230 Comments

  1. German
    July 14, 2016 @ 4:58 pm

    I have taken Finasteride for 18 months and still haven’t seen any improvements. I also use Minoxidil 5%. I’m beginning to feel like I’m wasting my time and money.

  2. Raj
    January 7, 2016 @ 3:16 am

    I hv been on finpecia(finasteride? For three months and 10 days now… the hairloss has reduced a bit… when i try to style my hair now i shed hair at tyms… though earlier i used to shed 3-4 hairs after running my hand through my hair single time. Now i dont lose that much hair. Bt still now also suddenly and rarely i lose abt 3-4 hairs while styling. Does it mean dat finasteride is not working? And if i dont shampoo for 2-3 days can it cause more hairs to fall? And finally… can Frequent masterbutation reduce the influence of finasteride?

  3. Brian
    November 21, 2015 @ 4:22 am

    @Chris

    Propecia / finasteride involves multiple shedding instances, it is throwing out the weak follicles, strengthening the strong follicles, making them thicker, slowing overall hair loss, and ability to foster regrowth if taken daily with other regimen

    Seek Saw Palmetto out. It’s a DHT blocker. Take it with Propecia/finasteride, rogaine, red pimento oil, multivitamin, b complex, 4000iu D, fish oil, and anti-breaking conditioner (made for women but it’s the best conditioner I’ve ever tried so I’m using it).

    Nioxin 1 treatment, sans the conditioner, which I am using a different one of.

    I apply the Red Pimento oil once or twice a week, put on a cap, or use a hair dryer to heat it up, stimulating follicle growth.

    I have places where I had completely dead-looking follicle sites, and after red pimento oil I grew the hair back.

  4. Brian
    November 21, 2015 @ 4:18 am

    I also take propecia. I have taken it for at least a year.

    I still have shedding phases but depending on how active I am and how actively I am taking care of my hair affects my hair.

    Currently it is thinning and fragile, and I am using Nioxin on top of Rogaine + Finasteride. I just started though, working out more, taking lots of vitamins, drinking lots of water, taking enough proteins and vitamin D, Saw Palmetto…

    Point is, I have the MPB (Male Pattern Baldness), or baldness for short, gene in my genetics. My dad is bald. He started going bald at 27. I noticed my hairline receding by the time I was 22. Then again I was in college and drinking a lot so that might have accelerated the hair loss.

    Got on propecia / finasteride at the age of 24-25. Seem some results, but for it to work at full capacity and achieve maximum fullness, thickness, and regrow of hair you have to take it for about five years.

    I like having hair on my head. I think it’s a good feature. If all else fails I will get an FUE hair transplant

  5. Chris
    October 19, 2015 @ 3:25 pm

    Hi
    I am 26 years old and have inherited an androgenic hair loss from my father. I have lost too much hair and I am a NW5 now. It has been four and a half month since I’ve started my treatment (Biotin+prp+finasteride 1mg+minoxidil solution 5%+Nizrol+Alpecin C1). At the beginning, I completely shaved my head and noticed afterwards that some hair follicles are growing at a much slower pace, resulting in some hair being shorter in length than the others. Like others, I also experienced an initial fast shedding which almost stopped after 2 and 1/2 month.
    After 4 month of treatment, I noticed my hair thickening as well as some new hair regrowth. I also received some compliments from my family and friends on my hairs being improved.
    What makes me very much concerned is that during the past few weeks, my hair has started shedding AGAIN!!! (especially the short (not fully grown after shaving) and thin hair follicles). Do you think that it’s normal at this stage?
    I am also experiencing some hair loss at the sides and back of my head. I am really worried about my hair loss problem. Should I still continue the medication?

  6. Ali
    September 12, 2015 @ 3:24 pm

    I’m using finasteride 1mg for about 6 months, still nothing is happened. I have visited a doctor, she told me that after every 3 months of usage, I have to stop using the pills for one month and again start using it for next three months. so every three months there should be a month resting and not eating the pills. Is it correct? or I have to use the pills regularly, every day?

    Thanks,

  7. Rob
    September 6, 2015 @ 8:21 pm

    Hi I took Propecia for four months and in this time a lot of shedding occurred. I had to stop because I was experiencing strange side effects but a year had passed since since then and the hair I lost from the original shed never came back. Does shed hair come back if you stop taking propecia?

  8. Karim
    September 28, 2014 @ 1:31 pm

    Hi there everyone. I am only 16 years old. My hair is quite thin and most of my family has male baldness pattern. I want to start using propecia as I see it is better to start early than late. The only thing that worries me is the possibility that it causes more hair loss in addition to that is the 3 month shedding at the beginning. I am not worried about the side effects. I finished my puberty too I still don’t have a beard yet but I won’t mind not having one lol. Do you guys think it is sensible to start using it?

  9. Jay
    September 2, 2014 @ 8:51 pm

    Hi David,
    I’ve been using generic finasteride for about three months now, I’m a week into my fourth. At this stage, the shedding phase should have stopped I presume but I’m still shedding a lot of hair daily (about 100-150). Does this mean that the medication isn’t working and that I should stop taking it?

  10. tony
    July 31, 2014 @ 4:53 am

    i use fernistride and minoxidile together for almost 3 weeks and my hair turns grey and also i noticed a lot hair shedding 70 a day should i worry about it and can a shampoo also help along with these medicine to stop hair shedding if you can tell me little bit about shampoo and my worries

  11. James
    June 6, 2014 @ 10:29 am

    Hi i am currently taking propecia and have been on it for a year and am wanting to start nizoral shampoo but am scared as i have heard hair shedds alot although i didnt notice any hair shedding when starting propecia (is this normal).

    Any way how long do i use nizoral shampoo as on the box it states for 3 months, so if i use it twice a week forever its not going to have a negative effect is it?

  12. adam
    February 24, 2014 @ 12:51 pm

    I have a full head of hair at the moment, and recently made a terrible error by using a substance that can speed up mpb.
    I have noticed hairs coming out more regularly than what I would consider normal. my hair line is slightly receding and so I have started to take Finasteride I haven’t even been taking it for a week yet and so nothing to report. however after reading the many entries on this site regarding shedding 3-4 months in can some one actually tell me what this means? does it meant the hair and the back and around crown (which are fine) may also shed or just the thinning ones at the front where my hair is starting to recede? thanks for your responses in advance.

  13. Jason
    January 27, 2014 @ 11:47 am

    To those of you who are answering our questions on this page, I just want to say thank you. I don’t have any questions about Finasteride – have been using it for 6 months – because of your clear answers to other questions here. Thanks so much for addressing any concerns we have. Take care this year.

    Jason

  14. Naveen yadav
    November 6, 2013 @ 1:15 pm

    Hi,
    i have been taking finpecia for almost 8 months now,after 1 month hair fall was stopped.but over the last couple of weeks I have noticed that my hair is shedding/thinning a lot more almost 50 hairs a day.
    why is it happening ? have finpecia stop responding? will i get my hair back ?because now my scalp is totally visible.

    Thanks in advance

  15. David aka - TakingthePlunge
    August 26, 2013 @ 5:49 pm

    Kalkan,

    I’m not a physician but to my knowledge Propecia is not known to increase sebum production. But, if you feel that finasteride is causing the problem, you may wish to reduce your dosage to .5mg daily and see if there is any positive change.

    Continuing to follow up with your physician and following his advice is the best thing you can do at this point.

    I’m glad to hear that the testicle pain has subsided.

    Best of luck!
    David

  16. Kalkan
    August 23, 2013 @ 4:29 am

    David,

    Thank you for your answer. The pain in my testicles has disappeared which is good news.

    However, the excess of sebum on my scalp has gotten worse. I have talked to my doctor about it and he says it is normal and prescribed a shampoo for seborrheic dermatitis but nothing improved so far. This is really difficult to live with.

    Don’t you think I might be experiencing a bad reaction to the drug ?

    Thank you very much for your help

    Kalkan

  17. David aka - TakingthePlunge
    August 13, 2013 @ 1:29 am

    Leo,

    Thank you for sharing your experience!

    Best of luck!

    David

  18. David aka - TakingthePlunge
    August 13, 2013 @ 1:25 am

    Kalkan ,

    Greasy hair, dandruff and itchy scalp are not known side effects of Propecia (finasteride). However, testicle pain and shedding are both common within the first few weeks of starting the drug.

    Typically, this pain subsides in time and the shed hairs will regrow. But, as with any prescription drug, it is important that you discuss any side effects or health concerns with your prescribing physician.

    David

  19. Leo
    August 8, 2013 @ 11:54 am

    am a 58 year male. I have been suffering from mild to severe scalp irritation along with hair loss for over 30 years. I have a family history of hair loss on male side of my family. The irritation has been progressively worse over past 6 months with increased hair loss. I saw doctors including dermatologists several times over past year. They indicated that I seborrehea dermatitus, lichen planopilarius and burning scalp syndrome etc. In other words, they were not sure what was causing the scalp irritation (burning/itching).

    Finally out of frustration, I went to doctor and requested that I be prescribed Propecia (1 mg/day) for the scalp irritation. I have been on propecia for 3 weeks now and irrigation has been dramatically REDUCED.

    My research indicated that the irritation was due to the DHT in my system attaching to the hair follicles on my scalp and my body’s antimmune system was interpreting that my hair follicles was a foreign body, hence the irritation. The propecia reduced the DHT on my scalp which reduced the irritation. It will also have the additional benefit of regrowing hair.

    L from Ottawa, Canada

  20. Kalkan
    August 7, 2013 @ 1:10 pm

    Hi,

    I am 26 and I have been on propecia for 1 month now. Since last week I have notice that I have very greasy hair, dandruffs and an itching scalp accompnied with abundant hair loss (which I had never had before taking propecia). I’m also experiencing painful testicles (the right one especially)

    Is this normal ? I’ve heard about the hyperandrogenic effect, does it concern me ?

    Thank you !

  21. Blake aka - FutureHTDoc
    July 18, 2013 @ 11:54 pm

    Hi Ashley,

    Thinning body hair can be a side effect of reduced dihydrotestosteorone (DHT) levels. However, I don’t think I’ve ever heard of this occurring in the eyebrows. I think it may be good to schedule an appointment with the physician who prescribed the medication and evaluate the loss.

    Most experts agree that protein and exercise do not cause hair loss. What’s more, most men taking Propecia demonstrate normal testosterone levels.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistant

  22. Blake aka - FutureHTDoc
    July 18, 2013 @ 11:51 pm

    Jack,

    You may want to consider an appointment with a dermatologist to discuss your scalp issues. Frankly, there are quite a few shampoos that may help, and an appointment with a physician who is well versed in these products would probably be useful!

    Blake (Future_HT_Doc)
    Editorial Assistant

  23. Ashley
    July 18, 2013 @ 9:58 am

    Sorry for double post, first time I submitted, it disappeared

  24. Ashley
    July 16, 2013 @ 9:43 am

    Hi

    I am a 21 year old male and have been on propecia for about 8 weeks now, I have noticed that my eyebrow and eyelash hairs are falling out rapidly, is this a side effect of propecia as I haven’t heard about it and am very worried, should I carry on taking it?

    Another thing is can I work out whilst on propecia as I’m thinking of starting to go to the gym but with protein shakes and regular exercise, this raises testosterone, I want to know if its safe as I don’t want to make more hair fall out or make it worse.

    Any advice would be greatly appreciated.

    Thanks

  25. Jack
    July 16, 2013 @ 6:30 am

    Hello

    ever since I have been on propecia (9 weeks), nothings changed for me, my hair is still falling out at the same rate as before propecia, the shedding has not Increased or decreased, Is this normal as I`m worried it may not be working for me.

    I also have extremely greasy hair now as well as lots of dandruff which I have never had before, Currently I use head and shoulders shampoo, can you recommend a better to combat this please?

  26. Ashley
    July 16, 2013 @ 6:23 am

    Hi I am a 22 year old male and have been on Propecia for 8 weeks now. I have started to notice that my eyebrow and eyelash hairs are falling out as well as well as having noticed a small patch on my facial hair, I was wondering is this normal as I am absolutely terrified as I haven’t read anything about eyelash or eyebrow hairs falling out. Do I carry on with the propecia, I don’t know what to do Please help.

    I also wanted to know can you work out whilst on propecia as I really want to start working out but I have heard that protein shakes and regular exercise increases testosterone, will working out make my hair fall quicker or make it worse?

  27. David (TakingThePlunge)
    July 15, 2013 @ 1:47 am

    Matt,

    Some men report itching and redness accompanying hair loss. However, there is no data to prove the correlation between the two.

    We can lose up to 50% of our hair before hair loss becomes detectable. Thus, visual inspection is not always the best measure of balding.

    If you have not yet done so, I highly recommend consulting with a dermatologist or hair restoration physician for a thorough examination.

    You may find that a quality dandruff shampoo like Nizoral will help with the itching and redness.

    Best of luck!
    David

  28. John
    July 13, 2013 @ 3:05 am

    jack
    i am 25 yrs old and was using finastride 1mg along with minoxidil for about 6 months at the age of 18 and the result was empressive but unfortunately couldnt do so regularly and were delays like from time to time eventually i had to stop it at the age of 23 for one year , but again started using only finastride 1mg for 11 months now and i yet to see any visible changes. i have to say that my dad and my older brother were both bald at my age they were but i still have an eighty percent covered head with hair which gives me some hope not to stop .also, my hair is thinner than prior to the use time i really want to know what your suggestion is .tnx

  29. Matt
    July 12, 2013 @ 7:07 am

    (I meant to say David)

  30. Matt
    July 12, 2013 @ 7:05 am

    I have also heard that Finasteride can take away the itch/inflammation because it blocks DHT from forming, thus stopping the immune response. Have you heard this as well?

