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Can Hair Loss Increase During First Four Months of Treatment with Propecia?

January 19th, 2007

Q: I am a 22 yr. old male and have been on Propecia for exactly 4 months. When I started taking the medication, I was in the beginning stages of hair thinning/loss in the front and crown areas, with no change in my hair line. During the time I have taken Propecia, my hair loss has increased drastically. Is it that I just have to bite the bullet and am one of the few unlucky individuals that do not respond to Propecia? Could it be that I am taking the medication incorrectly? Wrong time of day? With or without food? Or, do I just need to give it more time? Is there still a chance I could at least regain the hair I’ve lost over these past 4 months?

A: You are probably experiencing an accelerated phase of hair loss that is possibly made worse by the finasteride. The shedding from finasteride is common during the first few months of treatment and is temporary. The full effects of Propecia are not seen for 6 to 12 months.

I would continue to take the medication for at least a year before you judge if it is working. It does not matter the time of day or relationship to food.




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Posted by Robert M. Bernstein M.D. at 4:44 pm

Why is Propecia Hair Loss Medication Not Stopping Hair Loss?

September 22nd, 2006

Q: I have been on Propecia for a year and my hair loss has not stopped or slowed down. How much longer should I give the drug? Can Propecia speed up hair loss in some patients? A: If you have not responded to Propecia in one year, it is unlikely that you will. Finasteride may [...]




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Posted by Robert M. Bernstein M.D. at 12:44 pm

Should One Increase Dose of Propecia if Hair Loss Continues During Treatment?

June 12th, 2006

Q: I recently turned 22 and have been on Propecia for about 2.5 years. The amount of hair that de-miniaturized with daily 1 mg peaked about a year ago and I have seen steady thinning since. I feel that I am too young for a hair transplant. My question is whether or not an increase [...]




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Posted by Robert M. Bernstein M.D. at 10:28 am

Before Hair Transplant, How Long Should One Use Propecia Hair Loss Medication?

April 14th, 2006

Q: I am 28 years old and was told that I have early Norwood Class 3 hair loss. I want to have a hair transplant but my doctor told me to use Propecia for 6 months and then come back to discuss surgery. I don’t want to wait that long, what should I do? A: [...]




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Posted by Robert M. Bernstein M.D. at 1:10 pm


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