Finasterid för manligt håravfall
Propecia
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 5 May 2025
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Finasteride is for adult men only - it must inte be taken by anyone aged under 18 years, or by women.
The dose is one (1 mg) tablet a day.
Side-effects are uncommon, but may include a loss of sex drive and a reduced ability to get an erection.
Överblick
Finasteride is a medicine used to treat male pattern hair loss.
It works by stopping the conversion of testosterone into another hormone that shrinks hair follicles.
You take one tablet daily and may need to take it for up to a year to see the full benefit.
Finasteride is a prescription-only medicine and is not available on the NHS.
You must keep taking finasteride to maintain the benefits of treatment.
Some men experience side-effects like reduced sex drive, erection problems, or changes in mood.
Women who are pregnant should not handle finasteride tablets.
About finasteride for male pattern baldness
Typ av medicin | 5-alpha reductase inhibitor |
Används för | Male pattern hair loss |
Även kallad | Propecia® |
Tillgänglig som | Tabletter |
Manligt håravfall is the common type of hair loss that develops in many men at some stage. The condition is sometimes called androgenetic alopecia. It is caused by a combination of hereditary (genetic) and hormonal factors.
Hair is made in hair follicles. A hair normally grows from each hair follicle for about three years. It is then shed and a new hair grows from the follicle. As balding develops, affected hair follicles gradually become smaller than normal. Each new hair that grows is thinner and shed more quickly than before. This eventually leads to a much smaller hair follicle and a thin hair that does not grow out to the skin surface.
Male hormones are involved in causing these changes. Hair follicles convert testosterone (the main male hormone) into another hormone called dihydrotestosterone. Affected hair follicles become more sensitive to dihydrotestosterone and this causes the hair follicles to shrink.
For some men, this normal ageing process can be distressing, particularly if it is excessive or occurs early in life. Treatment with finasteride can help prevent further hair loss. It works by stopping the conversion of testosterone to dihydrotestosterone.
Finasteride is only available on a prescription from a doctor, but it is not available on the NHS. This means you will be asked to pay the full price of the tablets when you receive your supply.
Before taking finasteride
Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking finasteride it is important that your doctor knows:
Om du någonsin har haft en allergisk reaktion mot en medicin.
Om du tar några andra läkemedel. Detta inkluderar alla läkemedel som kan köpas utan recept, samt växtbaserade och komplementära läkemedel.
How to take finasteride
Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about finasteride and will provide you with a full list of the side-effects which you may experience from taking it.
Take one (1 mg) tablet each day, exactly as your doctor tells you to. Try to take your doses at the same time of day, as this will help you to remember to take finasteride regularly.
Swallow the tablet whole (without breaking or crushing it) with a drink of water. You can take the tablet either with or without food.
If you forget to take a dose on time, take it when you remember. If you do not remember until the following day, leave out the missed dose. Do not take two doses together to make up for a forgotten dose.
Få ut det mesta av din behandling
Each time you collect a new supply of tablets from your pharmacy, make sure they look to be the same as you have had before. This is because there is a high-dose brand of finasteride tablet available for the treatment of a different condition. If you are unsure that you have the correct tablets, ask your pharmacist to check for you.
Your hair growth may start to improve within a few months, although it can take up to a year or so for you to notice the full benefit. You will need to continue treatment to maintain this effect, as the balding process returns when you stop.
Finasteride may cause harm to an unborn baby. Because of this, women who are pregnant should not handle the tablets. Also, very small amounts of finasteride will be in your semen while you are taking this medicine. If you need further advice about this, speak with your pharmacist or doctor.
If you are having an operation or any medical treatment, tell the person carrying out the treatment that you are taking finasteride. This is because finasteride can interfere with a blood test used to detect prostate cancer, so you must tell your doctor about taking finasteride if you need this test.
Can finasteride cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the ones associated with finasteride. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Finasteride side-effects (these affect fewer than 1 in 10 men) | Vad kan jag göra om jag upplever detta? |
Reduced desire to have sex, inability to get an erection, breast tenderness, depressed mood, allergic-type reactions | Om något av dessa blir besvärligt, tala med din läkare |
Viktigt: if you develop any pain or lumps in your breast area, or any discharge from your nipples, you should tell your doctor. This is because there have been a few rare reports of breast cancer in men taking 5-alpha reductase inhibitors like finasteride and dutasteride.
Important: there have been reports of depression in men taking finasteride, and in rare cases, thoughts of self-harming. Patient alert cards are now included with your medicine alerting you to this fact. You should share this information with your family or friends so that they can be alert for any changes in your mood. If you develop any signs of depression whilst being treated with finasteride, or you have any concerns about your mood, make an appointment to see your doctor.
If you are taking finasteride for prostate problems, you should continue to take your medication until you have spoken with your doctor and agreed a plan.
If you are taking finasteride (Propecia) for male pattern baldness, you should stop taking this medication and make an appointment to see your doctor.
In addition, taking finasteride has caused problems with sexual function in some men, including loss of libido and problems maintaining an erection. This has sometimes continued after stopping treatment. Speak with your doctor if you are concerned about this.
Om du upplever några andra symtom som du tror kan bero på tabletterna, tala med din läkare eller apotekare för vidare råd.
How to store finasteride
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Om du köper några mediciner, kontrollera med en apotekare att de är säkra att ta tillsammans med dina andra mediciner.
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
Rapportera biverkningar av ett läkemedel eller vaccin
Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

Osäker på att blanda mediciner?
Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.
Vanliga frågor
Why is finasteride not available on the NHS for male pattern baldness?
Finasteride is a prescription-only medicine but it is not funded by the NHS for treating male pattern baldness. This means patients need to pay the full cost of the tablets when they get their supply.
What is dihydrotestosterone and how does it relate to hair loss?
Dihydrotestosterone is a hormone that hair follicles become sensitive to as balding develops. This sensitivity causes the hair follicles to shrink, leading to thinner hair that is shed more quickly. Finasteride works by blocking the conversion of testosterone into dihydrotestosterone.
When should I tell my doctor that I am taking finasteride?
You should inform your doctor or any medical professional about your finasteride use if you are having an operation or any medical treatment. It's particularly important to mention if you need a blood test for prostate cancer, as finasteride can interfere with the results of this test.
What should I do if I experience changes in mood or signs of depression while taking finasteride?
There have been reports of depression, and in rare cases, thoughts of self-harming, in men taking finasteride. Your medicine comes with a patient alert card about this. You should share this information with family or friends so they can help monitor your mood. If you notice any signs of depression or have concerns about your mood, stop taking the medication and schedule an appointment to see your doctor.
Are there any specific situations where women should avoid handling finasteride tablets?
Yes, women who are pregnant should not handle finasteride tablets because the medicine may cause harm to an unborn baby.
Vidare läsning och referenser
- Manufacturer's PIL, Propecia® 1 mg tablets; Merck Sharp & Dohme Limited. The electronic Medicines Compendium. Dated August 2024.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
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Next review due: 5 May 2028
5 May 2025 | Senaste versionen

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