Finasteride and Androgenic Alopecia: From Therapeutic Options to Medical Implications

    Ion G. Motofei, David L. Rowland, Mircea Tampa, Maria Isabela Sarbu, Mădălina Irina Mitran, Cristina Iulia Mitran, Anca Pantea Stoian, Camelia Cristina Diaconu, Stana Paunica, Simona Roxana Georgescu
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    TLDR Finasteride can treat hair loss, but may have side effects; evaluate and inform patients of risks.
    This article discusses the use of finasteride as a therapeutic option for androgenic alopecia (AGA), a condition with varying psycho-social implications. While some studies show finasteride to be safe with minimal side effects, others are more cautious and suggest that it may result in side effects with greater frequency and severity, including post-finasteride syndrome. The article suggests that further investigation is needed to understand the factors that contribute to finasteride inconsistency and side effects, and to categorize subjects into distinct subgroups based on their predisposition to adverse reactions. Overall, while finasteride can be an effective treatment for AGA, patients should be carefully evaluated and informed of potential risks before starting therapy.
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      community I am a dermatologist with a clinical interest in alopecia. AMA

      in Will treatment work for me? 2 years ago
      In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

      community Very reluctantly starting Finasteride.

      in Finasteride/Dutasteride  84 upvotes 9 months ago
      A 23-year-old started taking 0.25 mg of Finasteride daily for hair loss after trying Minoxidil and derma rolling without success. People shared varied experiences with Finasteride, discussing potential side effects, effectiveness, and personal decisions regarding hair loss treatment.

      community Dermatologist told me to quit fin after turning 40

      in Finasteride/Dutasteride  194 upvotes 1 year ago
      A dermatologist advised a patient to stop taking finasteride (fin) after turning 40 due to potential risk of aggressive prostate cancer. The patient and others in the conversation debated this advice, discussing the relationship between finasteride, prostate cancer, and hair loss, and considering alternatives like topical finasteride.

      community Dont fucking wait to start finasteride!

      in Chat  372 upvotes 3 years ago
      User baldwarrior85 regrets not starting finasteride earlier to prevent hair loss. Others share their experiences, with some having side effects and others seeing positive results from the treatment.

      community Why is everyone not directly advised Dutasteride?

      in Finasteride/Dutasteride  164 upvotes 2 months ago
      Dutasteride is less commonly prescribed for hair loss because it is not FDA-approved for this purpose, unlike finasteride, which is more accessible and preferred due to fewer side effects. Dutasteride may be more effective in reducing DHT but has a longer half-life and potentially more significant side effects.

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