Manual Finasteride Treatment Plan

Manual Finasteride Treatment Plan

Thank you for choosing Manual. I have reviewed your questionnaire answers and we are happy to prescribe you Finasteride 1mg. Now this is an initial step in your journey to improve your hair and general wellness, and we want to be here to support you through the whole process. Any worries, concerns, questions – we are here for you.

As a first step it’s important for you to take the time to read the manufacturer’s patient information leaflet (PIL) enclosed in your box. This gives you a lot of information about how to take the medication, what to avoid, side-effects and potential interactions with other medication.  This is important to help you decide if this medicine is suitable for you, and to review some of the side effects taking this medicine has on a small percentage of men.

How does Finasteride work?

One of the most common causes of male pattern baldness is the activity of the hormone DHT in the hair follicles. Finasteride is a drug that blocks the enzyme 5-alpha reductase. By doing so it blocks the conversion of testosterone to DHT, which is the main culprit causing hair loss. This reduces the levels of DHT and reduces its impact on the hair follicles. The result: this slows down hair loss and in some cases reverses it!  Don’t worry, it will only affect the hair on your scalp, not the other areas of your body!

Will Finasteride work for me?

The evidence available suggests that Propecia is effective in 90% of men with mild to moderate male pattern baldness, and is most effective if taken for more than 12 months. There is little evidence that it works for receding hairlines at the temples only, or for men with extensive hair loss. However it should in theory still prevent further recession into the middle of your scalp.

You may need to take Propecia for at least 3-6 months before you see a benefit. If Propecia has not worked for you within 12-24 months, further treatment is unlikely to be of benefit. If you stop taking Propecia, you will most likely lose any hair you have gained within the 12 months of stopping.

When and how is it taken?

For the best results, it is important to start treatment early on to minimise hair loss. If you think about it, it is easier to keep the hair you currently have, than regrow what is lost – So let’s get going! Remember to take one Finasteride tablet daily, for optimal performance, with or without food. It can take upto 3-6 months to start to see noticeable improvement. So for maximal success and continual benefit, consider using finasteride as a long term treatment.

What are the side effects?

Most men taking finasteride don’t experience side effects, but we want to ensure you know what to look out for if you do. So please read the Patient Information Leaflet and if you have any concerns, drop a message to one of our clinicians on the message portal in your account and we will get back to you in a jiffy.

Now some special scenarios: If you develop depression or change in your mood, you must stop the medication immediately and speak to a doctor. Additionally,  if you experience any changes in your breast tissue such as lumps, pain, enlargement or nipple discharge promptly inform us or a doctor. Cases of infertility and/or poor quality of sperm have been reported. Improvement of the quality of the semen has been noted after stopping the finasteride. There isn’t enough data available to confirm how significant these cases are at present.

If you are allergic to Finasteride or the excipients of finasteride, anaphylaxis or a generalised severe allergic reaction may occur. Symptoms can include fainting, shortness of breath, sudden drop in blood pressure and swelling of the face and neck. If you feel very unwell or experience serious, severe or persistent side effects please go to your local Accident & Emergency department immediately or in an emergency call 999.

We want the best for you and your health. It is important you don’t feel alone, so please voice your concerns and get in touch with one of our team for more help if you need it.

Who should not take it?

Finasteride use is contraindicated in women and children. Tablets are film coated to protect handlers from the active ingredient, but crushed or broken tablets must never be handled by those who are pregnant or breastfeeding, including females of childbearing age. This is due to the risk of potential harm it may cause to an unborn baby.

Available evidence suggests trace amounts of finasteride found in the semen. This is unlikely to pose a risk to an unborn child, but we recommend:

  • Discontinuing finasteride if trying for a baby
  • Having protected intercourse (e.g. wear a condom), if there is chance your partner could become pregnant

Finasteride is not suitable for men with benign prostate enlargement (BPE) currently receiving treatment with an 5-alpha reductase inhibitor (e.g. finasteride 5mg tablets) or those with hypersensitivity to the ingredients within the tablet as listed in the product information leaflet.

What if my medical status changes or I am due a blood test?

Not to worry – the good news is studies indicate no significant interactions between Finasteride and other medicines.

If you are due a blood test for prostate specific antigen (PSA), it is important to inform the clinician conducting the blood test that you are taking finasteride. As it might make it more tricky for them to interpret in the usual way.

Please inform our clinicians via your patient account messaging facility: if you start taking any new medicines or if there are any significant changes to your medical history. Also if you experience any significant side-effects or want further advice on your treatment.

It is also important you inform your GP about the medicines you take, so they are fully informed. So it is advisable that you inform them of what you have been prescribed.

Until then, we hope to see you back again!