Since the beginning of that treatment, I used the recommended dose of 1 mg/day in MAGA with extremely low incidence of side effects (very few of my patients complained decrease of libido –sometimes more psychological than real and usually reversible after interruption of treatment or addition of a vitamin or ginseng moderate dose placebo-; two patients had moderate gynecomastia; practically I have not seen other side effects). In my experience the non-responders to that dosage don’t have better results with a higher one and the low probability of side effects increases. Another question could be in women (FAGA) where finasteride is not approved even though in postmenopausal it may work in a relative more dose-dependent mode. However all my comments are based in my own clinical experience and there are many well designed published trials that could be useful to you Dr. Venkata.
Hello Colleagues,
Even though my comment was written many months ago, after reading some new opinions I should like to add some short remarks: 1) There is no a single drug or remedy that cannot cause a side effect, at least in some individuals; 2) In my long term practice I have seen very few and always minor problems with finasteride 1mg in MAGA, as I mentioned in my previous annotation; 3) As urologists utilize higher doses and their patients are generally older than ours it is natural that they observe side effects more frequently.
Dr. Ali Abdil Razzaq Muhammed Noori Aldallal emphasizes the need of a clear explanation to the patients about how and when the pills must be taken. Really this is not a dangerous drug however he is right and I fully agree in the importance of meticulous information as the patients will take this medication for long time, maybe with no regular medical control.
It is a pleasure to exchange these comments with all of you. Best regards.
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