    Matt

  31. Matt
    July 12, 2013 @ 7:03 am

    Hey Bill,

    I am a 25 year old Male who had a full thick head of hair. All the sudden the past couple months I have seen a huge impact on the thickness of my hair/increased shedding. On top and on the vertex of my head. I thought at first stress and my hair dresser thinned my hair too much, but that wasnt the case. I also have a bad itch/redness on my scalp that started a couple weeks ago. I have read about men with aggressive male pattern baldness experiencing these signs/symptoms. Apparently some men are very sensitive to DHT attacking the follicles and an immune response occurs. Have you heard of this? I still appear to have a full head of hair if I manipulate some of the hairs on my vertex. Would now be a good time to start taking finasteride?

    Thanks,
    Matt

  32. Bill - Managing Publisher
    July 8, 2013 @ 1:07 pm

    Joe,

    Not everybody experiences an initial shedding period when they first start Propecia. Thus, this hair loss drug may be working for you. At 7 weeks however, it’s way too early to tell. The best way to determine whether or not the medication is working is to take before pictures and then quarterly pictures of your scalp up to one year. If your hair loss appears to have reduced, stopped or reversed, then Propecia is most likely working for you.

    I hope this helps.

    Bill – Managing Publisher of this Community

  33. Joe
    July 4, 2013 @ 6:59 am

    David

    thanks for the info, but I think you may have misunderstood what I was trying to say, my hair shedding hasn’t increased at all but has stayed the same as before I was on the drug.

    that’s why I wanted to know whether it was working for me as I am worried it may not be as nothing has happened, no extra shedding, its falling at the same rate as prior to the drug and im on my 7th week, should I be worried?

  34. David aka - TakingthePlunge
    July 3, 2013 @ 5:45 am

    Joe,

    What you are describing is normal. The shedding that occurs when starting a hair loss drug like Propecia (finasteride) will take months to regrow. You’ll need to ride out this shedding phase until the hair growth phase begins at around the third or fourth month. But, even then it will take time for the newly growing hairs to become long enough to add to the appearance of density.

    Acne is not a documented side effect of finasteride. However, some hair loss sufferers have reported experiencing complexion issues after starting the drug.

    David

  35. Joe
    July 2, 2013 @ 8:19 am

    HI I am 21 year olds a devastated over hair loss. I have been on propecia for 7 weeks now and my hair is still falling out at the same rate as before im really worried sick, is it not working for me? as I heard that hair starts increasing shed but its still the same as before for me.

    can someone help me as im not sure if its working and would like some advice and can you get acne as I’ve been on Accutane and I don’t want to go through that again.

  36. David aka - TakingthePlunge
    June 29, 2013 @ 4:26 am

    Daniel,

    It’s normal to experience increased shedding for the first couple of months after starting finasteride. You’ll need to ride it out and wait for the hair growth phase to begin in about 3 to 4 months. It may take several months to recover and see improved density.

    Don’t worry. Hair that is not genetically vulnerable to the effects of DHT will not become dependent on finasteride. However, it is possible that a few very weak, miniaturized hairs will not regrow after shedding. These are hairs that were on the verge of dying and being lost permanently anyway.

    Acne is not a documented side effect of finasteride but I experienced severe acne about one year after starting the drug and it was one of the reasons that I eventually stopped using it.

    Side effects and benefits are different for everyone. You’ll need to use finasteride for a few months before you can assess its effect on you.

    Good luck!
    David

  37. ghassan ayoub
    June 28, 2013 @ 5:52 pm

    i started using proscar 1 month ago.my hair is shedding more than ever. plz i want to know the effect of proscar on muscle mass and hardness.is there any possible side effects?i m a bodybuilder and want to know if proscar will affect my progress and training.
    thank youu

  38. James
    June 28, 2013 @ 12:41 pm

    Hi

    I am having a hard time with hair loss at a young age, I`m not coping well, I used to have extremely thick hair much to the envy of others, it started falling out fast about 3 months, after a failed suicide attempt, I was persuaded to take propecia I have been on it about 6 weeks and my hair is still falling out like before its not making any difference is this normal?

    please help as I’m scared its not working and I don’t know what I`d do if it didn’t work.

    Thank you for your help

  39. Daniel
    June 24, 2013 @ 5:56 pm

    Hi,

    I’m 22 years old and am now taking finasteride 1mg for the 4th week.
    My hairline started to recide in the front about 2-3 years ago for which i used minoxidil twice a year for a period of two months which was enough and working fine.. but a few months ago my hair recided a little more but really not shocking. What was rather shocking is that my hair all over the head was thinning and falling out(back, top and side of the hair), which is why I started to take finasteride 1 mg. I noticed that I started to loose a lot of hair.. is that normal? I also noticed some ache sometimes after work out which i never had before..
    In need of some advice, since I don’t have a clue about the subject.

  40. David aka - TakingthePlunge
    June 19, 2013 @ 3:38 am

    Dexter,

    First, I must state that I am not a medical professional. Currently, “Blake aka – FutureHTDoc” is in medical school but not yet a licensed physician. Thus, our comments should not constitute medical advice.

    While the clinically proven and FDA approved finasteride dose for treating hair loss is 1mg daily, many patients make minor adjustments to the dose in order to curb side effects while maintaining hair growth or even to save money.

    There have been studies indicating that as little as .2mg are effective for the treatment of hair loss. Some guys will quarter a 5mg tablet and take it on a MWF schedule rather than attempting to cut the pill into six parts.

    Ultimately, when treating a non-life-threatening condition like hair loss, there is certainly no harm in reducing the dosage if side effects are a concern. You’ll simply need to observe your hair loss and find the balance that works for you.

    To be clear, anyone considering increasing their dosage should consult with their prescribing physician before doing so.

    Best of luck!
    David

  41. Dexter
    June 17, 2013 @ 11:00 am

    Hello Doc,

    I have been taking Finasterdie ( proscar 5mg) – cut in to 6 pieces regularly. There has been reduction in the hair loss. Al though i am yet to see thickening.

    My question is , 0.85mg almost daily is fine?.
    I have read online that it is as effective as 1mg. And i am not losing much hair, so am thinking of being safe in order to avoid sides by taking a little lesser than 1 mg.Kindly let me know your opinion on this?

    Thanks!

  42. Blake aka - FutureHTDoc
    April 30, 2013 @ 4:17 am

    Hi John,

    Hair loss is a complicated issue, and it is difficult to say what is causing your thinning and whether or not a certain medication would be effective. However, I think the best way to understand and properly treat your condition is to see a trusted hair loss specialist/hair restoration physician (http://www.hairtransplantnetwork.com/Consult-a-Physician/hair-loss-doctors.asp)and undergo a consultation and scalp evaluation.

    If the doctor thinks that you are suffering from androgenic alopecia (genetic patterned hair loss or “male patterned baldness”), he or she will likely recommend preventive measures like Rogaine (minoxidil) and Propecia (finasteride) to help halt and partially reverse the thinning.

    I hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  43. john
    April 28, 2013 @ 5:47 am

    I am 21 year old and i have lost my 70 percent hair almost
    should i take propecia? will it cure me?
    please help me to know about this.

  44. Blake aka - FutureHTDoc
    April 23, 2013 @ 1:03 am

    Jason,

    This is definitely something to discuss with your physician. Changing the dose of any medication should be thoroughly discussed and approved by the doctor prescribing the medication. What’s more, if there are any drug interactions, the doctor will be able to evaluate and explain these as well. I recommend making an appointment and discussing the drugs.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistant

  45. jason
    April 19, 2013 @ 11:47 pm

    Hi,

    I’ve been taking propecia for years and it has worked great until now. I notice that my hair is starting to fall out and my hairline is going back farther. I’ve added several medications over the past year:

    Concerta 36 mg
    Wellbutrin 450 mg
    Slo Niacin (over the counter)
    Crestor 20 mg

    Should I increase my dosage of propecia? Are any of these medications causing propecia to be ineffective? Has my system just built up a tolerance? I want the hair loss to stop…is there anything that can be done?

  46. Jordan
    March 25, 2013 @ 8:08 pm

    Great blog. Very helpful information. For those of you debating over whether or not to take Propecia and Rogaine, I hope you will take the time to read this post.

    At the age of 23, my students (I am a teacher) started commenting on my hair. They told me I looked ten years older because of my hairloss. I was devastated. I decided to start using Rogaine and told no one about it. Within one month, people started noticing changes (including my wife). They thought I had colored my hair. The most common comment was “Has your hair darkened?” I would just smile and move on. My hair had not darkened, but simply grown thicker. My confidence was restored.

    Last summer, at the age of 28, my hair started to go thin again (mainly in the center). Once again, students began commenting on my hairloss. Devastated once again, I decided to begin Propecia without telling anyone. Within one month, people started making the same comments about my hair. “Is is getting darker?” I smile and move on. I have been taking propecia for exactly two months. Although I have slightly less feeling during intercourse, my hair has improved dramatically. You cannot tell that I am even suffering from MPB.

    Long story short… these drugs have saved me (with minimal side effects). I believe strongly that the mass hysteria about side effects are blown out of proportion. The majority of people have positive results from these drugs, but they are unlikely to post these positive results on websites like these.

    Do yourself a favor. Take Rogaine, Propecia, and Nizoral sooner than later. It has saved my life and I know it can work for you!

  47. Bill - Managing Publisher
    March 20, 2013 @ 10:17 am

    Tom,

    While Propecia typically works well to slow, stop or reverse hair loss at the scalp, I’ve actually heard that Propecia can cause a slight decrease in body hair. Whether or not that’s true, I don’t know for sure. But in my experience, I would say it’s possible. I’ve either lost some body hair due to age or Propecia has facilitated it.

    Best wishes,

    Bill – Managing Publisher of this Community

  48. Tom
    March 20, 2013 @ 10:01 am

    Hi,
    i will start taking propecia but before that i want be sure about something, i have an extra hair on my body ” my back,hands,chest” doest propecia will increase this hair or it has no effect ??

  49. Bill - Managing Publisher
    March 1, 2013 @ 11:11 am

    Jonny,

    Unfortunately, there’s no surefire way to know for sure how much thinning/balding you will experience. That said, family history of baldness on both the mother’s and father’s side may be a good indication.

    Treating hair loss early gives you the best chance of slowing it down, stopping it or reversing its affects. Thus, if you are interested in saving your hair, you may want to start researching and considering the use of proven medical treatments such as Propecia and Rogaine.

    I hope this helps.

    Bill – Managing Publisher of this Community

  50. Jonny
    March 1, 2013 @ 6:57 am

    This is a really good blog with some great insight. I am also in very early stages of balding at the ages of 25 I can just notice my hairline receding at the temples and front. What worries me is the degree of shedding. Where as I don’t mind if some hairs fall out, I don’t want to become bald for a couple of months. What degree is likely to happen given my age/balding stage? Thanks to everyone for the great insight.

    Thanks again,
    Jonny

  51. Thomas
    February 28, 2013 @ 10:04 am

    Hello,

    I hope you can give me some advice. I am a 24 year old male who’s hair has

    suddenly started become very thin, when I look closely on my hair line I can see

    the hairs are very thin at the front, and they are starting to fall out. I am thinking of

    taking propecia in some form as from previous posts it sounds like I am a good

    candidate to prevent hair loss in the future, what do you think? The sexual side

    effects don’t worry me, only doubts I have are it making my hair fall out quicker?

    Can you please clarify to me that propecia is the drug, and that finastride & proscar

    are the brands? I am unsure.

    Would really appreciate a response. Thanks in advance

    Tom

  52. Blake aka - FutureHTDoc
    January 31, 2013 @ 4:58 am

    Amit,

    By stopping finasteride, you’ve reversed the stabilization and regrowth created by the medication and allowed your progressive hair loss to resume. If this is something you’d like to fix, it’s likely that you will need to resume the finasteride regimen.

    Please keep in mind that finasteride is associated with an accelerated “shedding phase” for the first 3-4 months, and remember to review any medication changes with a trusted physician.

  53. Blake aka - FutureHTDoc
    January 31, 2013 @ 4:55 am

    Mani,

    I think most hair loss experts would recommend a regimen of minoxidil (Rogaine) and finasteride (Propecia). Most individuals use a 5% topical foam solution of minoxidil and 1 to 1.25mg of finasteride. However, because no two individuals are the same, I recommend making an appointment with a trusted physician to discuss the medications and appropriate dosing.

    I hope this helps!

    Blake (Future_HT_Doc)

  54. amit
    January 26, 2013 @ 7:32 am

    hello sir,
    i was taking finasteride 1 mg and mintop 10% from last 4 months i have good results …but after 4 months i stopped finax for 15 days…when i stopped finax my hair fall was starting again and its rate was morethan then i again started the finax and mintop one month has gone but my hair fall is very high what should i do…

  55. mani
    January 26, 2013 @ 12:11 am

    I’m 24, both my mom & dad’s family have male pattern baldness.
    do I have to take any other medicine along with propecia? for example
    1. any oil for the scalp,
    2. any other medicine(tablet) to keep some neutral effects?
    3. what dose did you take? like 1mg, or 2.5mg, or 5mg?
    4. how long did you take the medication?
    5. did you stop using it once the hair has grown? or, do we have to continue the medication for life long?
    6. any other thing i should know before taking? any suggestions?

  56. Bill - Managing Publisher
    January 25, 2013 @ 12:10 pm

    John,

    It’s advised to continue taking Propecia for a full year prior to evaluating its efficacy. Also, while some experience an initial shed for the first couple months of use, it doesn’t mean the medication isn’t working if you don’t experience one.

    I’m glad to hear that you aren’t experiencing any side effects. If you aren’t experiencing any at this point, you probably won’t moving forward either.

    Feel free to share your hair loss story and discuss hair restoration related topics with other men and women suffering from baldness on our popular hair loss forum and social community.

