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In terms of efficacy and safety, Finasteride is the best medication to prevent male pattern baldness. The generic drug Finasteride is mostly available with two Brand names in USA Proscar and Propecia. Though both are FDA approved, Propecia is more popular with the patients. According to researchers, only hair transplantation is proved to be more effective treatment than taking Finasteride. Dermatologists and doctors usually recommend the medication over hair transplant as Finasteride is much more affordable and easy to use. However, according to experts, Finasteride works best if the patient takes it at the very first symptom of hair loss. Proscar and Propecia requires prescription for purchase and much more costly than the generic Finasteride.
According to most reviewers, Propecia shows best efficacy in treating male baldness. Some also suggest that Propecia is better than minoxidil, though many patients prefer to take both the medication simultaneously for the best result. Propecia works by blocking the production of Dyhydrotestosterone (DHT), a hormone produced from testosterone. DHT is basically responsible for hair fall and baldness. Propecia slows or stops the production of DHT. Nevertheless, suspension of DHT may create some sexual complexities. The patient may experience several side effects related with sex including loss of arousal length, problems with erection and decrease in semen. However, such effects are not permanent for the patients; these are usually getting disappeared when the patient stops taking the medication. And only 2% of the patients experience these side effects, according to a survey by Merck. But an important word of caution regarding using Propecia is that adolescents and women should stay away from this medication. Especially pregnant women should not even handle the drug as it may result in natal complexities. Finasteride or Propecia should create impact against hair fall within three to four months of starting medication.