The information on this site is intended for healthcare professionals in the United States and is not intended for the general public.

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Merck

How Does MPHL Affect Your Patients?

  • In a published study, 62% of mena reported that they were bothered by their hair loss1
  • In another study, 54% of men with MPHL reported they were often reminded of their hair loss2
  • 45% of menb said their initial hair loss concern was caused by someone else's comments3
  • 39% of men with MPHL believed that others underestimate their hair problems2
  • 32% of menc had trouble speaking freely about hair loss with their doctor4
  • a Men who self-rated their hair loss as moderate to extensive (Norwood-Hamilton stage 3 or greater).
  • b Among men who had spoken to their doctor about their hair loss. Consumer research based on a 2002 online survey of 3,042 men, aged 18 years and older, regarding MPHL.
  • c Men, aged 20 to 49 years, with mild to moderate hair loss who were very concerned about their hair loss but had not discussed it with their doctor. Consumer research based on questionnaires received from a national panel of households in 2001.
I wouldn't have a problem being bald later in life-but not yet. I don't want to have to wear a baseball cap for the rest of my life.

PROPECIA is the first oral therapy indicated for the treatment of male pattern hair loss in MEN ONLY. Safety and efficacy were demonstrated in men, aged 18 to 41, with mild to moderate hair loss of the vertex and anterior mid-scalp area. Efficacy in bitemporal recession has not been established.

PROPECIA is not indicated in women or children.

Important Safety Information

PROPECIA is contraindicated in women when they are or may potentially be pregnant. Finasteride may cause abnormalities of the external genitalia of a male fetus of a pregnant woman.

PROPECIA is contraindicated in patients with hypersensitivity to any component of this medication.

Women should not handle crushed or broken PROPECIA tablets when they are pregnant or may potentially be pregnant because of the possibility of absorption of finasteride and the subsequent potential risk to a male fetus. PROPECIA tablets are coated and will prevent contact with the active ingredient during normal handling, provided that the tablets have not been broken or crushed.

Caution should be used in patients with liver function abnormalities, as finasteride is metabolized extensively in the liver.

Physicians should instruct their patients to promptly report any changes in their breasts such as lumps, pain, or nipple discharge. Breast changes including breast enlargement, tenderness, and neoplasm have been reported.

In clinical studies with finasteride 1 mg in men aged 18 to 41, the mean value of serum prostate-specific antigen (PSA) decreased from 0.7 ng/mL at baseline to 0.5 ng/mL at month 12. In clinical studies with PROSCAR® (finasteride, 5 mg) when used in older men who have benign prostatic hyperplasia (BPH), PSA levels are decreased by approximately 50%. These findings should be taken into account for proper interpretation of serum PSA when evaluating men treated with finasteride.

In clinical studies of 1 year for PROPECIA, each drug-related sexual adverse event occurred in less than 2% of men. Discontinuation due to drug-related sexual adverse experiences was 1.2% in the group treated with PROPECIA and 0.9% in the placebo-treated group. Reported drug-related sexual adverse experiences included decreased libido (1.8% vs 1.3%, placebo), erectile dysfunction (1.3% vs 0.7%, placebo), and ejaculation disorders (1.2% vs 0.7%, placebo), primarily decreased volume of ejaculate (0.8% vs 0.4%, placebo). Resolution occurred in the 1-year studies in men who discontinued therapy with PROPECIA due to these sexual side effects. The incidence of each of the above side effects decreased to ≤0.3% by the fifth year of treatment with PROPECIA.

In postmarketing experience, the following adverse events have been reported: breast tenderness and enlargement; hypersensitivity reactions including rash, pruritus, urticaria, and swelling of the lips and face; and testicular pain.

If PROPECIA has not maintained hair count or regrown visible hair within 12 months, further treatment is unlikely to be of benefit. Withdrawal of treatment leads to reversal of effect within 12 months.

No dosage adjustment is necessary in the elderly or in patients with renal insufficiency.

Before prescribing PROPECIA, please read the Prescribing Information. The Patient Information also is available.

References

  1. Girman CJ, Rhodes T, Lilly FRW, et al. Effects of self-perceived hair loss in a community sample of men. Dermatology. 1998;197:223–229.

  2. Van der Donk J, Passchier J, Dutree-Meulenberg ROGM, Stolz E, Verhage F. Psychologic characteristics of men with alopecia androgenetica and their modification. Int J Dermatol. 1991;30:22–28.

  3. Data available on request from Merck & Co., Inc., Professional Services-DAP, WP1-27, PO Box 4, West Point, PA 19486-0004. Please specify information package 20752791(1)-PRP.

  4. Kaufman KD; Finasteride Male Pattern Hair Loss Study Group. Long-term (5-year) multinational experience with finasteride 1 mg in the treatment of men with androgenetic alopecia. Eur J Dermatol. 2002;12:38–49.


PROPECIA, PROSCAR, PROPAK, MerckProductServices, and Helping make hair loss history are registered trademarks of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. Other brands mentioned are trademarks of their respective owners.


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