    Best wishes,

    Bill

  57. John
    January 25, 2013 @ 1:03 am

    I am 42 years old and have moderate balding in the crown area that started when I was in my early 20s. I still have all my hair but the hairs in my crown area are noticable thinner than the rest. I have been taking propecia for 2 1\2 months now but have not experienced shedding or any side effects. I am wondering if the drug is working or not since I have experienced no side effects though I have also noticed less hair on the show floor.

  58. Bill
    January 21, 2013 @ 1:40 pm

    Great, thanks Bill. I met with the doctor and he said that if I wasn’t seeing any gains and still getting sides after 7 months I should leave the propecia since it was a lose lose. I’m going to see how a break affects the sides and take it from there.

    Appreciate your input.

    Bill

  59. Blake aka - FutureHTDoc
    January 20, 2013 @ 8:19 pm

    Hi Bill,

    In most instances, hair restoration experts recommend using Propecia for up to 12 months before deciding if it’s working effectively.

    Stress can be a hair loss factor if you’re already prone to androgenic alopecia. If you’ve removed yourself from a stressful situation, it’s likely that your body may be in a better place to restart a medication like Propecia.

    Because of this, I recommend the following: make an appointment with a trusted physician to make sure you are a candidate for Propecia. If he/she recommends/endorses the medication, I think you should take it for 12 months before analyzing the results and continuing or discontinuing the Propecia regimen. Additionally, if you do see more side effects, make an appointment with your physician to discuss these as soon as you can.

    I hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  60. Bill
    January 17, 2013 @ 6:32 pm

    Hi, I’m 34 and have noticed increased general thinning since I was about 30. I have been taking finpecia for 7 months but only noticed quite marked increased thinning during that period. I experienced some sexual sides occasionally and so stopped taking the drug. Also I’ve been a teacher and under great stress since 30 years old when the thinning started, which led to a very itchy scalp and bad dandruff and likely increased hair loss. I’ve now quit that job and am hoping that loss of stress might help with the hair loss? I am wondering if I should give finasteride another go after waiting some time and how long to wait? I want to give the hair lost to stress some time to regrow but also not wait too long to preserve what I have left. How long for stress loss hair to grow back do you think?

    Many thanks for your help and this useful blog.

  61. David aka - TakingthePlunge
    January 15, 2013 @ 5:57 am

    Swapnil,

    Yes, Propecia (finasteride) does really work. It is one of only two clinically proven and FDA approved medical hair loss treatments. The other is Rogaine (minoxidil).

    Much has been written about the potential for sexual side effects from finasteride. According to the manufacturer, less than 2% of males who use finasteride will experience sexual side effects and those sides will disappear upon discontinuation of the drug.

    However, there have been men who have complained that their side effects did not subside after stopping finasteride and that they have experienced permanent side effects.

    For more, see the following articles…

    Is Propecia Safe? Dr. Robert Bernstein Discusses the Efficacy and Safety of Finasteride

    Merck Updates Hair Loss Drug Propecia (Finasteride) Sexual Side Effects Warning

  62. swapnil
    January 12, 2013 @ 2:44 am

    hello does finastride reaaly works and what about sexuall dis functions.

  63. David aka - TakingthePlunge
    December 27, 2012 @ 6:05 am

    Aj,

    It’s perfectly fine to start Nizoral or other shampoo containing ketoconazole at the same time as Propecia (finasteride).

    Each of these treatments may induce shedding but I doubt the difference would be noticeable and at least all of the shedding would be over in about three months with new hair growth starting by four months.

    Best of luck!
    David

  64. David aka - TakingthePlunge
    December 27, 2012 @ 5:57 am

    Sam,

    It’s normal for hair to shed in the first two to three months of starting medical hair loss treatments. It’s recommended that patients continue using these drugs for at least 6 months and up to one year prior to assessing their results.

    Hair that is genetically resistant to the effects of androgenic alopecia will not become dependent on Rogaine (minoxidil) or Propecia (finasteride) so there should be no fear of ending up balder for having used these drugs. However, very weak and miniaturized hairs may not regrow after shedding.

    Ultimately, the majority of shed hairs should regrow thicker and darker, adding to overall hair density.

    Best of luck!
    David

  65. David aka - TakingthePlunge
    December 27, 2012 @ 5:48 am

    Kenny,

    If your doctor is treating you for scalp conditions other than hair loss such as; eczema, seborrhea or psoriasis, then clobetasol propionate would be appropriate. It is also used to treat itching, redness and dryness which can result from the use of liquid minoxidil. However, it is not necessary or effective for the treatment of genetic hair loss.

    The typical medical hair loss treatment regimen is minoxidil twice daily and 1mg finasteride once daily.

    If you are experiencing scalp irritation with liquid minoxidil, I recommend switching to the foam version as it does not contain propylene glycol.

    Best of luck!
    David

  66. Aj
    December 17, 2012 @ 7:51 pm

    Hi, about to start taking Proscar 1mg tomorrow and I was wondering whether to start using a shampoo with Keteconazole aswell eg. Nizoral, Regenpure. As they both are associated with shedding, should they both be started at different times? Or will starting them at the same time cause double the shedding

  67. Sam
    December 15, 2012 @ 3:20 am

    I’m 23 years old.
    I have been using Proscar 1/4 of a tablet around 3 times a week (every other day).
    I have been on it for about 3 months now.

    I did not see any shedding/thinning in the first 2 weeks of me taking it. It seemed like my hair wasn’t even falling in the first 2 weeks. However, around 3rd week to 2.5 months I started noticing my hair to be thinning a lot. They weren’t really shedding more than normal, but just thinning a lot.

    I have heard that propecia/fin/proscar can make your hair shed, but can it also make your hair thinner? Some hair are so thin that that are even hard to see when they fall. Typically the thinner hair are also the short ones. Does this mean something?

    I stopped using Proscar after 2.5 months becase I got scared, but started it again now at 3 months.

    Is this normal? When will they stop thinning and start getting thicker?

    Also even the hair at the permanent hair zone (lower back of the head) are getting thinner since I started this drug. Is this possible? I’m pretty worried.

  68. Kenny
    December 14, 2012 @ 4:13 am

    Hi,

    I have recently started my hairloss treatment. My physician has asked me to use minoxidil at night and 1 mg finasteride daily. He also asked me to apply clobetasol propionate every morning. I am in the shedding phase but I feel more shedding while applying clobetasol in the roots. Is it really helpfull to use clobetasol propionate with minoxidil and finasteride ?

    Thanks

  69. David aka - TakingthePlunge
    December 5, 2012 @ 5:22 am

    kkvarao,

    What you are describing is likely “catch-up” hair loss from stopping minoxidil. Hair loss drugs must be used forever in order to maintain their effects.

    Restarting the drug may not bring your hair back to where it was prior to stopping but it will likely slow the further advancement of your balding.

    David

  70. David aka - TakingthePlunge
    December 5, 2012 @ 5:18 am

    alexm

    There is no danger of finasteride in your semen harming your girlfriend. Many hair loss sufferers have even conceived children while taking the medication with no ill effects and Merck’s documentation states that it is safe to do so.

    I have no direct experience with Regenpure but I do use Nizoral which also contains ketoconazole and there is no harm in it. What you are experiencing may be temporary shedding. Your hair will likely regrow thicker and darker in four to six months.

    Good luck!
    David

  71. David aka - TakingthePlunge
    December 5, 2012 @ 5:12 am

    Kian,

    It’s a good idea to wash Toppik out of your hair nightly. Although it won’t do any harm sleeping with it occasionally, it’s unclear if Toppik in the hair may interfere with full absorption of minoxidil and it can also be quite messy.

    Best of luck!
    David

  72. kkvarao
    December 4, 2012 @ 4:53 am

    hi….frm 8 months i am using fin nd minox…i was stopped using minox last 3 mths..after i 1mth of stoping minoxidil my regrowed hair was fallen aggressively.this is becoz of stoping of minoxidil…

  73. alex
    November 29, 2012 @ 6:38 pm

    Hi there, i am thinking about starting Propecia as i’ve been diagnosed with MPB, but i have some queries. My girlfriend is on birth control and we do not use any other contraception during sex. Will the propecia in the semen harm her?

    Also, i’ve noticed recently a lot more hair coming out when i shower and i’ve started using Regenpure DR shampoo for just over a week(contains ketoconazol). Is this a mistake, have I panicked and done the wrong thing and am i just going through a “shedding phase”?

    Thanks, Alex

  74. Kian
    November 23, 2012 @ 8:07 pm

    Thanks for that!

    I purchased some Toppik today and I just tried to put the Minox foam in but it was just a big mess.

    I know this is for Propecia but will the Toppik need to come out each time?

  75. Blake aka - FutureHTDoc
    November 20, 2012 @ 4:13 am

    Kian,

    Both minoxidil and finasteride are associated with an initial shedding phase. During this period, which can last up to 3-4 months, you will experience a temporarily accelerated level of hair loss.

    However, after this period is over, you should see new, thickened growth. It’s usually recommended that (without serious side effects) patients use proven hair loss medications for 6-12 months before analyzing the results for this very reason.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistant

  76. Kian
    November 18, 2012 @ 8:29 pm

    I started on liquid minoxidil mid August 2012 but switched to the foam a month later. I am not counting hairs but my hair has got noticeably thinner over this past month and I also started 0.5mg of Propecia (due to sides)

    I wont lie, I feel really depressed but I heard that it means it’s working. I did not expect my hair to get this thinner, it was really a kick in the teeth.

    I was not expecting miracles but do I stick this out ?

  77. Bill - Managing Publisher
    November 7, 2012 @ 12:24 pm

    Sean,

    While studies have been conducted on 1mg of finasteride daily for hair loss, many hair restoration physicians have recommended a smaller dosage of finasteride for patients with less aggressive hair loss. In my opinion, the advantage of taking a smaller dosage of finasteride is that there is less medication in your system. It also appears to be an effective method of treating hair loss for some patients. That said, if you feel that .5mg isn’t doing the trick, it may be worth it to consider upping your dosage to the recommended 1mg to see if that makes any difference.

    I hope this helps.

    Best wishes,

    Bill

  78. Sean
    November 7, 2012 @ 8:16 am

    David,

    I’ve read that the difference between a 1mg dosage and a .5mg dosage is neglible as long as it’s taken daily.

    I’m one month in (started OCT 1st) and I’ve noticed a shed, which is fine.

    What are the pros and cons, if any, of taking .5mg of finasteride?

    Thanks,
    Sean

  79. kumar
    October 13, 2012 @ 10:25 am

    Hi…
    i heard hair will fall after 3-4 mths of. stoping rx.i was stopped minoxidil from last 20days….

  80. David aka - TakingthePlunge
    October 10, 2012 @ 3:45 am

    Kumar,

    Rogaine (minoxidil) and Propecia (finasteride) work very differently to treat hair loss. Therefore, hair that is grown from the application of minoxidil will typically not be retained by finasteride and vice versa.

    What you are experiencing may be the shedding of the hairs that Rogaine had helped to maintain.

    David

  81. kumar
    October 9, 2012 @ 3:25 am

    Hi…..iam 23.i was started fin nd minoxidil from last 6mths..from last 20days i am only taking finestride only…now i am loosing thin hair when i pluck my hair….i dont whts wrong is it becoz stoping minoxidil…

  82. David aka - TakingthePlunge
    September 25, 2012 @ 1:45 am

    Bob,

    Merck’s report on finasteride does not list infertility as a side effect and many men report conceiving healthy children while taking finasteride. However, some men have reported fertility issues. Ultimately, fertility is a complex issue that can be affected by a variety of influences.

    Your natural hair harvested from the “safe” hair transplant donor site will not become dependent on finasteride.

    Patients that use finasteride for a period of time then quit and restart at a later date will almost certainly have lost some amount of hair in the interim that will not return when the drug is resumed. However, just as it did before, Propecia should act to slow the progress of your hair loss and may restore some hair.

    Finasteride is not a hair loss cure and over the spam of years, eventually the natural course of your balding may outpace the effects of Propecia. But, again, there are no hard and fast rules. It’s really more of a “wait and see” scenario.

    David

  83. David aka - TakingthePlunge
    September 25, 2012 @ 12:55 am

    J-Paul,

    The shed associated with finasteride is normal and should be expected. While individual patient experiences will vary, in general, the majority of the shed hairs will regrow darker and more robust. Only a small number of very weak, miniaturized hairs may be permanently lost . Those hairs that do not return were too far gone and would have been lost soon anyway.

    Only time will tell what your experience will be but it would be highly unusual for you to end up balder for having used finasteride. This is why we recommend the one year trial period before assessing your results. It will take that much time for the shed hairs to regrow and to realize the final result.

    Best of luck!
    David

  84. Bob
    September 22, 2012 @ 9:52 pm

    Hi

    I took propecia for 6 years in my twenties then stopped as we were having trouble conceiving – my wife gave birth after 2 years of trying and then I started propecia 3 years later after losing a lot of my initial hair

    I started to stop losing hair but the started shedding when I stopped it again – I was worried about the long terms side effects

    I had a hair transplant to restore the hairline and vertex and am now considering taking propecia again as I am 37 and worried about losing more hair which would make the transplant not look as good- I am also thinning on the crown

    Have you heard of propecia causing male fertility issues before

    Also if I take it gain will it impact my implanted hair from the side and back of my head?

    Will it help thicken and keep what I have on my crown also and would the fact that I have been on and off it in the past reduce or eliminate the effectiveness – ir has my body become immune to it ?

  85. J-Paul
    September 19, 2012 @ 6:45 pm

    Hi,

    I’ve read the comments above, and KNOW I need to stick with finasteride for a year, but I’ve been on it for 2 weeks and am noticing shedding!!! Is it really worth holding out? I don’t want my hair to look worse, and discover that I’m accelerating the hair loss (I’m 38 and still have coverage but it is thinning….) Has anyone found that it worsens and never recovers because if so , I would rather continue my slow decline to 50 rather than a fast one to 40!!!

