Hi there,
Thanks for this blog it really is so helpful to many of us! I am 24 and definitely going bald, all the men in my family on both sides have MPB. Although I am going bald, at the moment I am hiding it pretty well with what I have but it’s getting to the point where I can’t hide it any longer, so I plan on going on Finasteride in the hope I can conserve what I have.
My only concern is that I have heard some awful stories about Finasteride actually causing an initial shed, or at least worsening the hair loss before it makes it better. In your experience have you encountered this with patients? Although I am determined to put a stop to it I would be devastated if taking Finasteride made my problem rapidly worse even if it would help in the long run.
Thanks for your time.

I have not seen patients in my practice who shed hair after starting Propecia (finasteride), though I have seen patients who shed initially after starting Rogaine (minoxidil). I’ve also seen patients who continue to lose hair while on Propecia, but it may just be regular genetic balding that is outpacing the medication itself. I really haven’t seen a case where someone has accelerated hair loss after starting Propecia. Either way, both medications do help most men in treating their hair loss.
If you are worried about these issues, please discuss them to your prescribing doctor. When you take ANY medication or partake in ANY medical treatment, you need to consider the risks and benefits and understand why and what you are treating. Just being scared will not solve any problem without a good solid assessment of what you are trying to do.
Here are some recent past replies about finasteride shedding, if you’re curious:
- Propecia Shedding Indicates That It’s Working?
- I Feel Propecia Has Dramatically Increased My Hair Loss
- Propecia Shedding Started After 6 Months

Read the full article at the Chicago Tribune —
I can’t give you specific advice about what medication is right for you for multiple reasons, but the main one being that I do not even know what you have. What is your diagnosis for the hair loss? Do you have male pattern baldness (MPB), or do you have an autoimmune problem?
Digoxin (also known by its brand name, Lanoxin) is a heart medication that shouldn’t cause hair loss as a side effect, but if adding this medication to your routine was the only thing that has changed prior to clumps of hair coming out, there might be something to it. That being said, I would discuss your hair loss issues with your prescribing doctor and explore the possibility of other undiagnosed conditions.
If the hair loss is from a medication (rare), it can happen in both men and women. In rare cases, Dilantin (phenytoin) is even known to cause body hair growth.
Hair loss from SSRI (selective serotonin reuptake inhibitor) drugs are relatively uncommon, but they can occur. First and foremost you need to find out if there is a pattern to your hair loss. Is the hair loss everywhere or just confined to the front/top (in a pattern)? If the hair loss is happening in a pattern like those shown