers (used to treat high blood pressure and prostate conditions)
  • Medications that affect male hormones (androgens)
  • Herbal supplements or vitamins (especially St. John’s wort)

Mention medical conditions such as:

  • Liver disease or abnormal liver function tests
  • Prostate cancer or other prostate issues
  • Allergic reactions to medications

If you are pregnant, planning to become pregnant, or breastfeeding, avoid handling crushed or broken finasteride tablets due to the risk of absorption through the skin, which may harm the unborn baby or nursing infant.

Are there any other special instructions I should follow?

Take finasteride exactly as prescribed by your healthcare provider. Do not increase or decrease the dosage without consulting them.

Finasteride may take several months to show noticeable effects, especially for male pattern baldness. Continuously taking the medication as directed is important for achieving and maintaining results.

What should I do in case of an overdose?

In case of a finasteride overdose, seek medical attention immediately. Symptoms of overdose may include dizziness, seizures, lightheadedness, fainting, or trouble breathing. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.

Proper Use & Dosage Information for Finasteride


Drug Information | Side Effects | Use & Dosage | Request an Online Prescription

What is the typical starting dose for finasteride?

Finasteride is available in various strengths, including:

  • Oral tablets (1 mg, 5 mg)

The typical starting dose of finasteride for male pattern hair loss (androgenetic alopecia) and benign prostatic hyperplasia (BPH) can vary depending on factors such as the specific condition being treated, your age, other medical conditions, and how you respond to the medication. It's crucial to follow your healthcare provider's instructions regarding dosage and administration carefully.

For most adults with male pattern hair loss, the typical starting dose of finasteride may be:

  • 1 mg taken orally once daily.

For BPH, the typical starting dose of finasteride may also be:

  • 5 mg taken orally once daily.

It's important to note that finasteride for male pattern hair loss is often prescribed at a lower dose (1 mg) compared to its use for BPH (5 mg).

However, your healthcare provider may recommend a different starting dose or adjustment based on your individual circumstances.

Finasteride can be taken with or without food, but it's important to take it consistently at the same time each day.

Your healthcare provider will monitor your response to finasteride and may adjust the dose as needed. It's important not to exceed the recommended dose or make changes to your dosage without consulting your healthcare provider.

If you have any questions about your dosage or how to take finasteride, contact your healthcare provider or pharmacist. If you want to talk to a provider right away, consider booking an online doctor appointment on Sesame to discuss your concerns.

What should I do if I miss a dose of finasteride?

If you miss a dose of finasteride, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

What should I do if I'm feeling better while taking finasteride?

Continue taking finasteride as prescribed by your healthcare provider, even if you start feeling better. Abruptly stopping finasteride can lead to the worsening of your condition. Follow your provider's instructions regarding the duration of treatment.

How should I store finasteride?

Store finasteride according to the instructions provided by your healthcare provider or pharmacist. It should be kept at room temperature, away from moisture, heat, and light. Ensure the container is tightly closed and keep the medication out of the reach of children.

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