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Finasteride

Brand Name Manufacturers Proscar by Merck
Propecia by Merck
Generic Manufacturers None
Pharmacology Androgen conversion inhibitor. Inhibits the production of dihydrotestosterone (DHT) from testosterone by inhibiting the binding of 5a-reductase, which is the enzyme responsible for converting testosterone to DHT. DHT is the active androgen found in the skin and prostate gland, and is associated with the development of male pattern baldness, excess body hair, and benign prostatic hypertrophy. Not suitable as a general anti-androgen since it only affects DHT production. However, it seems to be more helpful in counteracting male-pattern baldness and excess body hair than general anti-androgens.
Delivery 5mg oral tablets (Proscar)
1mg oral tablets (Propecia)
Typical dosage Pre-op 0.05-1mg/day
Post-op 0.05-1mg/day
(See comments below)
Availability Approved by U.S. FDA
Indications Benign prostate enlargement
Contraindications Hypersensitivity to any component of the product.
Adverse reactions Generally mild and transient
Comments Anecdotal evidence strongly suggests that pill fragments taken daily are just as effective as taking the entire pill. There might issues with oxidation, so avoid handling the unused fragments, and keep them in a small, air-tight container.

Do not let a female who is pregnant, or might be pregnant, anywhere near finasteride fragments or powder. It is a strong teratogen, known to cause genital deformity in the male fetus.

Based on rabbit and rat studies, there may be a slight effect on male fertility that would reverse within 6 weeks of discontinuing.

Additional Info: Propecia Prescribing Information (PDF file on this site)
Proscar Prescribing Information (PDF file on this site)

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