  86. David aka - TakingthePlunge
    September 18, 2012 @ 4:52 am

    Jessica,

    Propecia (finasteride) is the most effective drug approved for the treatment of hair loss. “Approved” begin the operative word. Avodart (dutasteride) is arguably just as effective or perhaps even more so but it is not approved for hair loss and many doctors will not agree to prescribe it off label.

    If you can get a prescription, it is very likely to cause the same or potentially more severe side effects as it blocks both type I and type II 5-alpha-reductase enzymes. Finasteride blocks only the type II.

    Rogaine (minoxidil) is the only other clinically proven and FDA approved hair loss drug and many men have great success with it. We always recommend that hair loss sufferers continue to use minoxidil as directed for a minimum of 6 months and up to one year before assessing their results.

    While there is no product currently available that is likely to deliver the same results as Propecia or Avodart, you may wish to explore some of the credible natural alternatives available at our online hair loss treatments shop.

    Best of luck,

    David

  87. Jessica
    September 16, 2012 @ 7:57 am

    Hello, my other half has been loosing his hair slowly since he was 19 and he’s now coming up to 23. He was taking Propecia for a few weeks but it caused sexual dysfunction and he stopped it.

    Since the middle of August he has been applying Kirkland Minoxadil 5% twice a day and I was wondering how long it usually takes to see any improvement.

    Also, would Avodart be a good option or does it cause the same side affects as Propecia? We live in the UK and I think we would struggle to get a prescription for it, we would have to get a generic if he does decide to give it a try.

  88. Blake aka - FutureHTDoc
    September 12, 2012 @ 2:18 am

    Hi Kumar,

    If you’re using both treatments successfully, it’s a difficult decision to “cut” one drug from the regimen. However, in the past, I have heard of individuals moving from a combination of finasteride and minoxidil to simply finasteride without much loss.

    What type of minoxidil are you using? If you’re using the liquid and find this too “sticky” it could be a good idea to investigate the foam version.

    Additionally, did you see a physician before starting these medications? If so (and we always recommend seeing a doctor beforehand), I would “double check” with them before changing any medication regimens.

    Hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  89. kumar
    September 11, 2012 @ 9:01 am

    Hi….i hve hair loss frm last 4yrs.i had type4 nw patteren..frm last six mths iam using finestride nd minoxidil 10%…i regained almost 60%hair…nom i am thinking taking only finestride bcoz minoxil is sticking to hair bd my haur is looking sticky..if i am taking propcia inly how much chances i can experience hairloss..even now if i pluck my hair i have coming some hairs r coming but these r not thick hairs..but i am loosing my gained hairs…wht shold i do now..btw i am 23years old…

  90. Ross
    September 10, 2012 @ 5:59 pm

    PJ,

    I was in similar predicament as you find your self in ; now; only a few weeks back. I stopped taking it altogether and less than two weeks later I was back to how I was before I took it.

  91. PJ
    August 30, 2012 @ 4:38 am

    Hi,
    My age is 22 and i started taking Finabald (finasteride 1mg). i took for 3 days and suddenly i felt that i lost complete erection. so i was fully scared and stopped it after taking tablet for 3 days.
    its been 6 days after i stooped(finasteride 1mg) still am not getting my erection back.
    please help me and give me a tips to get my hard dick back.
    i dont want to lose my life before starting only. so please tell how long will it take to over come the side effect.
    and really by taking only 3 days one can have this much of side effect?

    Please suggest some thing

  92. Ross
    August 25, 2012 @ 8:52 am

    Hello again,

    I have stopped taking it all together now, but I have been thinking of taking Avodart (Dutasteride) instead but I think I will just get the same side affects.

  93. J.Y
    August 23, 2012 @ 7:35 pm

    Hello,

    Thank you for all your great responses so far. I have read all the above comments and have definitely got a better idea of the treatments.

    I noticed temple recession on my hairline about eight months ago and I have been on Propecia for four months now. Currently I have about a 1cm recession on the right and a 2 cm recession on the left side .I have also picked up a healthier lifestyle in conjunction to combat the hair loss. I currently have two questions :

    I am noticing little hairs growing on my original hairline and they are dark in color ,however very thin vellus hairs like the hair I have on my arms. Is this considered good progress ? Or are these hairs just in the progress of becoming smaller ? I am also wondering if these hairs will have to shed before they become thicker ?

    Also, I think I went through a shedding phase of my hair . I was seeing a Lot of thin hairs and vellus hairs in the shower before , I believe they are miniaturized hairs that are supposed to b shed , however I am still noticing the same number of hair fall four months into the medication, but only now the hairs in the shower are terminal hairs . Is this a good sign ?

    Thank you very much for answering my question . You are such a great help !!

    Regards

    J.Y

  94. David aka - TakingthePlunge
    August 22, 2012 @ 6:43 am

    Brian,

    Propecia (finasteride) works best on young men in the early stages of hair loss. However, you won’t know just how well it will work for you until you give it try.

    If you decide to take Propecia, you will want to use it for no less than six months and up to one year before assessing your results.

    Whil

  95. Brian
    August 17, 2012 @ 6:42 am

    It is said that propecia can bring back hair lost within the past 5 years i’am 22 and only been losing my hair for over a year now is it possible i can regrow some of my hair or if not all that has been lost?

  96. Blake aka - FutureHTDoc
    August 16, 2012 @ 12:58 am

    Ross,

    Because it appears as if you may be experiencing some sexual dysfunction from the finasteride, I would schedule an appointment with the prescribing physician and evaluate what’s happening.

    Although the permanent sexual dysfunction claims are currently being debated in a federal court, the most recent data demonstrates that 0.3-2% of users experience temporary sexual dysfunction that resolves upon stopping the medication.

    I hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  97. Blake aka - FutureHTDoc
    August 16, 2012 @ 12:55 am

    Chris,

    It sounds like you are experiencing an initial shed from starting the Propecia and Nizoral. Both of these medications are associated with a shedding phase for the first 3-4 months.

    As far as your other questions are concerned:

    1. While I’ve heard a few anecdotal stories about minoxidil efficiency decreasing over time, I haven’t personally seen any conclusive evidence.

    2. I’m fairly certain Nizoral can cause a significant amount of scalp dryness, so users probably recommend only using it a few times a week to both decrease the amount of potent drug on the scalp and, most importantly, decrease scalp drying.

    3. I think most recommend the “big three:” minoxidil, finasteride, and Nizoral (ketoconazole) shampoo.

    Hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  98. Blake aka - FutureHTDoc
    August 16, 2012 @ 12:37 am

    Hi Jerry,

    While it can be a good prophylactic agent, it seems you should determine whether or not you’re actually experiencing hair loss before taking the medication. Because of this, I think you should schedule an appointment with a physician, undergo a scalp evaluation, and discuss the potential medication regimen.

    If you’re following your hair loss closely, you’ll see the initial phases of thinning and start the drug at an appropriate date. You should always start preventive methods as early as possible, but it’s tough to suggest taking a prescription medication without the ailment it is created to treat. Additionally, keep in mind that just because your father is experiencing baldness does not necessarily mean you will.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistant

  99. Jerry
    August 12, 2012 @ 2:55 am

    Hi,

    Great responses so far. Quick question. I’m 23 with a NW2 pattern (Zero vertex, just temple recession). I’ve had relatively the same hairline since 18… However, naturally I’m concerned about the future. My fathers about a NW4-5 at 57 (zero vertex loss as well) and I’d like to not end up there as we both have naturally high hairlines and huge heads. Would you advise me to start taking propecia now, or wait it out a bit? Allegedly it loses effectiveness after a number of years so Ive been wondering if it’s better to delay as long as possible or start immediately?.. Will it even help my hairline?

    Thanks guys. Much appreciated. Sorry for the barrage of questions.

  100. Ross
    August 10, 2012 @ 9:14 am

    Hi David,

    I have been taking generic propecia for like just over 4 weeks now and I have noticed I get less erections (but still get them) and without sounding gross, the semen quantity has gone down as is sometimes watery.

    I really don’t want to stop taking it and I have heard that it will some times smooth out over time and that it’s just the body getting used to it.

    Is there any truth in this?

    I have read some horror stories online about permanent damage through taking fin and I don’t want to end up like them as I am only 22, going on 23 this coming October.

  101. Chris
    August 8, 2012 @ 5:18 pm

    Hi – I started experiencing a receding hairline starting at 22 and I am now 31. I’ve used minoxidil for the past 9 years with varying results. My hairline is now “M” shaped (it has slowly gotten worse over time) and I feel as though the last couple weeks I have experience more hair loss in that area. I just started propecia 3 days ago and have been using Nizoral (1%) for the past three days as well. I have three questions:

    1 – Does Minoxidil lose its potency after a certain period of time? Has anyone seen/experienced this?

    2 – Why is it recommended to only use Nizoral a couple times a week? Why not use it everyday? What are the risks?

    3 – Is there anything I am missing here? Should I add anything else to my regimen?

  102. David aka - TakingthePlunge
    July 31, 2012 @ 4:37 am

    John,

    The majority of all thinning hair in males is the result of androgenic alopecia (genetic hair loss). Though your doctor has not diagnosed this as the cause, if you have not received any information about another possible condition then I would suggest starting medical hair loss treatments.

    Propecia (finasteride) and Rogaine (minoxidil) work best when hair loss is treated early. You will want to use these drugs for up to one year before assessing your results as hair growth takes time to develop.

    David

  103. John
    July 26, 2012 @ 3:20 pm

    Propecia*

  104. John
    July 26, 2012 @ 3:19 pm

    Hi Bill,

    I am experiencing thinning on my crown but my GP has not diagnosed me with MPB so I was enquiring if prophecies would be of any benefit to me ?
    With thanks.

  105. Bill - Managing Publisher
    July 25, 2012 @ 12:50 pm

    John,

    I’m not sure why you’d want to take Propecia if you are not experiencing any hair loss. Though the risks are minimal, Propecia does come with it’s share of potential side effects. I recommend visiting Merck’s website or doing a search for “Propecia” on this blog to learn more about the potential for sexual and other side effects by using the drug.

    Best wishes,

    Bill – Managing Publisher of this Community

  106. John
    July 25, 2012 @ 7:08 am

    Hi David,
    Would propecia have any negative efffect if you are not diagnosed with MPB as I am considering taking it ?
    Thanks,
    John.

  107. David aka - TakingthePlunge
    July 24, 2012 @ 1:53 am

    Ross,

    I have no personal experience with UK suppliers of finasteride. However, I can direct you to this discussion thread on our Hair Loss Forum, for more information.

    Good luck!
    David

  108. Ross
    July 20, 2012 @ 1:13 pm

    Hi David,

    I don’t live in the USA, I live in the UK and when I try to find propecia it’s really expensive.

    Do you know of any where in the UK or Ireland who are trustworthy?

  109. denis
    July 15, 2012 @ 12:02 am

    Hi,
    I have been losing hair for about 6 months now i have general thining all over i was told its not MPB but i want to try taking propecia, if I dont have MPB and use propecia can it make my hair lost worst or will it help stop my hair loss.
    Thank you
    Denis

  110. David aka - TakingthePlunge
    July 14, 2012 @ 1:53 am

    Ross,

    Short of sending your medication to a lab for analysis at your own expense, there is really no way to verify that your medication is authentic. For this reason, quality medication needs to start with a reputable pharmacy.

    The best thing you can do is to verify the source of your medication is legitimate prior to purchasing it. If you are based in the United States where generic Propecia (1mg finasteride) is not available, I highly recommend asking your physician to prescribe generic Proscar (5mg finasteride) and quartering the tablet. Doing so will yield about 120 doses (30 whole tablets) for roughly $9.

  111. Ross
    July 12, 2012 @ 1:09 pm

    Hi David,

    I purchased generic propecia from a company based in India and I am worried that it’s not finasteride, is there any way of finding out?

  112. David aka - TakingthePlunge
    July 11, 2012 @ 3:40 am

    Jason,

    Shedding can be very unpredictable. In general, Rogaine and Propecia act on different types of balding hairs. But, it is possible that some of the hairs saved by Rogaine could have shed with the start of Propecia.

    It is not normal for a slight pull to cause hairs to come out. I highly recommend consulting with your prescribing doctor about your concerns.

    David

  113. David aka - TakingthePlunge
    July 11, 2012 @ 3:28 am

    Jeffrey,

    There is no difference in potency between Propecia (1mg finasteride) and quartering a 5mg Proscar tablet but the savings are substantial.

    You may wish to double check your insurance as most will only cover Proscar if it is for treating enlarged prostate. They may not approve it for men below a certain age.

    David
    The good news is that generic Proscar is extremely inexpensive and can be purchased at many pharmacies like Walmart for as little at $9 for 30 tablets.

  114. David aka - TakingthePlunge
    July 11, 2012 @ 3:23 am

    Arden,

    There is really no shampoo proven to have a positive effect on hair growth. However, many hair loss sufferers use Nizoral Shampoo as a regular part of their hair growth regimen. According to one study, the active ingredient in Nizoral, ketoconazole, may be as effective as minoxidil for hair growth.

    Nizoral comes in a 1% solution or a prescription strength 2% solution. It should be used no more than twice weekly.

    David

  115. Ardan
    July 7, 2012 @ 12:16 pm

    Hi David,

    Thank you for the reply.

    I have only been taking (Generic) Propecia (Procepia) for 4 days, and I am not expecting anything to happen yet but when (if) the hair comes back stronger is there any thing else I can take to help strengthen the hair, any shampoos or anything…I don’t intend on using Rogaine etc.

