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Prescription tablet taken by moutha 5-alpha reductase inhibitor, a medicine that blocks an enzyme involved in making a hormone called DHT

Finasteride

Finasteride · Say it: fin-AS-ter-ide

A prescription tablet used to treat male pattern hair loss in men only. The label says it is not for women or children.

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Used for

The label says finasteride is used to treat male pattern hair loss (androgenetic alopecia) in men only. The label says it is not known whether it works for a receding hairline on the sides and top of the forehead. It is not indicated for use in women or in children.

Comes as

Finasteride 1 mg tablets: white, octagonal, film-coated tablets debossed with 'J' on one side and '81' on the other.

Common side effects

Lower sex drive (decreased libido), Erectile dysfunction, Ejaculation problems, including less semen volume (ejaculate volume)

Key facts
Generic nameFinasteride
Brand names—
Type of medicinea 5-alpha reductase inhibitor, a medicine that blocks an enzyme involved in making a hormone called DHT
How it is soldPrescription tablet taken by mouth
Comes asFinasteride 1 mg tablets: white, octagonal, film-coated tablets debossed with 'J' on one side and '81' on the other.
Routeoral
Boxed warningNo
Label date2026-06-30

💊 What is Finasteride used for?

  • The label says finasteride is used to treat male pattern hair loss (androgenetic alopecia) in men only. The label says it is not known whether it works for a receding hairline on the sides and top of the forehead. It is not indicated for use in women or in children.

How it works

The label says finasteride is a specific inhibitor of an enzyme called Type II 5-alpha-reductase. This enzyme changes the hormone testosterone into dihydrotestosterone (DHT). By slowing this change, the medicine lowers DHT levels.

How it is usually taken

  • The label says finasteride may be taken with or without meals. It is taken once a day. The label says that daily use for three months or more is generally needed before benefit is seen, and that continued use is recommended to keep the benefit. The label says the effect reverses within 12 months after treatment is stopped. Take it exactly as your prescriber tells you, and follow the instructions from your prescriber or pharmacist.

Comes as

  • Finasteride 1 mg tablets: white, octagonal, film-coated tablets debossed with 'J' on one side and '81' on the other.

⚠️ Finasteride side effects

Common side effects

  • Lower sex drive (decreased libido)
  • Erectile dysfunction
  • Ejaculation problems, including less semen volume (ejaculate volume)
  • Breast tenderness or enlargement has been reported in some people, according to the label

Get medical help right away if

  • Get medical help promptly if you notice changes in your breasts, such as lumps, pain, or nipple discharge. The label says these should be reported promptly.
  • If a woman who is pregnant, or may be pregnant, comes into contact with crushed or broken tablets, wash the area right away with soap and water and consult a healthcare provider. The label says a male baby exposed this way may be born with sex organs that are not normal.
  • Talk with your prescriber promptly about any new or worsening urinary or prostate symptoms. The label warns that 5-alpha reductase inhibitors may increase the risk of high-grade prostate cancer, and that any confirmed rise in PSA while on finasteride should be evaluated.

🛑 Who should not take Finasteride, and who should be careful

The label says not to take it if

  • You are a woman who is pregnant or may become pregnant. The label says finasteride may harm an unborn male baby.
  • You are allergic to any of the ingredients in the tablets.
  • The label says finasteride is not for women or children.

Tell your doctor before taking it if

  • Tell your healthcare provider about any other medical conditions, including problems with your prostate or liver.
  • Tell your healthcare provider about all medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
  • Tell your healthcare provider if you have a PSA test, because finasteride lowers PSA levels.
  • Read the Patient Information leaflet before you start and each time you get a refill, as the label advises.

🔀 Finasteride with other medicines, food and alcohol

The label says to discuss these with your doctor or pharmacist

  • The label says no drug interactions of clinical importance have been identified. It says finasteride does not appear to affect the cytochrome P450 enzyme system, and that antipyrine, digoxin, propranolol, theophylline, and warfarin showed no clinically meaningful interactions. Tell your healthcare provider about every medicine you take, because the label says specific interaction studies were not done for many other drugs.

Alcohol and food

The label says finasteride may be taken with or without food. The label does not discuss alcohol.

🤰 Finasteride in pregnancy and breastfeeding

Pregnancy

The label says finasteride is contraindicated for women who are pregnant or may become pregnant and lists it as Pregnancy Category X. In animal studies, it caused abnormal development of the external genitals in male fetuses. Women who are pregnant or may become pregnant should not handle crushed or broken tablets. The coating prevents contact during normal handling if the tablets are not broken.

