Propecia and Cancer

What about propecia’s safety? The cancer study along with altering hormone levels just doesnt sound like a good idea. What do you think about starting propecia in your 20’s and altering hormone levels for say 15 years?

Finasteride (5 mg dose of the same drug as Propecia) was first used to treat prostate enlargement and cancer. There have been many studies through the years about this product which demonstrated its safety in the older male population (over 50). I have not seen any dangerous effect in my practice and the drug is carefully monitored by the drug company (Merck) under FDA guidelines. There is no doubt from recent articles published in the past few years that Finasteride in 5mg doses taken daily, reduces the risk of Prostate cancer. There is no suggestion that the slight rise in testosterone that occurs in many people will increase any particular cancer risk.

Propecia and Breast Milk

Hi Doc,

You are an impressive personality, I have been reading and making my decisions about my hair loss through the research on your website.

My wife is pregnant and and I want to start taking propecia, I am thinking about start taking it after the baby is born which is due on mid Nov. But I would like to know if breast feeding and propecia can create complications to the baby or wife. I think I am a norwood class 4 and have almost good coverage, I am 25 year old male.

Your reply would be a great help.

Keep up the great work.

Nope. Unless you have found a way to create milk from your own breast and are breastfeeding your baby, there is no danger to your wife and your baby as Propecia does not come over to the woman from sexual intercourse. It is not known if Propecia can be found in the breast milk of mothers that are taking Propecia themselves, but Propecia is not approved for use in women anyway. It will not affect your wife or unborn child even if you are having intercourse with your wife while she is pregnant. The pharmaceutical company Merck’s statement on this is, “Available data indicate that the level of PROPECIA in the semen of a man taking PROPECIA does not pose a risk to an unborn child. Accordingly, a man can take PROPECIA while conceiving a child with his partner, or have sexual intercourse with his partner if she is already pregnant.”

If you are still worried, use a condom.

Propecia and Body Hair Growth

Does Propecia make hair grow faster on other parts of my body?

I have seen reports that Propecia may increase body hair, but so does aging. On the other hand, there are reports that Propecia can decrease body hair in some men. As for the speed of body hair growth while on the medication, I do not know the answer.


2011-12-11 10:30:30Propecia and Body Hair Growth

Propecia and Blood Pressure Medication

Hi Dr: I am a 36 year old male. I have experienced hair loss and I would like to try Propecia (Finasteride). However, I am a heart patient and I take Toprol, Altace, Zetia, Plavix, Lipitor. Will the propecia interact with any of these? I have read that it may interact with blood pressure meds.

Thank you

If you are taking finasteride at the 1mg dose (Propecia), I would not worry about cross-reactivity. The official site does not mention a problem with the medications you listed. Minoxidil on the other hand, is an anti-hypertensive agent so if you mix it with the anti-hypertensive medication you take, you could drop your blood pressure further. For general information on drugs and pharmacologic vs. Toxic Effects, see: https://www.hpisum.com/downloads/Downside.pdf


2006-08-07 10:37:05Propecia and Blood Pressure Medication

Propecia Allergy?

I have been taking Propecia for about two years. It has always worked fine until roughly six months ago when certain side effects began to appear. My lips were swelling quite frequently and I would get hives on my body. I was able to combat this with a daily dose of claritan. I am worried though that these effects could be dangerous to my body, even though the hives never appear while taking claritan and the lip swelling is only a few times a month at most. Also, I was curious to know if there is any correlation to these side effects and the ineffectiveness of propecia. I have noticed an increase in hairloss over the past six months, but still nowhere near as bad as before I went on the drug. Any light you could shed on this matter would be great. Also, I thought I would add that I have experienced no sexual side effects.

Thanks

You need to have a good dermatologist take a look at you. Although some of the symptoms are reflective of a drug allergy, you may also have some other medical problem. Don’t play doctor. There is an old adage: a person who treats themself has a fool for a doctor. Adhere to good common sense and have a professional look at you.

