Provided by You Health

Oral Finasteride

This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer’s pamphlet that comes with the medicine. The manufacturer’s pamphlet contains the full information on interactions, side effects, and other important information you should know about the medicine before you start.

Instructions

We are prescribing this treatment plan to help prevent male pattern hair loss on the scalp and promote hair regrowth when used regularly as prescribed. The main action is preventing further hair loss. It takes at least 3 months to begin seeing results and maximum results may not be achieved until at least 2 years of consistent use. You can use this medicine in conjunction with topical minoxidil to enhance hair loss prevention and regrowth.

Follow Up Plan

When you are ready for a refill you will need to return for a refill visit to help screen for side effects.

Active Ingredients

This medicine contains the following active ingredients. If you are allergic to any of these components, similar components, or any of the others components listed in the manufacturer’s pamphlet do not take it and call or message us immediately.

- Finasteride

Allergies

This medicine may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please stop the medicine and call or message us or see your doctor in-person.

  • Dutasteride
  • Finasteride

Conditions

We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop or discover that one of these conditions applies to you please stop taking this medicine and call or message us immediately.

  • Genetically female or changing sex
  • Kidney problems
  • Liver problems
  • Prostate cancer
  • Prostate problems
Pregnancy and Breastfeeding

Women should not take or handle this medicine. If you become pregnant or are breastfeeding and handle this medicine call or message us immediately and talk to a doctor in-person.

What are the common side effects of this medication?

Common side effects include rash, breast tenderness or enlargement (reported in less than 1% of patients) which typically resolve after the medication is stopped, and sexual dysfunction (in clinical trials, 1.2%-1.4% of patients taking Finasteride experienced medication-related sexual dysfunction side effects including decreased libido, erectile dysfunction or a decrease in the volume of ejaulation vs. 1% of those taking placebo):

  • Decreased libido 1.8%
  • Erectile dysfunction 1.3%
  • Decreased volume of ejaculate 1.2%

Several studies have documented the majority of these side effects are reversible. However, 1.4% of the patients who experience side effects may continue to have symptoms following discontinuation of Finasteride. Of particular note there has been an association of the sexual dysfunction symptoms and the use of NSAIDS (Motrin, Advil, Aleve type medications.) For this reason Finasteride should be stopped for the period of time when you take NSAIDS.

Does Finasteride cause depression?

A literature review shows there may be evidence of increased depressive symptoms in individuals younger than age 45 while using Finasteride for hair loss. Patients with new or worsening depression should stop Finasteride use and follow up with their health care provider or a mental health therapist. Source: MedPageToday.org

Does Finasteride cause prostate cancer or prostate enlargement (BPH)?

There have been reports of a slight increased risk (1.8% with 5mg Finasteride dosage versus 1.0% placebo) of high grade prostate cancer for men over age 55 years old. These reports are from men taking a higher dosage of Finasteride (5mg) than the dosage we prescribe for hair loss (1mg). There have been conflicting studies on the increased risk in the number of high grade prostate cancers; however, several recent studies have shown no increase in the number of deaths (with a recent study showing fewer deaths) in patients who use Finasteride at the 1mg dosage. Finasteride can be useful in the treatment of BPH and urinary retention because it can have an antiandrogenic effect (testosterone blocking) at a 5mg dosage. For hair loss, patients are given a 1mg dosage, which should not produce any antiandrogenic effect.

Does Finasteride change blood Prostate Specific Antigen (PSA) levels?

Finasteride can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you have a PSA test done you should tell your healthcare provider that you are taking Finasteride because Finasteride decreases PSA.

The following have been reported as less common side effects with Finasteride use:

  • Allergic reactions including: rash, itching, hives and swelling of the lips, tongue, throat, and face
  • Testicular pain
  • Male infertility and/or poor quality of semen
  • In rare cases, male breast cancer

Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

These are not all the possible side effects of Finasteride. For more information, ask your healthcare provider or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Medicines, Supplements, and Foods

We have evaluated your health history and the specific health information you provided us, however if anything changes and you start or discover that you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan.

Risks

Accurate Information

We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided that information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to clarify or update any information about your health you can message or call us anytime.

Treatment Failure

This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency call 911 or seek immediate medical help in-person. You may need to seek alternative treatment such as those listed below or in the follow-up plan.

Misdiagnosis or Delayed Diagnosis

There is also a risk that we will misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in-person as well but they may have additional signs and symptoms to aid their evaluation. We use the evidence based practice and guidelines as well as clinical decision support to try to minimize these risks. Here are some other diagnoses that we attempt to rule out:

  • Alopecia areata
  • Alopecia totalis
  • Alopecia universalis
  • Cicatricial alopecia
  • Metabolic derangements
  • Syphilis
  • Telogen effluvium
  • Tinea capitis
  • Toxic exposure
  • Traction alopecia
  • Trichotillomania
Accepting or Declining Our Recommendation

We are recommending this treatment for you because the potential benefits outweigh the risks in our estimation. You should evaluate this information as well as the manufacturer’s pamphlet, any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. You are free to not follow our recommendations although there may also be risks associated with no treatment.

Alternative Treatment

We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can’t provide. Message us or talk to your doctor in-person to discuss alternative treatments. Here are some other treatments or strategies that you might consider:

  • Hair transplant surgery
  • Laser light therapy
  • Micro-needling

Share with Your In-Person Healthcare Team

You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.

You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.