Breastfeeding

The label says finasteride is not indicated for use in women. It says it is not known whether finasteride passes into human milk.

🗓️ Storage, missed doses and taking too much

Storage

The label says to store at 20 to 25 degrees C (68 to 77 degrees F). Keep the container closed and protect the tablets from moisture.

If a dose is missed

The label says that if you forget a dose, do not take an extra tablet. Just take the next tablet as usual. It also says that taking more than one tablet a day will not make the medicine work faster or better.

If too much is taken

The label says that in clinical studies, single doses up to 400 mg and multiple doses up to 80 mg a day for three months did not cause adverse reactions. It also says no specific treatment for an overdose can be recommended until more experience is available. Contact your healthcare provider, pharmacist, or local poison control service if you think you have taken too much.

🗒️ Questions to ask about Finasteride

🎯 Check what you understood

1. Who is finasteride approved to treat, according to the label?

2. What does the label say a woman who may be pregnant should do if she touches crushed or broken tablets?

3. How does finasteride affect the PSA blood test, according to the label?

❓ Finasteride: frequently asked questions

Can women take finasteride?

The label says finasteride is not indicated for use in women. It is contraindicated for women who are or may become pregnant, and women who are pregnant or may become pregnant should not handle crushed or broken tablets.

How long does it take to work?

The label says daily use for three months or more is generally necessary before benefit is observed. It also says the effect reverses within 12 months after treatment is stopped.

Does finasteride affect a prostate cancer screening test?

Yes. The label says finasteride decreases PSA levels, so a healthcare provider should be told about use before a PSA test. Any confirmed rise in PSA while on finasteride should be evaluated.

What are the most common side effects?

The label lists decreased libido, erectile dysfunction, and ejaculation disorder, including decreased ejaculate volume, as the most common. Breast tenderness, enlargement, and changes have also been reported.

Does finasteride interact with other medicines?

The label says no drug interactions of clinical importance have been identified. It still advises telling your healthcare provider and pharmacist about all medicines, vitamins, and herbal supplements you take.

🧪 Tests and reports linked to Finasteride

The label text mentions these. If you have one of these reports, get every line of it explained.

📖 Medical words used on this page

  • 5-alpha reductase

    5-alpha reductase is an enzyme that turns testosterone into a stronger hormone, DHT. Some medicines block it to treat prostate growth and hair loss.

  • Androgenetic alopecia

    Androgenetic alopecia is common, inherited hair loss, seen as male pattern baldness or thinning on the top of the head in women.

  • Bilateral and unilateral

    Bilateral means on both sides of the body and unilateral means on one side only, and reports usually also name the side.

  • Contraindication

    A contraindication is a reason not to use a particular medicine, test or procedure for a person because it could cause harm.

  • DHT

    DHT (dihydrotestosterone) is a strong male hormone made from testosterone. It affects the prostate, body hair and scalp hair.

  • Ejaculate volume

    Ejaculate volume is the amount of semen released during ejaculation. Some prostate and hair loss medicines can reduce it.

  • Erectile dysfunction

    Erectile dysfunction (ED) means difficulty getting or keeping an erection firm enough for sex. It is common and often treatable.

  • Exacerbation

    An exacerbation is a flare-up: a period when a long-term condition, such as asthma, COPD or hepatitis, suddenly gets worse.

  • Film-coated

    Film-coated means a tablet has a thin outer layer that makes it easier to swallow, masks taste, or protects the medicine inside.

  • Interaction

    A drug interaction is when one medicine, food, drink or supplement changes how another medicine works or how strong its effects are.

  • Libido

    Libido means sex drive, a person's level of interest in or desire for sexual activity.

  • Overdose

    An overdose means taking more of a medicine or substance than the body can safely handle, which can cause harmful or life-threatening effects.

  • Pediatric

    Pediatric means relating to children. On medicine labels it refers to babies, children and teenagers, usually under 18 years old.

  • PO (by mouth)

    PO on a prescription or chart means the medicine is taken by mouth, from the Latin per os.

📖 Medical words on this page

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Source: official FDA drug label (label updated 2026-06-30). Read the full label on DailyMed

MedicDecode explains the official label in plain words. It is not medical advice and does not replace your doctor or pharmacist. Never start, stop or change a medicine because of what you read here.