Propecia After a Hair Transplant

Dr. Rassman here’s my question. I am 40 years old and started to bald when I was about 36. Around then I bagan taking propecia and have encountered good results. Most of my hair has regrown. Anyway, here’s my question. From time to time I think about a hair transplant and I think about this as a means to stop taking Propecia. Am I fooling myself. Will I still be on Propecia after the hair transplant? Thanks.

With the good results you’ve reported, you should not consider stopping the Propecia. Hair transplants should be looked at as a way to augment the results, if you feel that the results now do not meet your objectives. If you stop the Propecia, you will go back to square one and lose all of the benefit you recieved from it in a matter of a few months. You need to sit down with your doctor and work this into a Master Plan for your present and future hair loss.


2006-02-20 20:59:59Propecia After a Hair Transplant

Prolactinoma and Hair Loss?

Hi Dr Rassman,

Im looking for a bit of advice, i think i have been fooling myself into believing i was going bald genetically and that my hairloss was due to Seb Derm/Inflammation and Traction loss. I believe some of it has been caused by my scalp picking and itching, but i have noticed i am starting now to recede and have lost hair diffusely through the top and also on the sides of my head.

I have been diagnosed lately with a Prolactinoma and low Testosterone so dont know how much that could be affecting my loss if any ? if im just going bald DUPA what would be youre recommendation for halting and regrowth, and would it conflict with my Cabergoline im using to shrink my Pituatory Tumor ?

Thanks

You’ve got a lot going on. The excess production of the hormone prolactin can possibly cause hair loss, but I do not have a lot of experience in this area. I can’t give recommendations for you, as I don’t have enough information and you’re under the care of a doctor that you should be getting your info from. Cabergoline doesn’t list hair loss as a side effect, and I’ve written about a similar problem before here.

Prolactin and Hair Loss

I’ve recently read that prolactin can potentially cause hair loss. Do levels have to be exceptionally high for this to occur, or can even moderately high levels contribute to thinning hair?

An abnormally high level of prolactin (hyperprolactinemia) is a condition characterized by elevated serum levels of the hormone prolactin in non-pregnant individuals. Hyperprolactinemia may cause progressive pattern hair loss due to an indirect effect on increasing free testosterone level.


2007-04-02 09:34:50Prolactin and Hair Loss

Progaine Shampoo

Doctor, you mentioned in one of your recent posts that you supply one bottle of Progaine Shampoo to your patients after the surgery. I use Progaine a lot but can only find the Progaine Volumizing Shampoo available. The other Progaine products do not seem to be available at this time over the internet or in stores. Do you know why only one Progaine product is available at this time? When would the other products under the brand name be available again? If you could provide any information, it would be appreciated very much!

Progaine is just a volumizing shampoo like any other volumizing shampoo. It does not grow hair. There were other formulations, but I believe they’ve been discontinued. I just did a quick search online and you’re right -only the volumizing shampoo seems to still be for sale.

But… um… I must’ve had a temporary memory lapse when I said that Progaine was what I give to patients after their hair transplant surgery. I used to provide Progaine, but for years now I’ve provided GraftCyte shampoo (which contains copper peptide to promote better healing). You can find more info about that here. Sorry for the confusion!


2009-06-12 12:34:10Progaine Shampoo

Procyanidin B2 Research

Dr. Rassman, I know you get questions about procyanidin b2 every day and I understand enough data is not currently available to determine whether the product is indeed efficient. But my question to you is: is research on it being done by serious, credible institutions? Can we expect to see any YES/NO recommendation that can actually be trusted any time soon? Thanks!

The bulk of research on procyanidin B2 is published by one group of authors in Japan in last few years. Although some of them are published in peer reviewed medical journals mostly on small group of patients, more research with a larger number of patients seems to be necessary for assessing the efficiency and safety of this product.