If there's a smoking gun here, it might just be in Merck's own hand. According to a complaint filed in Florida, Merck expanded the warning on the product label to include the "persistence of erectile dysfunction after discontinuation" in the face of a study by Sweden's Medical Products Agency suggesting that Propecia could be a long-term sexual inhibitor.
But the rewrite appeared just in Sweden. In March the fine print was also amended in Italy, but nothing about the possibility of lasting sexual side effects appeared in the U. In a statement responding to our inquiry, Merck acknowledged that some Propecia users — it put the number at 1.
Finasteride, the active compound in Propecia, is a 5-alpha reductase inhibitor, meaning it blocks the conversion of testosterone to the more potent dihydrotestosterone DHT , which thins hair and contributes to baldness. Finasteride was originally developed to shrink enlarged prostates in a drug called Proscar , but doctors noticed that it also grew hair.
It's worth noting that infant males born without the ability to convert testosterone to DHT are also born with ambiguous genitalia. For this reason, pregnant women are told to avoid exposure to the drug. The late-breaking warning on Propecia is cold comfort to David M. He now suffers from low testosterone levels which can lead to gynecomastia , or what schoolyard bullies might call "bitch tits".
David acknowledges that he didn't do much research before filling his first prescription. It did what it was supposed to do. Some items may interact with your medicine. What should I watch for while using this medicine? It may take at least three months of daily use of this medicine before you notice an improvement in you hair loss.
You must continue to take this medicine to maintain the results. If you stop taking this medicine, the effect will be reversed within 12 months. Do not donate blood while you are taking this medicine. This will prevent giving this medicine to a pregnant female through a blood transfusion.
Ask your doctor or health care professional when it is safe to donate blood after you stop taking this medicine. Women who are pregnant or may get pregnant must not handle broken or crushed finasteride tablets. The active ingredient could harm the unborn baby. Although Propecia is not for use by women, this medication can cause birth defects if a woman is exposed to it during pregnancy. Propecia tablets should not be handled by a woman who is pregnant or who may become pregnant.
Propecia tablets are coated and will prevent contact with the active ingredient during normal handling, provided that the tablets are not broken or crushed.
If a woman accidentally comes into contact with this medication from a broken or crushed tablet, wash the area with soap and water right away. How should I take Propecia? Take Propecia exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label. Take this medicine with a full glass of water. Propecia can be taken with or without food.
Take the medicine at the same time each day. It is important to use Propecia regularly to get the most benefit. You may need to take Propecia daily for three months or more before you see a benefit. Propecia can only work over the long term if you continue taking it. If the drug has not worked for you in twelve months, further treatment is unlikely to be of benefit.
Keep container tightly closed. The couple had gone from almost daily romps to something like once every two months. Call your doctor for medical advice about side effects. Women who are pregnant or may get pregnant must not handle broken or crushed finasteride tablets. Illustration by Mark Matcho Jeff O. Some items may interact with your medicine. Your doctor will perform tests to make sure you do not have other conditions that would prevent you from safely using finasteride. What should I avoid? Exposure to whole tablets is not expected to cause harm as long as they are not swallowed. Take Propecia exactly as prescribed by your doctor. If the drug has not worked for you in twelve months, further treatment is unlikely to be of benefit, how to buy finasteride.
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