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Finasteride

The most-replicated, cheapest, most-effective hair-loss drug ever made.

Aliases (5)
Propecia · Proscar · MK-906 · fin · topical finasteride
TYPICAL DOSE
ROUTE
CYCLE
STORAGE

Overview

What is Finasteride?

The most-replicated, cheapest, most-effective hair-loss drug ever made. Also the source of the most contentious adverse-effect controversy in cosmetic dermatology (PFS). For a 20yo with no hair loss, there is nothing to treat — WATCH-LIST until MPB onset, then topical first.

What to Expect

  • Week 1
    Tolerability and dose-response.
  • Week 2-4
    Early effect window.
  • Week 4-8
    Peak benefit assessment.
  • Week 8+
    Cycle decision point.

Side Effects & Safety

  • Common (1-5%): decreased libido, erectile dysfunction, decreased ejaculate volume, gynecomastia (rare), depression (small RR vs placebo in pooled trials).
  • Reversible on discontinuation: most cases resolve within weeks to months.
  • Rare-permanent (PFS): persistent sexual, mood, cognitive symptoms. Unpredictable. No reliable recovery treatment.
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