Dr. Bernstein Discusses Efficacy and Safety of Finasteride
Sat 8 Dec 2012
In Part 2 of a 3 part series of highlights from the annual 2012 ISHRS (International Society of Hair Restoration Surgery) scientific meeting in the Bahamas, Coalition hair transplant surgeon Dr. Robert Bernstein provides his expert insight on the efficacy and safety of Propecia (finasteride).
View Part 1, Scalp Micropigmentation (Scalp Tattooing) at the 2012 ISHRS (International Society of Hair Restoration Surgery) Scientific Meeting – Dr. Robert Bernstein Provides His Input.
View Part 3, Dr. Robert Bernstein Explains Robotic Follicular Unit Extraction Hair Transplantation (R-FUE)
For more highlights from the meeting, visit “Highlights from the 2012 ISHRS (International Society of Hair Restoration Surgery) Scientific Meeting in the Bahamas”
View Dr. Bernstein’s expert feedback below.
The Finasteride Symposium at the 2012 ISHRS Meeting, of which I was a panelist, explored efficacy and safety issues with finasteride. With regard to efficacy, a recent long-term, uncontrolled study by Rossi et al. reported that the beneficial effects of finasteride on hair growth continued as time goes on and that a significant proportion of patients, unchanged after 1 year, improved later on. In addition, these patients maintained a positive trend over time – up to ten years. When comparing different age groups, they found that subjects older than 30 years showed better hair growth in the long-term than those who were younger. Of the 113 patients in the study followed for 10 years, only 14% worsened, whereas the remaining 86% had benefits.
The question about side effects and safety is much more difficult to answer. There seems to be a disconnect between the relatively low incidence of side effects that physicians see in their practices, what published controlled studies have shown, and what is now being reported on the Internet and in some instances in the media. For example, a 2012 study by Sato of 3, 177 Japanese men published the Journal of Dermatology, showed a 0.7% incidence of adverse reactions to finasteride 1mg and no persistent side effects after stopping the medication.
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Losing hair. Do not waste your time, hair or money at hair loss sites or forums. They lied about dht being the cause of pattern hair loss for years, and sold and promoted crap like Propecia to cure it. We now know that Propecia causes more hair loss in the long term, and sexual side effects. They have no answers and will tel you anything to get your money.
Help! I'm going bald — Jamaica Observer
These creams include Minoxidil, Propecia and Rogaine. "Because it's an hormonal thing, we have no end of research being done in order to speed the process up for finding treatment for hair loss," Dr Oates explained.
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