  116. Jeffrey
    July 5, 2012 @ 6:51 pm

    Hey there,

    I’ve started to notice some thinning at the crown and am now very interested in finisteride (sp?). I’m a student, however, and am on a tight budget – would my quartering Proscar be that much different than if I were to take Propecia. My insurance will cover Proscar and as such, I’d much prefer taking that route. Should I see the same results? Finisteride is finisteride, no? Are there other active ingredients in Propecia that specifically target hair-loss (as opposed to Proscar)?

  117. jason
    July 5, 2012 @ 10:00 am

    Hi

    I have now been taking finasteride for 8 months along with 16 months minoxidil use, A couple of question, I went thru a massive shed whilst starting finasteride, would the new hairs i grew with minoxidil have shed when starting finasteride? also as i say i have been taking it for 8 months but i am still losing hair, is this normal? also i am losing hair from back and sides and this only has happned since starting finasteride, i also take growth boosters and vitamins, should i stick this out for 12 months even if im still losing hair at the 8 month mark? over the last couple of weeks what also seems to have happned is if i give a slight pull on my hair i can easily pull out 7 or more hairs at once, is this normal?

    many thanks

    Jason

  118. David aka - TakingthePlunge
    June 21, 2012 @ 4:46 am

    Ardan,

    Good luck with Propecia! Starting it early offers the best change to not only retain the hair you have but also regrow hair that has already miniaturized.

    David

  119. David aka - TakingthePlunge
    June 21, 2012 @ 4:44 am

    Jeff,

    I would not expect missing one month of Propecia to induce catch-up hair loss. But, everyone is different. You may be experiencing seasonal shedding or the lapse in your dosage may have triggered the same temporary shedding that is expected when starting medical hair loss treatments. Another possibility is that your androgenic alopecia has become more aggressive.

    There are so many factors involved when it comes to hair loss and its treatment that the only real answer will only come in time. I suggest that you continue to take Propecia (finasteride) as directed and monitor your hair growth for the next 4 to six months.

    As for the change in texture, some finasteride users report a change in texture after starting the medication. As for why yours did not change until after pausing the medication I could not say.

    Regarding cost, I suggest asking your doctor to prescribe generic Proscar (5mg finasteride) and quartering the pill. Many pharmacies offer 30 pills for as little as $9. This results in a 4 month supply after splitting the tablet.

    David

  120. Ardan
    June 19, 2012 @ 12:33 pm

    Hello,

    I have been reading all the replies and it seems that the majority of people taking Propecia is working for them which is great and now gives me the confidence to start taking it myself.

    I am a 22 year old male, I have been slowly thinning for around two years but I buzz my hair to grade 2 and it’s hardly noticeable but I want to try and keep what I have so I can grow it out a little more though.

  121. Jeeff
    June 19, 2012 @ 12:53 am

    Hi,

    I took Propecia for about a year and during that time, my hair loss stopped. About 6 months ago, I had a bit of a money crunch and did not take it for a month. I was able to begin taking it and now 3 months later, I am noticing a dramatic loss of hair on the top of my head and at the hairline. I have also noticed the texture of my hair has changed… it seems a bit straw-like (best way I can describe it). I have started using a strong conditioner and it is better, but can you tell me what is going on?

    Did going off Propecia for 1 month cause this? And, will it stop now that I am back on Propecia (and have been so for the 3 months)?

    Thanks,

    Jeff

  122. Blake aka - FutureHTDoc
    June 12, 2012 @ 1:04 am

    Jay,

    Yes, Propecia should thicken these hairs and halt any progressive hair loss. Like your physician said, it can really make a difference in the lives of hair loss sufferers!

    Good luck.

    Blake (Future_HT_Doc)
    Editorial Assistant

  123. Jay
    June 8, 2012 @ 1:35 am

    Hi,

    I just started using Propecia a week ago and was told the results are life changing by my doctor. My hair is thick everywhere else but my scalp has really thin hair. Will the Propecia thicken up these fine hair on my scalp like they are everywhere else?

    Looking Forward to your response

  124. ehsan
    May 31, 2012 @ 4:33 am

    Hi , i am using propecia for about 2 months and i havent notices any increase or decrease in shedding , i have hair loss with the same rate as before using propecia , so what is really going on ?
    also what happens if i forget to take propecia for 1 day ? and i take it the next day , it means after 48 hours , is there a serious problem ?

  125. David aka - TakingthePlunge
    May 30, 2012 @ 5:34 am

    firdaus,

    Drinking alcohol will not affect hair growth. However, smoking does have the potential to do so. Smoking constricts blood vessels and thus reduces blood flow to the hair. Minoxidil works to regrow hair by increasing blood flow. Just how much of an effect smoking is having on your hair growth I cannot say. However, it’s possible that smoking is negating the effects of minoxidil.

    I do not believe that smoking or drinking reduces the effects of finasteride. Since you have seen a reduction in shedding, this is a good sign that the drug is working for you. Not all men will see new hair growth with Propecia.

    David

  126. firdaus
    May 27, 2012 @ 8:59 am

    Hi. Does smoking and drinking while on propecia and minox affects hair growth. ? Ive been on propecia for three months. Shedding have decrease but not much hair growth.

  127. Blake aka - FutureHTDoc
    May 22, 2012 @ 10:12 pm

    Hi Paul,

    Because you were on the minoxidil for 8 years and then took a three month “vacation” from the solution, you could see results a bit sooner. However, if you do not (which could very likely be the case), I wouldn’t get discouraged and would wait at least 6 months before drawing any conclusions.

    As far as the dosage of Propecia is concerned, I really think this is something you should decide with your physician. Frankly, it’s difficult to tell how your specific physiology will respond to the drug, and I’d feel most comfortable letting a trusted physician analyze your situation and determine the right dosage for you.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistant

  128. Paul
    May 22, 2012 @ 1:02 pm

    Hello,

    Thanks for your input and I’m hoping for the best! I’m taking full strength and now it’s been ALMOST 2 weeks so I’ll reassess and hopefully see some results sooner. You stated that it takes 6-12 months for results. Do you think that is the case with me as well since I was on it for 8 years? I know I took 3 months off but I hope it helps me with this new battle of starting up again… I will give it time at full strength and see how it goes. Additionally, I’m going in for another blood test in about a week so that will be almost 3 weeks on Propecia. I’m curious what my DHT will be?? With all the research, I’d like to lower the dose but I’m not quite sure when to? In your opinion, do you think 30 days at full strength combined with my history MIGHT be sufficient to try a .5 dose every day? I’d hate to stop what could be positive results. Yet at this point in time it’s too early to tell. Thanks for your time! I appreciate it…
    Paul

  129. David aka - TakingthePlunge
    May 22, 2012 @ 6:07 am

    bp,

    While there is really no way to know for sure beyond simply waiting it out, there is a phenomenon known as seasonal shedding. You may simply be going through a natural and temporary shedding phase.

    Hang in there and good luck!

    David

  130. bp
    May 19, 2012 @ 2:18 pm

    hi, i have posted on here a few months ago regarding. shedding while taking finestaride. .Im just over the one year mark now. since my last question my hair has continued to go through cycles of shed and growth-each time better and thicker. my hair had seemed to be better all over and thickest its been for years until about 1 month ago until since it has been shedding non stop and i feel its gone back to how i started. my question is if you have heard of this before and if i should be worried?
    very grateful for your input.

  131. Blake aka - FutureHTDoc
    May 16, 2012 @ 10:30 pm

    Paul,

    Frankly, I’ve heard mixed things when it comes to DHT level testing. Some physicians seem to think it’s helpful, while others don’t really put much “stock” into specific DHT levels after it’s been assessed that your hair loss is androgenic alopecia (genetic hair loss) and not an outside cause.

    Because of this, I would rely on, again, a physician’s/lab’s own acceptable levels, and not try to generalize.

    I hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  132. Blake aka - FutureHTDoc
    May 16, 2012 @ 10:28 pm

    Paul,

    Let me see what I can do to address your questions:

    1. It’s likely that you’ll be able to regain what you lost after stopping Propecia. If this was “new growth” from the finasteride, it should come back. However, keep in mind that if your hair loss did recede aggressively, it may be more difficult to obtain regrowth and could create more of a “halting” rather than new growth situation. Regardless, my guess is that you’ll see similar results.

    2. Most experts state that you should remain on the pill for 6-12 months before analyzing your results. Based on this, I think it may be logical to assume that between 6 and 12 months, your body has adjusted and built up an effective, ongoing level of finasteride and switching from 1 mg to 0.5 mg a day is probably okay.

    However, I would definitely see a physician about this issue and would not adjust or modify ANY medication regimen without his/her input.

    I hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  133. Paul
    May 15, 2012 @ 3:17 pm

    Also, sorry for the additional question…:

    I’ve gone to the point to get my DHT tested and I was wondering if you know (or in your opinion) what is an acceptable level of DHT to still have an effect of keeping hair and/or regrowing hair? I will say that while on Propecia forever that mine was in the 20 range; and after stoppage, I was over 150! And yes, I’m losing hair. I’m hoping to find a happy medium for health reasons. Many don’t know that you DO need some DHT. Figured I’d throw that at you… Thanks for your time…
    Paul

  134. Paul
    May 15, 2012 @ 2:33 pm

    Hello, I have a couple questions for ya:

    1. I was on Propecia (full dose) for over 8 years. I took it back then when I felt it was necessary. In saying that, I definitely kept what I had at the time. I’m now 38. I stopped Propecia for 3 months and no noteworthy changes until about 2 weeks ago (so 10 wks off Propecia). I noticed thinner hair and hair leftover on my brush; as well as what looks like a little bit of receding hairline. So obviously I’m losing hair! I just started back on Propecia 4 days ago. In your opinion, do you think I’ll get back what I’m losing currently? I was on this for 8 years so I’m not sure if that will help any…?? I’m optimistic and hoping I’ll get back what I’m losing, but when it comes to receding hair and all, I’m just confused. This happened in about a 2-3 week span! Sorry for the long explanation.

    2. I’ve read numerous online info regarding Propecia and the tests done at .5 mg instead of the full dose of 1. Because of my hair loss currently, I’m starting back up full strength since it’s been 3 months. My question is in your opinion, would you estimate how long I should go full strength before I could allow myself to do .5? I just want to make sure it’s in my system full strength. Also, the info I read, shows it’s better to do .5 every day, then to do 1mg every other.. This is because of the half-life of the dosage I believe.. Any opinion on that? Thanks so much for your time!!!!
    Paul

  135. Deadman
    May 8, 2012 @ 5:07 am

    thanx a lot to all the valuable comments here…i experienced hair thinning only on front right side which is visible while i part my hair on middle… a very minor thinning…rest of my hair is thick everywhere…i am confused if its due to MPB or telogen effluvium coz i had quite a stress…i browse back my past pics (4 yrsback) n i see very little thinning back then…i’ve been on finasteride for 3 months now…hair fall count is none at times n at times while i massage my hair maximun 20 hair falls…my prob is hair thinning only at front…im planning to take finasteride for 1 whole year lets see wat happens…i never experienced any heavy thinning at start of the drug or after 3 months but i think some regrowth is achieved at front but im not sure..
    any advices, insights will be valuable,,,thanks….

  136. David aka - TakingthePlunge
    May 8, 2012 @ 3:23 am

    Steave,

    There is really no hard and fast rule when it comes to Propecia (finasteride) and hair growth. Some balding men will experience increased shedding in the first two months while others will not. If you have observed a marked decrease hair loss since starting the drug that is the best sign of all. The only sure method of determining your final results on finasteride is to use it for up to one year.

    Have no fear, alcohol will not have a detrimental effect Propecia�¢??s potency.

    David

  137. steave
    May 5, 2012 @ 9:30 am

    I am taking finasteride tablet for about 1 month , and my hairloss rate
    decreased a bit ! and i feel my hair is a very bit thicker ! is it a sign
    that the medicine is not working ? because you said it should increase
    shedding until a couple of months ! also , does it help to have some hair
    regrowth? and my last question is about consuming alcohol , does alcohol has
    negative effects on finasteride ? or will the medicine work less when using
    alcohol ? i drink beers or vodkas every weekends ! please let me know , i
    appreciate it !

  138. David aka - TakingthePlunge
    May 2, 2012 @ 3:47 am

    Martin,

    It’s important to remember that there are no guarantees with any medical hair loss treatment. They work very well for some and not at all for others. This is true for men with any hair loss pattern.

    It’s also important to note that these drugs are not hair loss cures. Genetics will eventually overcome the drug’s effects and hair loss will once again progress.

    The only way to know what your experience will be is to use them as directed for up to one full year.

    David

  139. martin
    April 27, 2012 @ 9:05 am

    Thank you for your response David but I have been told if for example the hair loss gene is so strong (dad loses hair at very young age) the medication wont work have you seen any other evidence to suggest otherwise?

  140. teddy
    April 26, 2012 @ 2:21 am

    also got a pill cutter for 5$ there so id say its worth it to cut the pills in 4s

  141. teddy
    April 26, 2012 @ 2:20 am

    i got my first script of a 90 day supply generic of 5mg Finasteride at Walmart today 24 dollars out the door no insurance the propecia was 215 no insurance for a 90 day supply of 1mg im glad my doctor gave me the option to choose on the script

  142. David aka - TakingthePlunge
    April 26, 2012 @ 12:04 am

    Martin,

    Your are using the finest non-surgical hair loss treatments currently available. Your diffuse thinning does not mean that these treatments will be less effective.

    I recommend that you continue this regimen for one year before assessing your results.

    Good luck!

    David

  143. martin
    April 25, 2012 @ 9:00 am

    Hello,

    I have been rapidly losing my hair for about a 8 months now i have diffuse thinning all over the top and back of my head. sides and back are normal. I have been taking minoxidil for 6 months and didn’t really notice any change as soon as i introduced Propecia my hair started thinning all other very fast i have heard this is a good sign im at the 3 month stage now. i am using minox, proecia and niz shampoo I here this is the best way to treat MPB.

