Is there any special consideration or precaution needed to start medication (Rogaine or Propecia etc.), if the patient is above 60 years old?
All men over 50 years old should obtain a PSA (prostate specific antigen) test prior to starting Propecia, since it may lower the blood level in those who may be harboring an early cancer (delaying the diagnosis). Other than this one observation, the risks of side effects are the same for older men as younger men. There is no similar problem with minoxidil, but as minoxidil has antihypertensive effects, it has been known to produce lightheadedness from small drops in a person’s blood pressure.
Propecia is the brand name for finasteride in 1mg strength. Finasteride in 5mg strength has been reported to lower the risk of certain prostate cancer.
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