Finasteride for male pattern baldness
Propecia
נבדק על ידי Sid Dajaniעודכן לאחרונה על ידי Michael Stewart, MRPharmSLast updated 5 May 2025
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Finasteride is for adult men only - it must נחשבת be taken by anyone aged under 18 years, or by women.
The dose is one (1 mg) tablet a day.
Side-effects are uncommon, but may include a loss of sex drive and a reduced ability to get an erection.
At a glance
Finasteride is a prescription medicine for male pattern baldness, not available on the NHS.
It works by stopping a male hormone from shrinking hair follicles.
Take one tablet daily, with or without food.
It can take up to a year to see the full benefit, and you need to keep taking it.
Possible side-effects include reduced sex drive or problems with erections.
Women who are pregnant should not handle the tablets.
See your doctor if you experience changes in mood, breast pain, or lumps.
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המשך לקרוא למטה
About finasteride for male pattern baldness
סוג התרופה | 5-alpha reductase inhibitor |
שימוש עבור | Male pattern hair loss |
נקרא גם | Propecia® |
זמין כ | טבליות |
Male pattern baldness is the common type of hair loss that develops in many men at some stage. The condition is sometimes called androgenetic alopecia. It is caused by a combination of hereditary (genetic) and hormonal factors.
Hair is made in hair follicles. A hair normally grows from each hair follicle for about three years. It is then shed and a new hair grows from the follicle. As balding develops, affected hair follicles gradually become smaller than normal. Each new hair that grows is thinner and shed more quickly than before. This eventually leads to a much smaller hair follicle and a thin hair that does not grow out to the skin surface.
Male hormones are involved in causing these changes. Hair follicles convert testosterone (the main male hormone) into another hormone called dihydrotestosterone. Affected hair follicles become more sensitive to dihydrotestosterone and this causes the hair follicles to shrink.
For some men, this normal ageing process can be distressing, particularly if it is excessive or occurs early in life. Treatment with finasteride can help prevent further hair loss. It works by stopping the conversion of testosterone to dihydrotestosterone.
Finasteride is only available on a prescription from a doctor, but it is not available on the NHS. This means you will be asked to pay the full price of the tablets when you receive your supply.
Before taking finasteride
חזרה לתוכןSome medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking finasteride it is important that your doctor knows:
אם אי פעם הייתה לך תגובה אלרגית לתרופה.
אם אתה נוטל תרופות אחרות כלשהן. זה כולל כל תרופה שניתן לרכוש ללא מרשם, כמו גם תרופות צמחיות ומשלימות.
המשך לקרוא למטה
How to take finasteride
חזרה לתוכןBefore you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about finasteride and will provide you with a full list of the side-effects which you may experience from taking it.
Take one (1 mg) tablet each day, exactly as your doctor tells you to. Try to take your doses at the same time of day, as this will help you to remember to take finasteride regularly.
Swallow the tablet whole (without breaking or crushing it) with a drink of water. You can take the tablet either with or without food.
If you forget to take a dose on time, take it when you remember. If you do not remember until the following day, leave out the missed dose. Do not take two doses together to make up for a forgotten dose.
להפיק את המרב מהטיפול שלך
חזרה לתוכןEach time you collect a new supply of tablets from your pharmacy, make sure they look to be the same as you have had before. This is because there is a high-dose brand of finasteride tablet available for the treatment of a different condition. If you are unsure that you have the correct tablets, ask your pharmacist to check for you.
Your hair growth may start to improve within a few months, although it can take up to a year or so for you to notice the full benefit. You will need to continue treatment to maintain this effect, as the balding process returns when you stop.
Finasteride may cause harm to an unborn baby. Because of this, women who are pregnant should not handle the tablets. Also, very small amounts of finasteride will be in your semen while you are taking this medicine. If you need further advice about this, speak with your pharmacist or doctor.
If you are having an operation or any medical treatment, tell the person carrying out the treatment that you are taking finasteride. This is because finasteride can interfere with a blood test used to detect prostate cancer, so you must tell your doctor about taking finasteride if you need this test.
המשך לקרוא למטה
Can finasteride cause problems?
חזרה לתוכןAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with finasteride. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Finasteride side-effects (these affect fewer than 1 in 10 men) | מה אני יכול לעשות אם אני חווה את זה? |
Reduced desire to have sex, inability to get an erection, breast tenderness, depressed mood, allergic-type reactions | אם אחד מאלה הופך לבעייתי, פנה לרופא שלך |
חשוב: if you develop any pain or lumps in your breast area, or any discharge from your nipples, you should tell your doctor. This is because there have been a few rare reports of breast cancer in men taking 5-alpha reductase inhibitors like finasteride and dutasteride.
Important: there have been reports of depression in men taking finasteride, and in rare cases, thoughts of self-harming. Patient alert cards are now included with your medicine alerting you to this fact. You should share this information with your family or friends so that they can be alert for any changes in your mood. If you develop any signs of depression whilst being treated with finasteride, or you have any concerns about your mood, make an appointment to see your doctor.
If you are taking finasteride for prostate problems, you should continue to take your medication until you have spoken with your doctor and agreed a plan.
If you are taking finasteride (Propecia) for male pattern baldness, you should stop taking this medication and make an appointment to see your doctor.
In addition, taking finasteride has caused problems with sexual function in some men, including loss of libido and problems maintaining an erection. This has sometimes continued after stopping treatment. Speak with your doctor if you are concerned about this.
אם אתה חווה תסמינים נוספים שלדעתך עשויים להיות כתוצאה מהטבליות, פנה לרופא או לרוקח שלך לקבלת ייעוץ נוסף.
How to store finasteride
חזרה לתוכןשמור את כל התרופות מחוץ להישג ידם וראייתם של ילדים.
יש לאחסן במקום קריר ויבש, הרחק מחום ואור ישיר.
מידע חשוב על כל התרופות
חזרה לתוכןמידע חשוב על כל התרופות
אם אתה קונה תרופות כלשהן, בדוק עם רוקח שהן בטוחות לשימוש עם התרופות האחרות שלך.
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
תרופה זו מיועדת עבורך. לעולם אל תיתן אותה לאנשים אחרים, גם אם מצבם נראה דומה לשלך.
אל תשמרו תרופות שפג תוקפן או שאינן רצויות. קחו אותן לבית המרקחת המקומי שלכם שיטפל בהן עבורכם.
אם יש לך שאלות לגבי התרופה הזו, שאל את הרוקח שלך.
דווח על תופעות לוואי לתרופה או חיסון
אם אתה חווה תופעות לוואי, תוכל לדווח עליהן באינטרנט דרך ה Yellow Card website.

