Can I Vary Dosage of Propecia in Treatment of Hair Loss?December 14th, 2005
Q: I am not yet ready for a hair transplant but am considering Propecia. What is your opinion on the “optimal dose”? I know Merck recommends 1 mg, but could I get away with taking less? Or would I get a better result by taking more (2-3 mgs)?
A: You may get away with 0.5 mg a day. However, there are published data by Roberts et. Al. in the JAAD in 1999 showing a dose-response between 0.2 and 1 mg/day, with the lower dose showing reduced efficacy, from controlled clinical trials.
There is little evidence that a higher dose helps, but I often double the dose if a patient has been on 1mg a day for 3-5 years and then stops responding. The hope is that this can postpone the need for surgical hair restoration, but there is no scientific data to support that it will.Related Posts:
- Is the Dose of Finasteride the Same for Everyone?
- Does Propecia Work in Older Patients?
- Does Propecia Work for Life or Does it Stop Working Over Time?
- Is Propecia and/or Rogaine Mandatory after a Hair Transplant?
- Do Propecia (Finasteride) and Rogaine (Minoxidil) Work on Front of the Scalp?
Topic: Drugs (Medications)
Tags: Hair Loss Medication, Hair Loss Medication Dosage, Merck, Propecia (Finasteride), Propecia Dosage, Pulse Therapy for Hair Loss Posted by Robert M. Bernstein M.D. on December 14th, 2005 at 12:59 pm