Ischemic Stroke in a Young Adult Male During Finasteride Therapy

March 2026 in “ Cureus ”

Ribal Houmani, Jad Houmani, Amira Hamou, Saad Aad, Ghassan Nabbout

finasteride androgenetic alopecia Factor V Leiden mutation thrombosis antiplatelet therapy Propecia

TLDR Finasteride may increase stroke risk in people with clotting tendencies.

A 20-year-old male taking finasteride for androgenetic alopecia experienced an ischemic stroke, despite having no traditional risk factors. The patient had genetic predispositions for thrombosis, including Factor V Leiden mutation and other polymorphisms. Although a direct causal link between finasteride and the stroke cannot be confirmed, the case suggests that finasteride may contribute to thrombotic events in individuals with prothrombotic tendencies. The patient showed partial neurological recovery after discontinuing finasteride and receiving antiplatelet therapy. This case underscores the need for caution when prescribing finasteride to those with a predisposition to thrombosis and calls for further studies to assess the risk.

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research Finasteride and Dutasteride for the Treatment of Male Androgenetic Alopecia: A Review of Efficacy and Reproductive Adverse Effects

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research Two Cases of Stroke Associated with the Use of Finasteride, an Approved Drug for Male-Pattern Hair Loss in Japan

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Finasteride, a hair loss medication, may be linked to stroke in young men.

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Compressed part of research of theory of androgenic/anabolitic balance. AGA h-responders analytic. Theory of physio-metabolitic method of anti AGA treatment

community Compressed part of research of theory of androgenic/anabolitic balance. AGA h-responders analytic. Theory of physio-metabolitic method of anti AGA treatment

MagicBold in Research 865 upvotes 1 year ago

The treatment for androgenetic alopecia involves using finasteride and minoxidil with intense exercise and cold exposure to boost metabolism and reduce androgenic effects, potentially leading to hair regrowth. This approach may activate biological pathways for improved hair and overall health.

community A meta analysis of 18 popular hair loss treatments. An 2022 guide on efficacy. From finasteride and minoxidil to caffeine shampoo, saw palmetto and biotin. 96 Scientific References included.

in Research/Science 103 upvotes 4 years ago

Most hair loss treatments are ineffective; only finasteride, dutasteride, and minoxidil show effectiveness.

community Progress o regress? 2 Years only dermaroller (and RU for only 2 month)

in Is this regrowth? 70 upvotes 3 years ago

The conversation discusses hair loss and treatments, with users suggesting the original poster's hair has receded despite using a dermaroller and RU58841 for two months. Many recommend starting finasteride and minoxidil for better results.

community 6 months after switching to Dutasteride, lost more hair than ever

in Finasteride/Dutasteride 44 upvotes 1 year ago

Switching from finasteride to dutasteride can cause increased hair shedding, which may last several months before potential regrowth. Some users suggest combining both medications or waiting up to a year for improvement, while others report better results with finasteride alone.

community 1 year of finasteride 1.25 mg daily. 21->22 years old.

in Progress Pictures 695 upvotes 2 years ago

The conclusion of the conversation is that the user experienced significant hair regrowth after taking finasteride for a year. They did not use any other treatments and did not experience any noticeable side effects.

community How significant is the difference between 0.5mg Dut and 1mg Fin?

in Finasteride/Dutasteride 11 upvotes 1 year ago

0.5mg dutasteride reduces scalp DHT more than 1mg finasteride, leading to better hair regrowth results. Users report significant improvement with dutasteride compared to finasteride.

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