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Hair Restoration Answers

When Will Propecia Be Generic?

Q: I want to save money on Propecia (finasteride 1mg), so I have been using generic Proscar (finasteride 5mg) and cutting it into four pieces, but it is becoming a nuisance. I heard that Propecia will be generic soon. Do you know when this will happen? — P.R., Queens, NY

A: It is anticipated that Propecia will be available in a generic form in the Fall of 2013.

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Hair Restoration Research

Dutasteride vs. Finasteride

In the study, 416 men with male pattern hair loss (MPHL) ages 21 to 45 years old, were randomized to receive dutasteride 0.05, 0.1, 0.5 or 2.5 mg, finasteride 5 mg, or placebo daily for 24 weeks. The results of the study showed that dutasteride increased hair counts in a dose-dependent fashion and dutasteride 2.5 mg was superior to finasteride 5mg at 12 and 24 weeks.

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Concerning possible sexual adverse events, there was no evidence in the present study that either dutasteride or finasteride was associated with impotence. However, 9 men in the 2.5-mg dutasteride group complained of decreased libido, compared with 1 man in the 0.5-mg dutasteride group and 3 men in the finasteride group. As with previous studies with finasteride, this adverse event was characterized as either mild or moderate in severity and often resolved with a continuation of the medication. In the 4-year follow-up of the phase III trials in BPH, dutasteride (0.5 mg) was well tolerated and the incidence of the most common sexual adverse events was low and tended to decrease over time.

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