    My dad and his brother wjhere both bald by the time they where 27 and beacuse i have diffuse balding (more area balding) does that mean i have less chance of the medication working?

    I would be very grateful for your expert opinion.

    thank you

  144. David aka - TakingthePlunge
    April 24, 2012 @ 5:21 am

    Kumar,

    It’s unusual to see new hair growth at his early stage but you are the best judge. If you have not yet done so, I recommend taking monthly photos to better compare your progress as the weeks progress.

    David

  145. David aka - TakingthePlunge
    April 24, 2012 @ 5:16 am

    Nicholas,

    I’m not a doctor and I do not want to contradict your medical professional. However, I highly recommend getting a second opinion as it seems that your physician is not very familiar with Propecia.

    To my knowledge, generic 1mg finasteride is not yet available in the United States due to patent laws. However, it can be purchased in a number of other counties and some men have been successful at ordering it through the mail though I do not recommend it. You may wish to phone your pharmacy to confirm the prescription your doctor gave you.

    Merck’s official stance regarding childbirth is that it is perfectly safe for a man to conceive a child while taking finasteride. Having said that, many men, including me, have opted to quit taking it while trying to have a child just to be safe. Many others have fathered healthy children without discontinuing use of the drug.

    Finasteride has a very short half-life of only 4 to 6 hours. Thus, it is completely out of the system in a day or two. If you wish, you can simply refrain from taking your pill for a couple of days before trying for a baby and resume again rather than quitting for a prolonged period of time.

    David

  146. David aka - TakingthePlunge
    April 24, 2012 @ 4:33 am

    Jason,

    Finasteride is finasteride. Generics (as long as they are purchased from a reputable source) are just as effective as name brand Propecia.

    Like you, many balding men choose to purchase 5mg finasteride and quarter the pill. Again, it is just as effective as 1mg Propecia and the cost savings are substantial.

    After six months you may see new hair growth. However, if you do not, don’t assume that the drug is not working. Keep using it for up to one year and compare your thinning hair before and after. Some men will see both new hair growth and reduced shedding. Others may only see the progression of hair loss slowed but no new growth. A few will see no benefits whatsoever.

    David

  147. Nicholas
    April 23, 2012 @ 11:58 am

    Hi,

    I started taking propecia (5mg cut into quarters) last June, so I’ve been on it about 10 months. After an initial shedding period of about a month, I’ve really seen some great results. Definitely what I was hoping for, and I haven’t really seen much in the way of side effects. However, today I had to switch dermatologists (moved to a new city), and the Dr. I met with today to get my refill brought about a few questions I wanted to ask here:

    -The Dr. couldn’t get the 5mg prescription to go through, but said that they put in for 1mg pills, and claimed it was still generic finasteride, not propecia. Does that actually exist? I’m afraid I’m going to get hosed on the price when I go to pick up my prescription.
    -The bigger issue was – the Dr. asked me if I was planning on having children, and I said not anytime soon. The Dr. said that if I am looking to have children, they are strict in that office about not prescribing finasteride then, because if you are on it, it will get in your bloodstream and can have strange effects on future children (i.e.- boy child will be born as a female). I had NEVER heard this before- is it true? If so, what do people do when they go to have children- do they just give up on all the progress they’ve made using finasteride and start all over once they are done having children? Thanks!

  148. kumar
    April 20, 2012 @ 9:28 pm

    i am on fin nd minoxidil 5% from last 2 months…now i can some hairs r coming…is it can see with 2 months….i know 6 months we need to access the results..can we see with in this little period..

  149. Jason
    April 19, 2012 @ 4:28 am

    Ok thanks for that info,

    Saying that the best time to see results then are between 6-12 months, does this mean as im nearley hitting the 6 month mark i should start to see results before long? also i am taking teva finasteride 5mg quartered into 1.25mg, is teva finasteride as affective as propecia? as i no teva is one of the best for generic medication.

    is there something missing from finasteride that is in propecia? or is it exactly the same but a higher dose as i no the 5.mg is for BPH.

    many thanks

  150. Bill
    April 19, 2012 @ 1:18 am

    hey I am almost through my 3rd month of propecia and to be honest I can’t say I have noticed much change. My hair still seems to be shedding at the same pace that it was before i started taking the drug and I haven’t noticed much hair growth. By no means am i discouraged, because I know it takes between 6-12 months to notice actual thickening of the hair. Just wanted to give an update.

  151. David aka - TakingthePlunge
    April 18, 2012 @ 1:52 am

    Brian,

    Though no one can accurately predict what your results will be with Propecia, you are correct that your age and relatively minor hair loss place you in the category of best responders.

    The best option for you at this point is to continue taking the drug as directed by your prescribing physician for a minimum of 6 months and up to one year before assessing your results.

    Remember, success does not always mean new hair growth. Propecia may simply slow the progression of your balding.

    David

  152. David aka - TakingthePlunge
    April 18, 2012 @ 1:48 am

    Jason,

    Shedding when starting Propecia is considered a positive sign that the drug is working. It is the weak and miniaturized hairs that are being shed and they will soon be replaced with more robust follicles. This process takes a few months. For that reason, it is recommended that patients use finasteride for 6 months to one year before assessing their results.

    You are correct in stating that the drug works best where there are existing miniaturized hair follicles.

    David

  153. jason
    April 17, 2012 @ 9:15 am

    Hi

    i have been taking finasteride for 5 months, my question is, the statistics say when taking finasteride you have an 83% chance of holding on to whatever you currently have, how is this correct if as we all no we go through a shed first? how long does the shed last?, i still have hair all over my head however it just has become very very thin all over, i have been told finasteride works best were there is currently hair, does this mean i should see posative reults? i am a male aged 24

    many thanks for your time

  154. Brian
    April 14, 2012 @ 9:51 pm

    I’am 22 years old and just started taking propecia 3 days ago, I have a full head of hair but it has thinned out over the past year. My problem is in my hairline is it true that propecia can bring back hairs that have been lost within a 5 year span? I really would like to hope with all things considered my age and exercise and healthy eating habits that propecia will work exceptionally well for me would you think?

  155. David aka - TakingthePlunge
    April 13, 2012 @ 4:26 am

    Kumar,

    Hair loss drugs work best when there is existing hair on the scalp. There is a very good chance that existing miniaturized hairs will become longer and darker with finasteride use, but your individual results will vary.

    The best course of action is to use finasteride for a minimum of six months and up to one year before assessing your results.

    David

  156. kumar
    April 12, 2012 @ 9:06 am

    will finestride nd min 5% shows effect on advanced miniaturized hairs..

  157. David aka - TakingthePlunge
    April 12, 2012 @ 3:10 am

    Brian,

    Cutting your 5mg pills in fourths is the best practice. Finasteride will be no more effective in higher doses.

    David

  158. David aka - TakingthePlunge
    April 12, 2012 @ 3:08 am

    Ryan,

    While 5mg finasteride (known by the brand name Proscar) is prescribed for the treatment of benign prostatic hypertrophy (enlargement of the prostate gland), this dose is not necessary or advisable for treating hair loss.

    The recommended dose for the treatment of androgenic alopecia is 1mg, though quartering a 5mg pill is perfectly safe, effective and results in substantial savings.

    As you’ve discovered, a higher dose may lead to a greater risk of sexual side effects. Buy yourself a pill cutter. Cut a one week’s supply and place the pieces in a pill organizer. It’s quick and easy.

    Your pills are probably still effective. Check the bottle for the “discard by” date.

    Your side effects may very well subside once your reduce your dosage.

    With finasteride, early treatment is the key. At you age and with limited hair loss, you stand a very good chance of seeing positive results.

    David

  159. David aka - TakingthePlunge
    April 12, 2012 @ 3:08 am

    Ryan,

    While 5mg finasteride (known by the brand name Proscar) is prescribed for the treatment of benign prostatic hypertrophy (enlargement of the prostate gland), this dose is not necessary or advisable for treating hair loss.

    The recommended dose for the treatment of androgenic alopecia is 1mg, though quartering a 5mg pill is perfectly safe, effective and results in substantial savings.

    As you’ve discovered, a higher dose may lead to a greater risk of sexual side effects. Buy yourself a pill cutter. Cut a one week’s supply and place the pieces in a pill organizer. It’s quick and easy.

    Your pills are probably still effective. Check the bottle for the “discard by” date.

    Your side effects may very well subside once your reduce your dosage.

    With finasteride, early treatment is the key. At you age and with limited hair loss, you stand a very good chance of seeing positive results.

  160. Brian
    April 11, 2012 @ 6:27 pm

    Hi,

    One more question. I’ve been on proscar for about 2 weeks now, cutting them into 1/4 or 1.25 mgs every day, and I was wondering if that is enough? The pills are small which I know makes no difference but would it work faster if i cut proscar in half instead?

  161. Ryan
    April 11, 2012 @ 4:39 pm

    A few questions here…

    I’m an 18 year old male who’s hairline is (relatively) in tact. However, my hair density has taken a dramatic hit.

    Ibegan cutting Proscar (5mg) pills into halves and taking them daily about a year ago. I know it is recommended to cut into fourths, but I found it tedious. I even recall popping a whole pill a few times. I know, it’s stupid, and I regret doing it. After about a month or two, I’ve noticed a few disturbing sexual side effects. I discontinued use. I still have these leftover pills that are only half a year old.

    1. Are these pills still effective?
    2. Should I experience less sexual side effects while taking smaller doses ?
    3. Will my type of hair loss see any results?

  162. Bill - Managing Publisher
    April 11, 2012 @ 11:36 am

    Kumar,

    It’s advisable to give finasteride a full year before evaluating its effectiveness. I also suggest taking clear, high resolution photos every 3 months under the same lighting conditions so you have something to compare/contrast.

    Best wishes in restoring your hair,

    Bill – Managing Publisher of this community

  163. kumar
    April 10, 2012 @ 10:13 pm

    if finestride is working….how much time it will take for gaining full results

  164. Blake aka - FutureHTDoc
    April 9, 2012 @ 7:22 pm

    Kumar,

    While it’s not likely that you can completely reverse your hair loss (especially if it’s at a high Norwood balding level), finasteride (and other proven hair restoration products like minoxidil/Rogaine) will allow you to significantly reverse and stabilize progressive baldness. I highly recommend continuing the finasteride regimen and possibly researching additional treatments (such as surgical hair restoration) in the future.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistant

  165. kumar
    April 9, 2012 @ 3:57 am

    can i see results with minox 5% nd finestride 1mg after 6 wks coz i noticed some small brown hair is coming at temples and mid scalp…is it can occur with 6 wks?

  166. kumar
    April 8, 2012 @ 12:09 am

    hi..
    i am 23 yrs old..i have started my hair loss 0n 18.from last 2 years i got lose more hair…its like grade 6 pattern..but not completely like clean shaving head…i have more lively follicles in my head..but i didn’t grow as i should it be..when i am seeing in mirror i can see small live follicle spots are there..from last 6 wks i am on finestride 1 mg nd minoxidil 5%…can i get my hair regrowth which i loose from last 2 years…

  167. David aka - TakingthePlunge
    April 3, 2012 @ 3:59 am

    Brian,

    I can’t quote a percentage but I can tell you that shedding after starring Propecia (finasteride) is common and, in fact, a good sign.

    Although it can be a bit disconcerting for hair loss sufferers to see an increase in thinning hair after starting this treatment, shedding is a sign that the medication is working. During this phase, weak miniaturized hairs are being shed and will eventually be replaced with darker and more robust follicles.

    For this reason, it is important that balding men continue to use Propecia as directed for a minimum of six months and up to one year before assessing their results.

    David

  168. Brian
    April 1, 2012 @ 8:37 pm

    I have noticed the amount of people talking about the shedding phase. My issue is the corners of my temples have started receding. Also my hair just doesnt look as thick as it did when I was a teenager. I’m 26 now and I’m about to try propecia but havent yet. Is there a percentage of how many people experience this shedding phase or does it just happen automatically. I have a good amount of hair on the top of my head and at the back and Im worried it will look thinner due to this shedding process.

  169. Blake aka - FutureHTDoc
    March 21, 2012 @ 3:23 am

    Hi Gary,

    Normally, Propecia (finasteride) takes anywhere from 3-4 months to take effect and most experts recommend waiting a total of 6-12 months before analyzing progress and determining whether or not the drug is working.

    After not taking the drug for 3 months, you may notice a bit of an initial “shedding phase” that can last up to 3-4 months, but I don’t think you’ll see any long term damage as long as you stay on the medication. Also, keep in mind that if you do stop these preventive medications permanently, you will “lose” the progress made and re-start the shedding/hair loss cycle.

    I hope this helps!

    Blake (Future_HT_Doc)

  170. Gary Baler
    March 19, 2012 @ 3:29 am

    Hi,

    I was using propecia for 18 months then I traveled abroad for 3 months forgetting it. Unfortunately I was unable to take it for these 3 months. I started taking it against last week, I was wondering if my hair loss will be impacted by this? As of right now I haven’t noticed any change in my hair. Should I expect loss? Even if It was only 3 months?

  171. David aka - TakingthePlunge
    March 10, 2012 @ 5:32 am

    Steve,

    The shedding phase of Propecia normally occurs in the first two months. At seven months it has normally passed. However, we always recommend that patients take finasteride as directed for up to one full year before assessing their results.

    Have no fear, Propecia will not result int he loss of hair that is genetically resistant to balding.

