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Can I take finasteride every other day for hair loss?

6 min
06/13/2024
Finasteride is an antiandrogen 5α reductase inhibitor that works by reducing the production of dihydrotestosterone (DHT) by approximately 70%, as well as the production of several anticonvulsant neurosteroids. Finasteride tablets are used to treat hair loss in men. It is usually prescribed as a daily medication to treat hair loss, and some studies indicate that taking it every two days may be effective in promoting hair regrowth with the possibility of reducing side effects. It is also used to treat benign prostatic hyperplasia (BPH).

Finasteride and its uses

As is known to everyone, finasteride is used for two main purposes:

  1. Hair loss treatment (androgenic alopecia): It helps improve hair growth and increase the hair count in men who suffer from male pattern hair loss, by reducing the amount of dihydrotestosterone (DHT), which is the hormone that makes hair thin and short.
  2. Treating benign prostatic hyperplasia (BPH): For men with an enlarged prostate, finasteride can relieve symptoms of excessive urination by reducing the size of the prostate, and may also contribute to the possibility of delaying the need for surgery. Benign prostatic hyperplasia is caused by the growth of the prostate, which affects the hormone DHT. Finasteride inhibits the enzyme 5α reductase, which converts testosterone to DHT, resulting in lower DHT levels and improved symptoms.

Standard dosing vs alternate-day dosing

There is a common therapeutic approach to taking finasteride doses depending on the condition and the reason for treatment, but some studies have highlighted a new way of taking the drug. Here is the difference between the usual doses and the new approach:

  • Standard doses:

    • Male hair loss treatment: The standard dose for male hair loss treatment is 1 mg orally once a day. It is necessary to take it continuously for at least 3 months to observe the benefits, as it is recommended to continue use to maintain the results.
    • Benign prostatic hyperplasia (BPH): The standard dose for treating BPH is 5 mg orally once a day. This dose is the same for both monotherapy and combination therapy.
  • Alternate-day doses:

    • Some studies have compared 1 mg of finasteride every day with 1 mg of finasteride every other day, as taking it every other day may reduce its side effects, but more research is still needed to definitively support this treatment approach.

What is the efficacy of alternate-day finasteride use?

  • The effectiveness of using finasteride in every-other-day doses has been studied, but more research is needed to reach definitive conclusions.
  • The standard recommended dosage for finasteride is 1 mg per day, and altering the frequency of use may potentially affect its effectiveness.
  • It is important to keep in mind that taking finasteride every other day should be done in consultation with a specialist doctor, who can evaluate individual circumstances and make personal recommendations based on factors such as the severity of hair loss or prostate enlargement, medical history, and potential drug interactions.

Pros and cons of every other day dosing

pros and cons of using finasteride

The controversy revolves around the pros and cons of alternative doses of finasteride and the comparison between them. Here are the most important points that you should know:

1. Pros:

  • Reduce side effects: Taking finasteride every two days may help reduce the incidence of side effects such as impotence, breast tenderness, and mood changes.
  • Cost savings: Alternating doses may result in cost savings because you will use fewer tablets over time.
  • Pharmacological benefit: Some studies indicate that alternate-day doses maintain similar efficacy to daily doses while reducing adverse effects.

2. Cons:

  • Less effective doses: Alternate day dosing may cause fluctuations in drug levels for some, which may affect its effectiveness.
  • Slower results: If you are using finasteride for hair loss, taking it every other day may delay noticeable improvement in hair growth.
  • Lack of clear guidelines: There are no standardized recommendations for alternative day doses, so it is necessary to consult a specialist doctor for personal advice.

Side effects and how to manage them

Understanding the side effects of finasteride and how to manage them is essential. Here’s what you should know:

1. Common side effects:

  • Ejaculation problems: Some individuals may experience changes in ejaculation.
  • Breast pain: You may notice breast pain or enlargement while taking finasteride.
  • Skin rash: Skin rash is another possible side effect.

2. Mild side effects:

  • They can include decreased libido, erectile dysfunction, and mild allergic reactions.
  • Mild side effects may be temporary and often improve over time.

3. Serious side effects:

Although serious side effects are rare. If you experience any of the following, seek medical attention immediately:

  • A lump in the breast
  • Nipple Discharge
  • Pain in the testicles
  • Inability to urinate

4. Managing side effects:

  • Regular dosage: Follow your prescribed dose and take finasteride at the same time every day.
  • Lifestyle changes: Regular exercise, a balanced diet, and stress-reduction techniques (such as yoga or meditation) can help relieve side effects.
  • Consult your doctor: If side effects persist or become bothersome, discuss them with your doctor so he can advise you on possible modifications or alternatives.

Is alternate-day dosing right for you?

alternate-day dosing of finasteride

Determining whether alternate-day dosing of finasteride is suitable for you involves several considerations:

1. Consult Your Doctor:

  • Always start by discussing your specific situation with a healthcare professional.
  • They can assess your medical history, current health, and any other medications you’re taking.
  • Based on this evaluation, they’ll provide personalized advice.

2. Individual Response:

  • Everyone responds differently to medications.
  • Some individuals may tolerate alternate-day dosing well, while others may not.
  • Your doctor can help gauge your individual response.

3. Balancing Efficacy and Side Effects:

  • Consider the balance between hair loss management and potential side effects.
  • Alternate-day dosing may reduce side effects but could impact efficacy.
  • Discuss your priorities with your doctor.

4. Monitoring:

  • Regular follow-up appointments are crucial.
  • Monitor any changes in hair growth, side effects, and overall well-being.
  • Adjust the dosing regimen as needed.
  • Remember, personalized advice from a healthcare provider is essential.

In conclusion, alternate-day dosing of finasteride offers a potential strategy for men experiencing hair loss who are concerned about side effects. While some studies suggest this regimen might reduce adverse effects while maintaining efficacy, more research is needed to confirm these findings. It is crucial to consult with a healthcare professional to tailor the treatment to individual needs and monitor its effectiveness. Balancing the management of hair loss with minimizing side effects is key, making personalized medical advice essential for optimal results.

For more detailed information, visit Aneeq’s blog.

FAQ

1. What happens if you don’t take finasteride every day?

  • Inconsistent use can lead to a loss of the hair regrowth achieved and a resumption of the balding process.
  • Finasteride results may take time to become noticeable. It typically takes three to six months of consistent use to see significant improvements in hair growth. Patience is key when using finasteride.
  • Consult with a specialist doctor to evaluate your circumstances and provide you with personalized recommendations. They can assess factors such as the severity of hair loss, medical history, and potential drug interactions to optimize the use of finasteride.

2. How to maximize finasteride results?

Frequency of use may have an impact on finasteride’s effectiveness since it blocks the enzyme that changes testosterone into dihydrotestosterone, a hormone associated with hair loss and an enlarged prostate. In collaboration with a specialized physician, it should be taken every other day while taking into account probable medication interactions, medical history, and the degree of hair loss.

3. What stops finasteride from working?

Finasteride is a medicine that reduces testosterone conversion to dihydrotestosterone, a hormone that damages hair follicles. Hair growth improves significantly after three to six months of constant usage. Individual genetic characteristics can determine how well finasteride works. Before taking finasteride, consult your doctor about any underlying health issues or drugs.

Dr Hassan Galadari
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