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Suggest alternatives to Finasteride tablet

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Posted on Sat, 12 Jul 2014
Question: Good day doctor, i just had a fue hair transplant operation and i was advised to start getting medication for 3 months and one of the medisons was "finasteride soha" 1mg

And based on my reasearch on it , and i found alot of side affects that might come during using it such as Genitourinary, Endocrine, Abnormal ejaculation, decreased ejaculatory volume, abnormal sexual function, gynecomastia, erectile dysfunction, ejaculation disorder, testicular pain, male infertility and/or poor seminal quality and that those side affects may remain even after stoping medication

And i think i need this medison to get help my hair growth beside strenthen the hair in some areas where no hair was transplanted to

Please advice if i should go on this medison or is there is any alternatives
doctor
Answered by Dr. Sanjay Kumar Kanodia (2 hours later)
Brief Answer:
Kinldy provide important details.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for Finasteride tablet and its related side effects you studied on internet.

In view to help you best can you please tell me since exactly how long you are taking Finasteride tablet. Also kindly tell me have you experienced any kind of side effects which you studied or other than that after taking the tablet.

Kindly tell me about your sexual activity statutes or marital status and if married then any planning to father a child in near future.

Hope to hear soon form your side.

Regards.
Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (5 hours later)
Thank you for your reply

Acctually i just had the operation 10 days ago and i still did not start taking the pills but i read about it on the internet, i am married but not planning to have children anytime this year

I usually have sex 3 to 4 times a week , but since the operation i had sex only once on the 10th day.

And i am afraid that taking that pills will affect during having sex where some of the side affects on my sex life and may be continued even after stopping the pills

Looking forward hearing from you
doctor
Answered by Dr. Sanjay Kumar Kanodia (3 hours later)
Brief Answer:
Gamma Linolenic Acid+Biochanin-A+ saw palmetto

Detailed Answer:
Hello young man,

Welcome again to the forum and thanks for posting important details.

After analyzing the situation I am not in favor of finasteride to be given to you. There are few important things in this regard:

- You are young sexually active man with 3-4 times per week of sexual activity. It is one of the basic requirement of every young man and if even slightest of problem occurs then becomes a big issue for young men like all of us. Finasteride do interfere with sexual potency and therefore even bit of change may cause lot of concerns.

- Finasteride once started has to be given for multiple of months period. At this time you are not planning to father a baby but next year you might be. Considering this situation also you are just 6 months away from next year so we can not abruptly start and then stop the drug.

- Lastly there are latest of newer drugs by which the same activity of finasteride can be achieved without its side effects. In my patients with your kind of problem I prefer to use a oral therapy with Gamma Linolenic Acid- An omega-6 fatty acid which is found mostly in plant based oils and is now commercially available. It inhibits both type-1 & type- isoforms of 5α-reductase even at very low concentration.

In topical solution also there is latest of compound with Biochanin-A which is natural phytoestrogen which inhibits both isoforms of 5α-reductase exactly similar to finasteride. There is also saw palmetto extracts which are used to prevent the effect of 5α-reductase. There are no side effects of any of these therapies and have proved to be safest.

So I suggest you to ask your treating doctor regarding your concerns and get guidance for latest of the therapies enumerated above.

Hope these informations will help you.

Regards.
Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (3 hours later)
Thank you doctor ,

Could you please provide the commercial name of this product so i can get it and what are the doses and for what period i should take it
doctor
Answered by Dr. Sanjay Kumar Kanodia (2 hours later)
Brief Answer:
Kera-XL or Q-Sera serum +Keraglow men tablets

Detailed Answer:
Hello young fellow,

Welcome to the forum again.

I was trying to find out your location so that I could have suggested the medications.

In XXXXXXX it is available with Brand name of Kera-XL or Q-Sera serum to apply on scalp and Keraglow men tablets to be taken once daily for 3 months.

You can find out at your local place and better to ask your treating doctor to guide you for the same.

Hope these informations will help you.

Regards.
Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Suggest alternatives to Finasteride tablet

Brief Answer: Kinldy provide important details. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your concern for Finasteride tablet and its related side effects you studied on internet. In view to help you best can you please tell me since exactly how long you are taking Finasteride tablet. Also kindly tell me have you experienced any kind of side effects which you studied or other than that after taking the tablet. Kindly tell me about your sexual activity statutes or marital status and if married then any planning to father a child in near future. Hope to hear soon form your side. Regards. Dr Sanjay Kumar Kanodia MD (Dermatology)