1. About finasteride
Finasteride is used to treat men with an enlarged prostate (benign prostate enlargement). It can help ease your symptoms if:
- it’s difficult to start peeing
- you need to pee urgently or frequently more often
- it’s difficult to empty your bladder completely
Finasteride comes as tablets. It’s available on prescription only. It can also be used to treat men for hair loss (male pattern baldness). However, for hair loss you can only get finasteride on a private prescription. This means you’ll need to pay the full cost of the medicine. It’s not available on the NHS.
This medicine is generally not recommended for women. It might be prescribed by a specialist doctor only in very rare cases.
2. Key facts
- You’ll usually take finasteride tablets once a day.
- The main side effects are losing interest in sex and difficulty getting an erection.
- Finasteride can affect the results of PSA testing (a blood test to check for prostate cancer)
- This medicine gets into semen and can harm an unborn baby. Use a condom when having sex if your partner is pregnant or could get pregnant.
- If you’re pregnant or trying to get pregnant, do not touch crushed or broken finasteride tablets. If the tablets are broken, the medicine can pass through your skin and can harm your baby.
3. Who can and cannot use finasteride
Finasteride can be taken by men aged 18 years or over. It’s generally not recommended for women or children. Finasteride is not suitable for some people. To make sure this medicine is safe for you, tell a doctor if you:
- have had an allergic reaction to finasteride or any other medicines in the past
- have severe bladder problems
- have liver problems
- are trying for a baby or have a pregnant partner – this medicine passes into semen and can affect an unborn baby
4. How and when to take finasteride
You can take finasteride with or without food. It does not matter what time of day you take it, just make sure it is around the same time each day. Swallow your finasteride tablets whole with a drink of water. Do not break or crush them.
Pregnant women must not touch crushed or broken finasteride tablets. This medicine passes through skin and can harm an unborn baby.
For enlarged prostate the usual dose is 5mg, taken once a day. For hair loss, the usual dose is 1mg, taken once a day. You will usually take finasteride for a long time. You may need to take it for several months or years.
What if I forget to take it?
- If it’s less than 6 hours since you were due to take it, take your finasteride as soon as you remember.
If it’s more than 6 hours since your dose was due, skip the missed dose and take the next one at the usual time.
- Do not take a double dose to make up for a forgotten dose.
- If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
What if I take too much?
Finasteride is generally very safe. Taking too much is unlikely to harm you.
Urgent advice: Contact 111 for advice now if:
- you take too much finasteride and feel unwell
- Go to 111.nhs.uk or call 111
5. Side effects
Like all medicines, finasteride can cause side effects in some people, although not everyone gets them.
Common side effects
These common side effects happen in more than 1 in 100 people. They usually improve after a while. However, talk to your doctor or pharmacist if these side effects bother you or do not go away:
- problems getting an erection and less interest in having sex
- problems with ejaculating, such as little or no semen
Serious side effects
Serious side effects are rare and happen in less than 1 in 1,000 people. Some people may notice these side effects after taking finasteride for a few months.
Speak to your doctor if you get:
- any lumps, pain or swelling in your chest area or discharge from your nipples – these may be signs of a serious condition such as breast cancer
- unusually low mood (depression) or thoughts of harming yourself
Serious allergic reaction
In rare cases, finasteride may cause a serious allergic reaction (anaphylaxis).
Immediate action required: Call 999 or go to A&E now if:
- you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
- you are wheezing
- you get tightness in the chest or throat
- you have trouble breathing or talking
- your mouth, face, lips, tongue or throat start swelling
You could be having a serious allergic reaction and may need immediate treatment in hospital. These are not all the side effects of finasteride. For a full list see the leaflet inside your medicines packet. You can report any suspected side effect to the UK safety scheme.
6. How to cope with side effects
What to do about:
- problems getting an erection and less interest in sex – these side effects should improve with time. If they do not get better, speak to your doctor.
- problems with ejaculating – if the amount you ejaculate is less than usual or you have no semen at all, you do not need to worry as this side effect is harmless. Talk to a doctor if it does not get any better.
7. Advice for women
Even though finasteride is not generally prescribed for women, it could still harm an unborn baby. Use a condom when having sex if your partner is taking finasteride. This is because small amounts of finasteride pass into semen.
Do not touch any crushed or broken finasteride tablets if there’s any chance you could be pregnant. Finasteride can get into your bloodstream through your skin if you handle broken tablets. This is why the tablets come with a protective coating.
8. Cautions with other medicines
Finasteride is not affected by other medicines.
Mixing finasteride with herbal remedies and supplements
St John’s wort (a supplement sometimes taken to help with depression) might stop finasteride working as well as it’s supposed to.
However, there’s very little information about taking other herbal medicines and supplements with finasteride.
Tell a doctor or pharmacist if you’re taking other medicines, including remedies, vitamins or supplements.
9. Common questions about finasteride
How does finasteride work?
Finasteride is a type of medicine called a 5-alpha reductase inhibitor. It works by stopping testosterone (a sex hormone) turning into another hormone called dihydrotestosterone (DHT).
DHT can cause your prostate to grow bigger. It can also stop your hair growing. Finasteride stops DHT being produced and this helps shrink your prostate and reduce hair loss.
How long does it take to work?
You may notice an improvement a little while after you start taking finasteride. However, for an enlarged prostate it can take up to 6 months for this medicine to take full effect. For hair loss, you can expect to see some improvement after 3 to 6 months.
How long will I take it for?
You will usually take finasteride for a long time. It could be several months or years. Do not stop taking it without talking to your doctor first. If you stop taking finasteride, your hair loss or symptoms of an enlarged prostate will usually come back.
Is it safe to take long term?
Finasteride is generally safe to take for a long time. Many people take it for many months or even years without any problems.
However, there have been reports of breast cancer in some men taking finasteride, but this is rare. Speak to your doctor if you get any changes in your chest area such as lumps, pain or swelling, or discharge from your nipples.
Finasteride does not increase your risk of getting prostate cancer. However, if you take finasteride and later get prostate cancer then you're more likely to have a fast growing tumour.
Some men have reported that sexual side effects (such as not being able to get an erection) continued to bother them even after they stopped taking finasteride. Talk to your doctor if you're bothered by any of these side effects.
Can I drink alcohol with it?
You can drink alcohol with finasteride.
Are there any foods and drinks I need to avoid?
You can eat and drink as normal when taking finasteride.
Will it affect my contraception?
Finasteride is not thought to stop any type of contraception working. However, this medicine is not usually taken by women. Men who take finasteride need to use a condom if their partner is pregnant or if there's any chance they could be pregnant. This medicine passes into semen and can harm an unborn baby.
Will it affect my fertility?
Speak to your doctor if you're planning to start a family. Small amounts of finasteride pass into semen and can be harmful to your unborn baby. Some men taking finasteride have reported test results showing that they had poor sperm quality or were infertile.
This is not a common side effect and your sperm usually returns to normal after stopping finasteride. Speak to your doctor if you have recently stopped finasteride and you and your partner are trying for a baby. This is because it takes a while for the effects of the medicine to wear off.
Will it affect my sex life?
Finasteride can give you side effects such as not being able to get an erection (impotence) and having less interest in sex. These side effects usually pass after a while. If these side effects do not go away, are worrying you or affecting your sex life, speak to your doctor.
Can I drive or ride a bike?
Finasteride will not affect your ability to drive, cycle or operate machinery.