    David

  172. Steve
    March 6, 2012 @ 9:21 pm

    Hey, I am 19 years old and I have always had very fine hair (as in the follicles themselves are thin) my whole life. When I was 17 I started to notice rapid hair loss. I don’t have a receding hairline or bald spots in spaces such as the crown. Its just that my hair is falling out at a very rapid rate everywhere on top. I have now been on Propecia for about 7 months and It appears as though my hair just keeps falling out. I fear that I will be COMPLETELY bald on top in the next four months or so. I feel as though my hair is falling out at a much faster rate than when I was 17. Is it possible that Propecia is not working for me because of my fine hair? Or could it be the “balding phase” of Propecia and therefore I should wait it out?

    Thank you,
    Steve

  173. David aka - TakingthePlunge
    February 27, 2012 @ 2:35 am

    Henrik,

    There is no optimal time to take Propecia (finasteride). Any time of day that works for you is fine.

    David

  174. Henrik
    February 26, 2012 @ 6:06 pm

    I was wondering what time on the day I should take propecia. Would it get better effekt straight after lunch or just before I go to sleep?

  175. David aka - TakingthePlunge
    February 17, 2012 @ 3:39 am

    John,

    Most doctors seem to agree that side effects from Propecia (finasteride) will occur within the first two weeks of use. However, some men claim they did not manifest themselves until months or years after taking the drug. Of course, there may also be psychological factors at play in these cases.

    According to Merck, sexual side effects from Propecia occur in fewer than 2% of patients. In the vast majority of cases, these side effects are temporary. If they persist, discontinuation of the drug should resolve the problem. In a very small number of cases, patients have claimed irreversible side effects.

    David

  176. John
    February 15, 2012 @ 2:41 pm

    Hey, Im 22 years old and i was just prescribed propecia for some thinning on the top of my head. I was wondering, how long after taking it would i notice any libido or impotence side effects and therefor stop using it? Also, i was told by my dr. that those side effects are not as likely in younger adults, is that true? I’m just really concerned about losing my ability to perform, especially if im going to be using this stuff for the rest of my life.

    Thanks,
    John

  177. David aka - TakingthePlunge
    February 15, 2012 @ 3:04 am

    Bill,

    Yes, absolutely. Propecia (finasteride) is known to be more effective at retaining existing hair than it is at regrowing hair that has already been lost. The younger you are and the more existing hair you have, the better the results over the long term.

    David

  178. Bill
    February 11, 2012 @ 9:25 pm

    sorry for blowing this up. you have just been really helpful. Do you think propecia is more likely to work for someone who still has a good amount of hair left than someone who dosnt? or does it really matter? I still have a full head of hair except i can tell that it is becoming very thin and just want to stop/improve it before its too late. Been on it for 12 days now.. will continue to fill you all in as time goes along

  179. Bill
    February 11, 2012 @ 9:24 pm

    sorry for blowing this up. you have just been really helpful. Do you think propecia is more likely to work for someone who still has a good amount of hair left than someone who dosnt? or does it really matter? I still have a full head of hair except i can tell that it is becoming very thin and just want to stop/improve it before its too late

  180. David aka - TakingthePlunge
    February 9, 2012 @ 3:32 am

    Bill,

    Of the three treatments you are using, only Propecia (finasteride) is clinically proven to treat hair loss. Viviscal and Saw Palmetto are nutritional supplements that may improve overall hair quality but I am not confident in their ability to slow the progression of hair loss or regrow hair.

    You are correct that Propecia is not known for effectively restoring a receding hairline. Typically, that requires hair transplant surgery. However, if your hairline is not very receded and you still have a significant amount of existing hair then Propecia may very well help to thicken any miniaturized hairs in that area.

    The only way to find out for certain is to continue with your regimen for a minimum of six months and up to one year before assessing your results. If finasteride works for you it will, at the very least, slow the progression of your hair loss.

    David

  181. Bill
    February 8, 2012 @ 1:14 am

    I have been on Propecia, Viviscal and Saw Palmetto now for two weeks. Obviously havent noticed anything yet. But will these drugs help my hairline. While my hairline hasnt receded too far yet I can still tell that it has receded. I guess my question is will the hairline grow thicker with these drugs. I am under the impression that it will not necessarily regrow the hair ive lost on my hairline, but will it make the hair thats still left thicker?

  182. David aka - TakingthePlunge
    February 2, 2012 @ 5:33 am

    Mike,

    Softening of the muscles is not a documented side effect of Propecia (finasteride) but some men do claim to have experienced a noticeable softening of the muscles while taking it.

    Unfortunately, Propecia must be taken for life in order to maintain its effects. Stopping finasteride will eventually result in catch-up hair loss. In other words, your hair will rapidly take on the balding pattern you would have developed had you never started using the drug in the first place.

    David

  183. David aka - TakingthePlunge
    February 2, 2012 @ 5:27 am

    Josh,

    It’s normal to begin shedding in the first few weeks after starting Propecia. Typically, miniaturized hairs that were on the verge of dying will shed and then regrow thicker and fuller than they were before. In some cases, very weak hairs may not regrow at all.

    It’s also important to note that finasteride is not known for growing or retaining hair in the hairline as well as it does in the crown. Unfortunately, there may be little you can do to retain your juvenile hairline. However, with such aggressive hair loss, you should fare much better with the drug than without it. I suggest using it for a minimum of 6 months and up to one year before assessing your results. If you experience side effects or have other concerns, discuss them immediately with your prescribing doctor.

    David

  184. David aka - TakingthePlunge
    February 2, 2012 @ 5:15 am

    Will,

    Given your family history, you are wise to begin treating your hair loss now while it is in the early stages. Today’s medical hair loss treatments are much better at retaining existing hair than regrowing hair that has already succumbed to the effects of androgenic alopecia (male pattern baldness). However, the treatments that you have chosen are unlikely to regrow hair or slow the progression of your balding.

    The only two clinically proven and FDA approved non-surgical hair loss treatments for men with thinning hair are Rogaine (minoxidil) and Propecia (finasteride). These drugs, when used in combination, offer the best treatment available today for combating male pattern hair loss.

    I recommend discussing with treatment option with your physician or a dermatologist specializing in hair loss. Rogaine is available over the counter but you will need a prescription if you choose to add Propecia to your regimen.

    David

  185. Mike
    January 31, 2012 @ 3:17 pm

    Hi guys, im 21 years old and have been taking Propecia for about 4+ months. The results are simply amazing as my hair looks like it did years ago before it started thinning rapidly. What i have noticed, being a heavy weight lifter, is that my muscles have softened, not necessarily lost size though. Have there been any studies or does this seem to be a heard of side effect of taking Propecia?

    Also, after taking Propecia for a certain time period, does there come a time where when you stop taking the Propecia, the hair you have regrow will stay? (or atleast fall out at a normal slow pace)

    Thanks

  186. Josh
    January 31, 2012 @ 3:55 am

    Hi, I am 18 years old and in the past 6 months, my hairline from the eyes to the temples on only my left side had gradually receded about to 2 cm. My right side at the area had only thinned a little and receded about 0.75cm. 5 weeks ago, I started taking 1.25mg of fin everyday and my left side has gone back to approximately 3 cm and my right has jumped to about 1.5cm; receding at a much quicker rate.

    I assume this is shedding, but I have not really noticed an excess of hair falling out (I only notice the difference in the mirror).
    Is it normal for the left and right recession to be so different?
    And is shedding so soon after beginning Fin normal?
    Thank you for your response!

  187. Will
    January 30, 2012 @ 11:54 pm

    Hello Mr. David,

    I’ve read all posts from above and want to thank you for all the information. You seem to be VERY knowledgeable about hair loss and such. Anyway I’ll get to the point.

    I’m a 24 year old male who is starting to experience some hairloss at the vertex and the sides of the frontal area. It’s not too bad but last year it was not even noticeable. My hairline is still largely intact but it’s shaped a bit more like a ‘U’ pattern because of the hairloss on the sides. I’m afraid that in another year it will start to become very obvious to anyone that I’m losing my hair. All generations of men my family have experienced male pattern baldness in their 20s and eventually became bald. I, of course, want to put a stop to this.

    I recently ordered a product on amazon that blocks DHT. It contains saw palmetto and pygeum and a host of other vitamans and nutrients. It’s called hair omega 3 in 1… I must take the pill three times a day after each meal.

    For a few days now I’ve been alternating between onion juice and olive oil on my scalp and massaging it in. (I plan on doing this for at least a few months to see how it goes) Along with using this DHT blocker supplement everyday. I’m well aware of the side effects of blocking DHT but I’m ready to accept them.

    My question is what do you think of my plan of attack? Do you have any suggestions? I’ve been like a sponge the past few days just soaking up as much info as I can about preventing hair loss!

    Will

    I hope your answer helps many other younger folks who are in the same boat as me.

  188. David aka - TakingthePlunge
    January 25, 2012 @ 7:01 pm

    Viviscal is a natural supplement containing; Vitamin C,, Magnesium Stearate, “AminoMar C Marine Complex polysaccharides” and a variety of other fish ingredients. There is certainly no harm in combining Viviscal with Propecia (finasteride). However, I’m not convinced that natural hair loss treatments like Viviscal offer a significant improvement in hair growth or density.

    In my opinion, it would be much more effective to add Rogaine (minoxidil) to your hair loss regimen for maximizing your results. Finasteride and minoxidil are the only two clinically proven and FDA approved, non-surgical treatments for male pattern balding.

  189. David aka - TakingthePlunge
    January 25, 2012 @ 6:59 pm

    Bill,

    Viviscal is a natural supplement containing; Vitamin C,, Magnesium Stearate, “AminoMar C Marine Complex polysaccharides” and a variety of other fish ingredients. There is certainly no harm in combining Viviscal with Propecia (finasteride).
    However, I’m not convinced that natural hair loss treatments like
    Viviscal offer a significant improvement in hair growth or density.

    In my opinion, it would be much more effective to add Rogaine (minoxidil) to your hair loss regimen for maximizing your results. Finasteride and
    minoxidil are the only two clinically proven and FDA approved, non-surgical treatments
    for male pattern balding.

    David

  190. Bill
    January 24, 2012 @ 3:02 am

    is it a good idea to combine viviscal with propecia? my dermatologist told me i would see maximum results if i did so.. does this sounds correct?

  191. David (TakingThePlunge)
    November 29, 2011 @ 3:02 am

    JK,

    Buzzing your hair will not negatively impact Propecia’s effectiveness.

    David (TakingThePlunge)

  192. JK
    November 26, 2011 @ 5:32 pm

    Does buzzing my hair affect my hair loss? I usually buzz my hair pretty short but have started taking propecia so I wanted to make sure buzzing my hair would not affect the results. Can I keep buzzing it or should I let it grow out for best results?

  193. bp
    November 15, 2011 @ 1:52 pm

    Thanks for your time David,
    I will definitly see Finestaride through for two years as people have mentioned. Just getting a bit frustrated as just when you think something is working- BANG!!-another shed! I started to thicken up nicely, even in the frontal area and going around with a spring in my step thinking finally something is working again – people where noticing my thickened hair. I had a similar pattern when i started taking minoxidil – initial heavy shed (or general thinning out-I could never tell) and it continued to shed/grow back for a ages till it finally peaked and even then I still had some months when I noticed more hair on my hand when applying it.

  194. David aka - TakingthePlunge
    November 15, 2011 @ 2:15 am

    bp,

    What you are experiencing is perfectly normal. The shedding that occurs when starting Propecia (finasteride) may last from a few weeks to a few months. The hair that is shed during that time will then begin a new growth cycle. Thus, it will take up to four months to regrow that hair.

    It’s recommended that patients continue to take Propecia for between six months and one year before assessing their results. During this time you may, in fact, look balder that you did prior to starting the drug.

    Hang in there!

    David (TakingThePlunge)

  195. bp
    November 13, 2011 @ 4:17 pm

    i have been taking minoxidil for four years. the results were brilliant for first two years then slowly my hair loss resumed. i started taking finestaride five months ago, i suffered the usual sides but they cleared after few weeks. my problem is that over the five months i have taken finestaride my hair seems to shed then get thick again- i was very happy with the overall four month result but now seem to be shedding again for one month and even worse than started. is this normal?

  196. Blake aka - FutureHTDoc
    October 20, 2011 @ 10:22 pm

    Andrew,

    While I have not heard of either of these compounds interacting with Propecia (finasteride), this is definitely something you need to verify with the physician who prescribed the medication.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistant

  197. Andrew
    October 20, 2011 @ 7:35 am

    Hi,
    I was just after a few bits of advice if possible? I’ve been taking propecia now for approx 11 weeks and have experienced no dramatic side effects. However I was wondering:
    1) does having alcohol in your system mean the propecia will be less effective? I rarely drink (2 nights out a month) but was wondering of this effected the effectiveness on either the night I’m drinking or the morning after when I take the tablet?
    2) on occasions (max twice a month) I take a small amount (2/3 x 10mg) of propranolol for ‘performance anxiety’ – will this have any impact on the effectiveness of propecia or have any adverse effects?

    Any advice on this would be greatly appreciated! Thanks!

  198. dan
    October 10, 2011 @ 3:54 pm

    hi i am 42 years of age and suffered hair loss for about ten years around the vortex area there is still hair there but its thinning was wondering if it is to late to use propecia and regaine to thicken my hair or are the hair roots dead after the lenght of time i know its better to start has earlier has possible but the products are quiet new to the market and werent available when my hair loss started . thanks dan

  199. Seth
    October 6, 2011 @ 12:06 pm

    I’ve used propecia before (year ago) and it worked good, but since then I stopped and had a hair transplant. Just recently Started taking proscar 1.25 along with minoxidil for about 2.5 weeks. Its been about four months since the transplant, my hair is shedding a lot. I’m not sure if the products are working, or if its physiological?

  200. John
    September 29, 2011 @ 8:26 pm

    I just started taking Propecia a month ago, and am now just beginning to shed more and more. My hair loss was brought on by accutane, so with that said, I don’t know if its just normal hair loss, stress, or just me thinking my hair keeps shedding.

