White Rx-only finasteride tablet bottle, labeled as dispensed by a state-licensed pharmacy, with a blue tablet and fine teal light filaments.

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Finasteride

FDA-approved genericPrescription required

Slow thinning. Keep more hair. One daily pill.

  • FDA-approved generic
  • Results in 3–12 months
  • Lowers DHT

Generic Propecia®

Finasteride is FDA-approved to treat male pattern hair loss. It lowers DHT, the hormone that shrinks hair follicles, helping slow loss and regrow hair at the crown and mid-scalp.

Form
Tablet
How often
Once a day
Results
3 to 12 months
Made by
FDA-approved generic manufacturer

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Quick answer

Finasteride at a glance

Finasteride is FDA-approved to treat male pattern hair loss.

How it’s taken: tablet, once a day.

It starts at $49/mo at Surna, with provider care included.

A prescription from a licensed provider is required. It’s an FDA-approved generic.

Updated

How Finasteride works

In men with pattern hair loss, DHT gradually shrinks follicles until they stop producing visible hair. Finasteride blocks the enzyme that turns testosterone into DHT.

It works best on follicles that are still active, which is why starting early matters.

What to expect

Everyone responds differently. Your provider checks in and adjusts your plan along the way.

Months 1–3

Most men see no visible change yet. Keep going.

Months 3–6

Many men notice less shedding and early improvement.

Month 12

Full results become clearer. Gains usually reverse within a year of stopping.

Is it right for you?

Your provider makes the final call after reviewing your health history.

Often a good fit

  • Men with thinning at the crown or hairline
  • Want an FDA-approved, once-daily pill
  • Ready to stick with treatment long term

Usually not a fit

  • Women, especially if pregnant or could become pregnant
  • Liver problems
  • History of depression, unless discussed with your provider

Not a complete list. Tell your provider about all health conditions and medications.

Possible side effects

Most side effects are mild. Your care team is a message away if something doesn't feel right.

More common

Lower sex driveErection problemsLess semenBreast tenderness

Get medical help right away for

  • Breast lumps, pain, or nipple discharge
  • Depression, mood changes, or thoughts of self-harm
  • Signs of an allergic reaction, like hives, swelling of your face or throat, or trouble breathing

For a medical emergency, call 911.

How to take it

Always follow the directions on your label and from your provider.

Take it daily

One tablet a day, with or without food.

Give it time

Stick with it for at least a year to judge results.

Tell other doctors

Finasteride lowers PSA test results, so let any doctor checking your prostate know you take it.

Finasteride questions

Do side effects go away?

For most men who have them, side effects go away after stopping. In rare cases, they have been reported to continue.

Can I use it with minoxidil?

Yes. Many men combine them, and your provider may recommend it.

Why can’t women handle crushed tablets?

Finasteride can be absorbed through the skin and can cause birth defects in a male baby. Intact, coated tablets are safe to handle.

See if Finasteride is right for you.

Answer a few questions and a licensed provider will review your options.

FDA-approved generic

Important safety information

Last updated

Finasteride is not for use by women or children. Women who are or may become pregnant should not handle crushed or broken tablets. Finasteride can cause sexual side effects, which in rare cases may continue after stopping, and has been associated with depression and thoughts of self-harm. It lowers PSA levels and may affect prostate cancer screening. Propecia® is a registered trademark of its owner. Surna Health is not affiliated with its owner.

This is not a complete list of risks. Talk with your provider and read the full prescribing information or medication guide.