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Propecia (finasteride) is the only prescription medicine in the UK for male pattern baldness. It is a 5 alpha reductase inhibitor. It is a tan octagonal tablet available in just one strength – Propecia 1mg. It works by blocking the enzyme, Type II 5 alpha-reductase, and in doing so it reduces the level of the hormone in the scalp which shortens the hair growth cycle and allows hairs to revert to a normal growth cycle. This can result in stopping further hair loss and increasing new hair growth in men with male pattern baldness.
Continuous use once a day for 3–6 months is required before benefit is seen, and effects are reversed 6–12 months after treatment is discontinued so continuous use is recommended to sustain benefit.
Trials conducted on thousands of men have shown that after 2 years of use two thirds of men showed increased hair growth. 4 out of 5 of men in the trial showed no further hair loss.
The recommended dose is Propecia 1mg one tablet per day.