    I have see a lot of regrowth in just one month, but much of it is still just peach fuzz. Will it get better?

  201. David aka - TakingthePlunge
    September 28, 2011 @ 3:19 am

    adam,

    First, let me congratulate you on your hair growth. You’ve already seen substantial growth and may continue to see minor improvements over the coming months. However, it is highly unlikely that Propecia (finasteride) will restore your hair to its teenage glory. Also be aware that Propecia is not a hair loss cure. Instead, it may dramatically slow the progression of hair loss over the coming years allowing you to enjoy the hair you have for much longer than otherwise possible.

    You may find that adding Rogaine (minoxidil) to your regimen will add even more density.

    David (TakingThePlunge)

  202. David aka - TakingthePlunge
    September 27, 2011 @ 1:48 am

    Kramer,

    The shedding phase typically lasts through months three and four. If you wait it out, I think you find that it will ultimately come to an end.

    See my response to “ConfusedReally” above (#27) for more detail.

    David (TakingThePlunge)

  203. David aka - TakingthePlunge
    September 27, 2011 @ 1:41 am

    ConfusedReally,

    It’s generally agreed upon that it’s the weak and miniaturized hairs that fall during this period only to be replaced with more robust follicles later. While I have to admit that I have not heard of another patient with your experience, I don’t see it as an area of concern at this stage.

    Unfortunately, while Propecia is clinically proven and FDA approved to treat male pattern hair loss, it’s impossible to predict if and how it will work with any given individual. Some experience no shedding while others are devastated by the initial balding phase. The good news is that your “permanent” hair (hair that is not genetically vulnerable to the effects of DHT) will not become dependent on finasteride. So you won’t end up balder for having taken it.

    Generally, a patient should take Propecia for up to one full year before assessing his results. I suggest taking monthly photos for a more objective evaluation of your progress. As with any drug treatment, I also recommend discussing any concerns no matter how insignificant with your prescribing physician.

    David (TakingThePlunge)

  204. adam
    September 26, 2011 @ 4:11 pm

    Hi I have been using finasteride 1mg for 9 months , I have jumped from 4c to 3a on the norwood chart , but i havnt seen any additional regrowth in the past 3 months . Will my hair continue to grow further and will I ever regain the wholey dense teenager scalp I once had

  205. Kramer
    September 23, 2011 @ 12:46 pm

    David,
    I am 22 and I started finasteride 3 months ago. In the past 1 week I noticed significant hair loss. But before that I saw my hair fall decrease considerebly.So I thought that the shedding phase was over until last week when there was heavy shedding.

    Can please you explain this?

    Thanks

  206. ConfusedReally
    September 23, 2011 @ 6:43 am

    Have a question. Have been doing it for 4 1/2 months. Heavy shedding started at 1 1/2 months. Slowed down substantially after that. Since then I’ve seen phases of very little shedding for 2 weeks then increased shedding for a few days. There are days barely anything falls of. This cycle repeats. Had increased shedding a couple of days ago and I know it will reduce again in a day or two. What on earth is going on? Someone please help. Is there any hope? Is this normal?

  207. David aka - TakingthePlunge
    September 20, 2011 @ 3:10 am

    Josh,

    The clinically proven and FDA approved dosage of finasteride for treating hair loss is 1mg daily. However, whether or not this is the minimum dosage necessary to effectively treat hair loss is hotly debated. Some experts believe that a smaller dose can be equally effective.

    Some patients who experience side effects on a full dose opt to cut their pills as you are or switch to taking Propecia on alternating days. Doing so should not affect the time it takes to see new hair growth.

    If the treatment is working for you and you are regrowing hair then I see no reason why you should increase your dose. However, I am not a doctor and I always recommend that patients discuss any changes to their medication with their prescribing physician.

    David (TakingThePlunge)

  208. Josh
    September 19, 2011 @ 9:12 am

    I’ve been cutting my Propecia pills in half. I’ve been taking them for almost 3 months now. Is it going to take double the amount of time to regrow hair by doing this? Is the Propecia going to be ineffective at this dosage?
    I’ve already noticed hair growth.

  209. Dave Campbell
    September 14, 2011 @ 8:26 am

    I have been buying Proscar tablets for nine years now, I cut the pills in half then take on a Monday, Wednesday and Friday. This has worked out perfectly well for me and I have experienced no side effects whatsoever. I hope this is of some help to somebody.

  210. David aka - TakingthePlunge
    September 13, 2011 @ 3:02 am

    Jeffrey,

    The negative impact of stopping Propecia is what is known as catch-up hair loss. Once you quit taking it you likely lost any hair that the drug had grown or preserved. Restarting Propecia will probably not bring back your initial results. However, it should slow the progression of further hair loss.

    There is no harm in treating genetic hair loss with the presence of eczema but, of course, finasteride will not regrow hair lost to complications arising from eczema.

    The most economical way of purchasing finasteride is obtaining a prescription for generic Proscar (5mg) and quartering the pill. This results in a slightly higher dose (1.25mg compared to 1mg) but the difference is negligible and the cost savings are substantial.

    David (TakingThePlunge)

  211. Jeffrey
    September 8, 2011 @ 6:07 am

    I have a couple questions:

    1) I took Propecia a few years ago, but had to stop when I moved & had no insurance to go to a dr. for an Rx. I was wondering if there are any negative or positive issues w/ taking it, stopping, & resuming over the period of a few years?

    2) I do have an appt. w/ a dermatologist soon, but wanted more input: I’m pretty sure my eczema has begun attacking my scalp (which it hasn’t previously affected), exacerbating my hairloss, prompting me to resume Propecia. Do you know if there’s any info regarding the use of Propecia w/ eczema as a factor (not sole reason, just contributing)?

    3) As I’ve been making marginally more than minimum wage in net income, I really can’t afford Propecia & have considered using an online pharmacy (international – Canadian?). Do you have any input or suggestions on these? I don’t want to order it & have my $$$ disappear or have them send some sugar pill masked as the real thing.

    Thank you very much for your help with this info & the above!

  212. David aka - TakingthePlunge
    August 30, 2011 @ 3:24 am

    Javad,

    You may be experiencing a shed from Propecia. Typically this is a sign that the miniaturized hairs will soon be replaced by new, thicker and stronger hair.

    While it may be tempting to quit at the first sign of increased hair loss, patients are advised to use Propecia for between 6 and 12 months before assessing their results.

    David (TakingThePlunge)

  213. javad
    August 26, 2011 @ 12:28 pm

    i have been taking proscar for 3 months and i noticed some thick hair growing on my scalp area but now shedding is the problem , some thick hair is fallen down . is that normal and does that mean medicine is working?

  214. Jerry
    August 15, 2011 @ 5:55 pm

    I have been taking the generic equivalent now for 4 months. My wife and others have noticed and commented my hair is thicker than it has ever been the improvement in this short time is very noticable

  215. Blake aka - FutureHTDoc
    July 25, 2011 @ 7:28 pm

    Ben,

    The normal amount of finasteride in a Propecia pill is 1 mg. The 5 mg finasteride pills go by the brand name “Proscar” and because the active ingredient is the same (finasteride), hair loss sufferers sometimes obtain these pills and cut them into fourths or “quarters.” These quarter pills then contain 1.25 mg of finasteride which is sufficient and comparable to the 1 mg dosage in Propecia.

    However, in the 5 mg amount, Proscar is usually prescribe to treat Benign Prostate Hyperplasia (enlarged prostate gland), and it’s highly likely that you do not need to be on this dosage for treating your hair loss.

    I recommend taking the pills to your personal physician, discussing what you’re using them for, and making sure that you should be cutting the pills down to a more reasonable dosage for treating male pattern baldness.

    I hope this helps!

    Blake (Future_HT_Doc)
    Editorial Assistant

  216. Ben
    July 22, 2011 @ 1:44 am

    I have been taking 5mg finesteride for about 4 months now and not cutting the pills. Should I cut the dosage down now because I did not know you can do that to the 5mg Pill.Or should I keep taking the 5mg pills daily? I just wanted to prolong the pills but if I can’t cut down the dosage since I have been on 5mg for so long its ok too. Just wanted your advice.

  217. David aka - TakingthePlunge
    July 7, 2011 @ 4:25 am

    Bryan,

    The clinically proven and FDA approved dosage of finasteride for treating hair loss is 1mg daily. This dose is commonly known by the brand name Propecia. In order to cut costs, many patients opt to purchase generic 5mg finasteride and quarter the pill. This results in an approximate dose of 1.25mg. While slightly higher in finasteride than Propecia, the difference is negligible.

    Cutting a 5mg pill in half results in more than two times the recommended dosage for treating hair loss and this higher dose may lead to a greater risk of side effects.

    Quartering your pills will not only better approximate Propecia’s 1mg dose but it is also more cost effective.

    David (TakingThePlunge)

  218. Bryan
    July 6, 2011 @ 8:08 am

    I have been cutting finasteride 5mg, in half as directed by my doctor. Is that to much dosage? I am still shedding after 2 months. Should I be concerned?

  219. David (TakingThePlunge)
    May 11, 2011 @ 5:06 am

    Darrick,

    Most patients that take generic Proscar for hair loss cut the 5mg pill into 4 pieces. While this results in a marginally higher dose (1.25mg) than Propecia’s 1mg, it is much easier to cut into fourths. However, if you are having success in cutting your 5mg tablet into fifths, there is no harm in that.

    The pieces do not need to be accurately cut. You may get a little more finasteride one day and a little less the next but the difference will be negligible.

    Your results will be the same as if you were taking Propecia.

    David (TakingThePlunge)

  220. Darrick
    May 10, 2011 @ 5:09 am

    I have been taking 1mg Finasteride cutting from 5mg Proscar. I’m not quite sure that I am cutting it accurately but at least cutting them in 5’s from a 5mg Proscar tablet. Do I get same result as Propecia as taking from (Proscar) Finasteride 1mg? I have been using it for a month now and I noticed that I’m getting an acne over my head ever since. Thanks

  221. Blake aka - FutureHTDoc
    April 26, 2011 @ 1:56 am

    D,

    Wearing a hat does not increase or affect hair loss. Individuals have assumed this in the past, but the fact of the matter is that it’s simply not true.

    As far as the fact that you’re still thinning is concerned …

    Propecia (finasteride) does not begin working instantly, and it’s likely that you will see a ‘shedding phase’ for the first few months (usually around 3-4) after which you will begin to see stronger regrowth. Additionally, you should utilize the product for 6-12 months before making an assessment on whether or not it is working.

    Good luck!

    Blake (Future_HT_Doc)
    Editorial Assistnat

  222. D. Carr
    April 22, 2011 @ 9:10 am

    I’ve only been taking Propecia for a few weeks. I’m still thinning which is bothering me. I’m taking Zinc and Saw Palmetto hoping this will help in addition to the Propecia. I’m curious to know how wearing a loose fitting hat might affect hair loss. I spend a great deal of time outdoors. Does wearing a hat speed up hair loss in your opinion? Thank you.

  223. David (TakingThePlunge)
    April 8, 2011 @ 5:01 am

    Adam,

    There are no studies to support that any particular time of day is superior to another when it comes to taking Propecia (finasteride).

    The most important factor is to take it regularly. Having a set schedule, be it morning or evening, helps to avoid missing a dose.

    David (TakingThePlunge)

  224. adam
    April 6, 2011 @ 8:09 pm

    ive now been on propecia for 3 months, over the last couple of weeks ive noticed my hair is shedding/thinning a lot more, which fingers crossed this means it’s working. does anybody reccomend a specific time of day to take the pill for it to be most effective in your system or does it not matter? ?

  225. David aka - TakingthePlunge
    March 10, 2011 @ 6:00 am

    Cameron,

    If Propecia (finasteride) is not working for you after 6 months then Avodart (dutasteride) may be an option.

    I highly recommend discussing this with your prescribing physician. Avodart is not FDA approved for use as a hair loss treatment and some doctors will not prescribe it for that purpose.

    David (TakingThePlunge)

  226. cameron
    March 9, 2011 @ 1:03 pm

    hi ive been taking propecia for six months now and i yet to see any improvments my hair is still shedding hair realy fast about 70 hairs a day and my hair looks thiner then beffor, should i stop or switch to avodart thank you

  227. Blake aka - FutureHTDoc
    November 29, 2010 @ 8:20 pm

    Danny,

    Although Propecia (finasteride) is only tested and proven to work in the scalp/vertex area, there is nothing scientific which states that it cannot work in the hairline. Most patients seem to see the best improvement in the mid-scalp and vertex, but this doesn’t mean that it won’t work in the hairline, nor does it mean that stabilizing your hair loss through Propecia won’t help maintain the current fullness of your hairline.

    Laser therapy is a point of controversy within the hair restoration community. At this time, it seems to lack some necessary research and objective results, and sticking with proven therapies like Rogaine (minoxidil) and Propecia (finasteride) is likely more beneficial. I hope this helps.

    Blake (Future_HT_Doc)
    Editorial Assistant

  228. danny
    November 27, 2010 @ 9:28 am

    does propecia work on the hairline as wel as the crown? and also does laser treatment work?

  229. Bill - Managing Publisher
    October 28, 2009 @ 12:46 pm

    Warren,

    It’s recommended that you take Propecia for at least a year before evaluating the effectiveness of the results. Unless you are experiencing side effects or have been advised to stop taking it by a doctor, in my opinion, take Propecia for at least a year before determining whether or not it’s successfully treating your hair loss.

    Best wishes,

    Bill Seemiller
    Associate Publisher/Editor

  230. Warren
    October 27, 2009 @ 2:09 am

    I started taking propecia May 27th and its October 27th so for five months total. I still have slight hair loss continuing at the same rate as when I started. Should I be worried that I am one of the few it will not work for? I know you cannot give me a definite answer due to everyone being different but can you give me an educated guess from your knowledge? Thank you.

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