לא בטוחים לגבי ערבוב תרופות?
בדוק אינטראקציות אפשריות בין תרופות, תוספים ומזונות לפני נטילתם יחד.
שאלות נפוצות
How quickly can I expect to see results from taking finasteride for hair loss?
You might start noticing an improvement in your hair growth within a few months of beginning treatment. However, it can take up to a year or so to experience the full benefits of finasteride.
Will my hair loss return if I stop taking finasteride?
Yes, if you discontinue treatment with finasteride, the balding process will typically resume. To maintain the positive effects on your hair, you will need to continue taking the medication.
Are there any specific situations where finasteride should be used with extra caution?
Yes, you should inform your doctor if you have ever had an allergic reaction to any medicine, or if you are currently taking any other medicines, including those bought without a prescription, or herbal and complementary medicines. These details help your doctor ensure finasteride is safe for you.
Can women take finasteride for hair loss?
The article states that finasteride may harm an unborn baby, and therefore, women who are pregnant should not handle the tablets. While the article discusses finasteride for male pattern baldness, it does not suggest its use for women. For further advice on this, it's best to speak with a pharmacist or doctor.
Could finasteride affect my performance in sports or other activities that require certain hormone levels?
Finasteride works by affecting male hormones, specifically by stopping the conversion of testosterone into dihydrotestosterone. The article mentions it can interfere with blood tests used to detect prostate cancer, but does not specifically detail impacts on sports performance. If you have concerns about impacts on specific activities, it's advisable to speak with your doctor.
What should I do if I notice changes in my mood, such as depression, while taking finasteride?
There have been reports of depression, and in rare cases, thoughts of self-harm, in men taking finasteride. Patient alert cards are included with the medicine to highlight this. It's important to share this information with your family or friends so they can be alert to any changes in your mood. If you develop any signs of depression or have concerns about your mood, you should stop taking the medication and make an appointment to see your doctor.
What should I do if I forget to take a dose of finasteride?
If you forget to take a dose on time, take it as soon as you remember. However, if you don't remember until the following day, you should skip the missed dose. Do not take two doses together to compensate for a forgotten dose.
קריאה נוספת והפניות
- Manufacturer's PIL, Propecia® 1 mg tablets; Merck Sharp & Dohme Limited. The electronic Medicines Compendium. Dated August 2024.
- תרופות מלאות BNF מהדורה 89; האגודה הרפואית הבריטית והחברה המלכותית לפרמקולוגיה של בריטניה הגדולה, לונדון.
המשך לקרוא למטה
About the authorView full bio

מייקל סטיוארט, MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

סיד דג'אני
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
היסטוריית המאמר
המידע בעמוד זה נכתב ונבדק על ידי קלינאים מוסמכים.
Next review due: 5 May 2028
5 May 2025 | הגרסה האחרונה

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